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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 3; Ask the Editor
Thumb Arthroplasty with Resection of Trapezium
A patient with left thumb osteoarthritis at the left carpometacarpal and scaphotrapezoid-trapezial joints is admitted for trapeziectomy with ligament reconstruction and tendon interposition arthroplasty with internal fixation. During the procedure, the entire trapezium was removed; the abductor pollicis longus tendon was harvested from the forearm and secured to the second metacarpal and the flexor carpi radialis. Are separate codes assigned for the trapeziectomy and harvesting of the tendon?
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