tci Part B Insider - 2006 Issue 10

ORTHOPEDIC: See Your Way Through CMC Anthroplasty Transplant Coding

If you only use 25447, expect to lose big bucks When deciding which CPT Codes to report for CMC arthroplasty, you need to know the tendon transfer site. Refer to the example below to determine why two codes can make all the difference. Example: Patient Jones has severe arthritis of the carpometacarpal (CMC) joint. Dr. Smith excises the trapezium, then performs a tenotomy and tenolysis on the flexor carpi radialis (FCR). She draws the detached part of the tendon out through the wrist wound, loops it through a drill hole in the base of the first metacarpal and wraps...

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