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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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