tci Outpatient Facility Coding Alert - 2013 Issue 1

Reader Question: Code 25111 Covers Both Synovectomy and Ganglion Excision

Question: In a patient diagnosed with synovitis with first dorsal compartment tendinitis and ganglion formation from extensor carpi ulnaris (ECU), our surgeon did the following procedures: 1. Exploration, volar radial mass, with first dorsal compartment release and excision of tenosynovitis 2. Excision, ganglion formation from ECU and neurolysis of dorsal cutaneous nerve. New Jersey Subscriber Answer: Although the surgeon completed two procedures you’ll report only 25111 (Excision of ganglion, wrist [dorsal or volar]; primary) for the excised ganglion. You do not separately bill for the synovectomy in this situation. Explanation: According to the American Academy of Orthopedic Surgeons...

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