AHA Coding Clinic® for HCPCS - 2020 Issue 4; Ask the Editor

Myofascial flap with neuroplasty

A patient with left cubital tunnel syndrome presented for a left elbow arthroscopic ulnar nerve neuroplasty, ulnar nerve transposition, division of the medial inter-muscular septum and myofascial flap of the flexor carpi ulnaris (FCU). Following the neuroplasty and transposition, a myofascial flap was prepared to house the nerve in the new anteriorly transposed position. The flap was elevated off the anterior aspect of the FCU, and the FCU was then sharply elevated from its insertion off of bone of the medial epicondyle creating a bed for the nerve. The nerve was then transposed into the bed formed by the bone and the myofascial tissues were advanced. Is the myofascial flap included in the neuroplasty? If not, what CPT code would be assigned to capture the myofascial flap? ...

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