AMA CPT® Assistant - 2010 Issue 4 (April)

Surgery: Musculoskeletal System (Q&A) (April 2010)

April 2010 page 10a Surgery: Musculoskeletal System (Q&A) Question: When performing a palmar fasciotomy for Dupuytren’s disease to release the contracture, in which the disease may involve each hand, may code 26040 be reported for each digit released per hand? Would  Modifier 50, Bilateral procedure, be appended, if performed on each hand? Answer: CPT code 26040, Fasciotomy, palmar (eg, Dupuytren’s contracture); percutaneous, is reported only once per hand per session. When a palmar percutaneous fasciotomy is performed, the release of each cord is not reported with code 26040.  Modifier 50 may be appended to CPT...

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