Surgery: Musculoskeletal System (Q&A) (June 2015)

June 2015 page 10 Surgery: Musculoskeletal System Question: May CPT code 25118, Synovectomy, extensor tendon sheath, wrist, single compartment, be reported per compartment of the wrist? Answer: Yes, code 25118 may be reported more than once if multiple compartments are involved. Question: Does code 26440, Tenolysis, flexor tendon; palm OR finger, each tendon, include capsulectomy when the capsulectomy is performed at the time of tenolysis of a flexor tendon of the palm or finger; and may code 26525, Capsulectomy or capsulotomy; interphalangeal joint, each joint, be reported in addition to code 26440 to report the capsulectomy, when performed at...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short CPT Assistant question-and-answer piece focused on musculoskeletal surgery coding guidance. It discusses how the article frames reporting questions for wrist, hand, and shoulder procedures, and it is relevant to coders, billers, auditors, and compliance staff working with CPT-based surgery claims. The content is organized around practical coding clarification for commonly encountered operative scenarios in the musculoskeletal system.

Why This Topic Matters

The article helps readers identify whether a musculoskeletal surgery case may involve one or more CPT reporting considerations, particularly when multiple related procedures occur in the same encounter. It is useful for professionals reviewing CPT Assistant guidance for orthopedic and hand surgery documentation and claim preparation.

Article Sections

  1. June 2015 page 10

    Introductory page and article context for the musculoskeletal surgery Q&A content.

What You Will Learn

  • The scope of CPT Assistant guidance for musculoskeletal surgery questions.
  • How the article organizes clarification topics for wrist, hand, and shoulder procedures.
  • Which general coding issues are addressed in the June 2015 Q&A format.
  • intended_audiences":["Medical coders","Medical billers","Coding auditors","Compliance professionals","Orthopedic surgery practices","Hand surgery practices"],"topics":["Musculoskeletal surgery","CPT coding guidance","Wrist procedures","Hand procedures","Shoulder procedures","Question-and-answer format"],"medical_specialties":["Orthopedic Surgery","Hand Surgery"],"code_sets":["CPT"],"codes":[{"code_set":"CPT","code":"25118"},{"code_set":"CPT","code":"26440"},{"code_set":"CPT","code":"26525"},{"code_set":"CPT","code":"23700"},{"code_set":"CPT","code":"23412"},{"code_set":"CPT","code":"29805"}],"code_ranges":[],"modifiers":[],"content_type":"CPT Assistant Q&A article","effective_dates":["June 2015"],"organizations_mentioned":["CPT Assistant"],"keywords":["musculoskeletal system","surgery","Q&A","June 2015","CPT Assistant","wrist","hand","shoulder","synovectomy","tenolysis","capsulectomy","manipulation under anesthesia"],"questions_answered":["Can a wrist synovectomy code be reported per compartment?","Does flexor tendon tenolysis include capsulectomy or capsulotomy?","Can capsulectomy/capsulotomy be reported with flexor tendon tenolysis?","Is shoulder manipulation under anesthesia integral to shoulder procedures?","When may shoulder manipulation under anesthesia be reported separately?"],"access_description":"Public metadata profile for a premium Find-A-Code article summarizing the topic, scope, and referenced CPT identifiers without reproducing the underlying coding guidance.","disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}}];

Who Should Read This

  • Medical coders
  • Medical billers
  • Coding auditors
  • Compliance professionals
  • Orthopedic surgery practices
  • Hand surgery practices

Codes Discussed


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