tci ED Coding & Reimbursement Alert - 2024 Issue Q1

Reader Questions: Report Manipulation Along With Palmar Fascial Cord Injection

Question: Encounter notes indicate that the ED physician injected collagenase for a patient with “palmar fascial cord.” After the injection, the physician also manipulated the cord. Is there a way to code for both services? Louisiana Subscriber Answer: Yes, there is. On the claim, report: 20527 (Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren’s contracture)) for the injection 26341 (Manipulation, palmar fascial cord (ie, Dupuytren’s cord), post enzyme injection (eg, collagenase), single cord) for the manipulation Modifier 51 (Multiple procedures) appended to 26341 to indicate you are reporting multiple procedures M72.0 (Palmar fascial...

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