AHA Coding Clinic® for HCPCS - 2017 Issue 2; Ask the Editor

Carpometacarpal arthroplasty

Patient with right thumb metacarpophalangeal (MCP) joint instability, carpometacarpal (CMC) osteoarthritis, and wrist scaphotrapeziotrapezoidal (STT) arthritis presents for treatment of the thumb and wrist. A CMC arthroplasty was performed along with excision of the trapezoid bone. Arthrodesis was also performed on the MCP joint using K-wires to immobilize the joint. Fluoroscopic images showed the hardware utilized was placed appropriately. If a patient has a thumb CMC arthroplasty, MCP joint arthrodesis and excision of the trapezoid bone, for wrist STT arthritis and not for the CMC osteoarthritis, can excision of the trapezoid bone be separately reported? An NCCI edit is produced when these procedures are reported separately. Therefore, can modifier 59 be appended based on the procedures and the diagnosis codes? ...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.

The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.