Cpt flexor tendon repair

Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. Codes are selected based on the location of the repair, not the site of tendon insertion.

Cpt flexor tendon repair. Apr 27, 2024 · 25260 - CPT® Code in category: Repair, tendon or muscle, flexor, forearm and/or wrist... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products:

1) The op note states, "The common extensor of the long finger was then repaired with Krakow stitch of 3-0 Ethibond reinforced with a running epitendinous suture of #4-0 nylon." For the EDC long finger repair, you should report 26410-F7 (Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon; Right hand, third …

The CPT codes in this Guide are unilateral procedures. If performed bilaterally, some payors require that the service be reported twice with modifier 50. Inpatient Facility …Below is a list summarizing the CPT codes for repair, revision, and/or reconstruction procedures on the leg (tibia and fibula) and ankle joint. CPT Code 27650 CPT 27650 describes the repair of a ruptured Achilles tendon, either open or percutaneous. CPT Code 27652 CPT 27652 describes the repair of a ruptured Achilles tendon, either open...Incision and drainage, forearm and/or wrist; infected bursa (25031) Incision, deep, with opening of bone cortex eg, for osteomyelitis or bone abscess), forearm and/or wrist (25035) Arthrotomy, radiocarpal or mediocarpal joint, with exploration, drainage, or removal of foreign body (25040) Drainage of finger abscess; simple (26010)FLEXOR TENDON REPAIR PROTOCOL (Zone 1 & 2) Daniel J. Marek, MD . Phone: 952-314-0771 . Fax: 952-442-2029 . DanielMarekMD.com . Zone 1 - Passive Motion . Important instructions following surgery: • After surgery, the wrist and hand will be in a light dressing or possibly splint. Please DO NOT remove this for the first 1-3 days.Jun 7, 2012. #1. This is the surgery i am having trouble coding: 1. Left Repair and Debridment of Achilles Tendon (27650) 2. Partial excision of calcaneous for haglunds exotosis (28119) 3. Transfer and Transplant, Deep, Flexor Hallicis Longus Faciotomy (27691)

Either through an open incision or using small instruments through tiny incisions (arthroscopy), the tendon is repaired with sutures. If the tendon is separated from the bone, smal...A flexor tenotomy is a simple, low-risk procedure that can correct a hammertoe deformity. It can be performed in the office without the need for an incision. The affected toe is injected with anesthesia. Once numb, a small needle is introduced to the underside of the toe at the location of the flexor tendon. The needle is then used to sever the ...Jan 6, 2023 · Though this is not a definitive list, here are a few diagnosis codes for conditions that lead to tendon repair or tenolysis: Tendon Repair Dx Examples . M66.27- (Spontaneous rupture of extensor tendons, ankle and foot) M66.37- (Spontaneous rupture of flexor tendons, ankle and foot) S96.01 - (Strain of muscle and tendon of long flexor muscle of ... Suture removal. Incision (s) required to expose tendon ends. Tendon retrieval and/or preparation of the tendon ends. Repair of the extensor retinaculum. For example, the physician incises the extensor retinaculum to expose an extensor tendon compartment which contains the lacerated tendon. This is done as part of the approach for a tendon ...Flexor tendon repair. Flexor tendon repair is usually performed under a regional or . general anaesthetic. A tourniquet will be applied to your upper arm to stop the blood circulating and to make it easier to perform the operation safely. A tourniquet is a type of cuff that is used to constrict (squeeze) the blood supply.These removal or repair CPT codes may only be ... (tendon lengthening, upper arm and elbow, each tendon) ... If a provider performs the tendon lengthening described ...

Flexor tenolysis is a surgical procedure used to remove adhesions that inhibit active flexion of digits. Candidates for this procedure typically present with decreased active range of motion (ROM) after surgical repair of flexor tendons.We present an all-inside technique for zone I flexor tendon repair that combines suture anchor fixation with buried back-up fixation. The back-up fixation uses transosseous tunnels and a dorsal counterincision to allow a suture tied dorsal to the distal phalanx and buried. This technique is strong and permits early active range of motion. …26372 - CPT® Code in category: Repair or advancement of profundus tendon, with intact superficialis t... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.Flexor tendon repair techniques in the hand have evolved since their introduction, with current protocols recommending a core repair consisting of at least four-strands, although up to eight have been used. 9 The calibre of suture utilized has traditionally been a 3/0, although 4/0 may be appropriate in more gracile tendons. 9, 10 A bite of at ...The flexor repair and tenolysis foot co... [ Read More ] Tenolysis and debridement of Right Peroneal Tendons. ... I have a provider that wants to use CPT code 27691 for tendon transfer of 2nd toe (FDL to extensor tendon)... [ Read More ] 27691.CPT code 25260 describes the repair of a flexor tendon or muscle in the forearm or wrist. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

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28202 - CPT® Code in category: Repair, tendon, flexor, foot... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.The optimal time for initiating hand therapy following flexor tendon repair is unknown, ... code indicating they underwent an isolated zone II flexor tendon repair (CPT 26356) between January 1, 2009 and October 1, 2015. All patients had an associated International Classification of Diseases, ninth revision (ICD-9) diagnosis of tendon injury ...The Hunter Tendon Implants are indicated for use in stage one of the two-stage procedure for the reconstruction of the flexor and extensor tendons in individuals having significant hand tendon injury. Stage 1 Rods are implanted temporarily to replicate the natural tendon allowing a pseudosynovial sheath to form which isCPT ® 26390, Under Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers. ... In this procedure the provider incises the skin over a flexor tendon in a patient’s finger or hand to place a synthetic rod in place of the tendon for future tendon graft harvesting. Report this code once for each rod implant.Tenex Procedure - Elbow There is a coding reference to this procedure @ www.tenexhealth.com.It states that the Tenex Health system combines ultrasound imaging with the ultrasonic Micro Tip hand tool that enables precise cutting (fragmentation) of the diseased tissue involving the fascia or tendon.

CPT ® Code Set. 27680 - CPT® Code in category: Tenolysis, flexor or extensor tendon, leg and/or ankle... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following ...I need help coding the following: I don't know if I should code 64721,26440 and 26415, one or the other or what quantity. Right carpal tunnel release, exploration flexor tendons in right palm, side to side repair FDP ring finger to FDP long finger, end to side repair FDP right small finger to right ring finger and long finger complex, end to side repair FDS small to FDS ring. Repair floor of ... Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) $435.00 $608.38 5114 - Level 4 MSK Procedures $6,397.05 $3,000.95 28208 Repair, tendon, extensor, foot; primary or secondary, each tendon $325.64 $494.87 5113 - Level 3 MSK Procedures $2,892.28 $1,361.61 28210 Repair, tendon, extensor, foot; 25263 - CPT® Code in category: Repair, tendon or muscle, flexor, forearm and/or wrist... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products:The peroneus brevis tendon is attached to the peroneus brevis muscle, or fibularis brevis, a flexor muscle responsible for plantar flexion of the foot. This action results in the m...Flexor Tendon injuries require surgical repair and intensive therapy post-operatively for optimal outcomes. "The repair technique is important but it is the way the tendon is managed afterwards that determines the outcome" ([], page 112).Multiple protocols exist for the post-operative rehabilitation of tendon injuries.Common causes of zone 2 flexor tendon injuries include superficial and deep lacerations to the volar aspect of the hand, crush injuries, and saw blade cuts. Early surgical repair is the definitive treatment for greater than 60% rupture of tendon. Postoperatively, patients undergo active extension – passive flexion to achieve …In 1965, Paneva-Holevich 1 published a small series of flexor tendon injuries in which the proximal part of the flexor digitorum superficialis (FDS) was used as a pedicle graft for flexor digitorum profundus (FDP) tendon reconstruction. In 1969, Paneva-Holevich reported two-stage tendon reconstruction using this method in 34 digits. 2 She called …Depending upon the location of the repair, you report 26356 (Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath [e.g., no–man’s land]; primary, without free graft, each tendon) or 26350 (Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath [e.g., no man’s land]; primary or secondary ...28010/28011. Per Margie Vaught, 28010 is for tenotomy of 1 tendon in one toe and should be billed for each toe with toe modifiers. 28011 is for tenotomy of multiple tendons in one toe and should be billed for each... [ Read More ] 28010/28011. [b]Revenue Coordinator/Coder: CPC [/b] Looking at the codes individually, you cannot use units with ...Feb 28, 2019 · A tendon will repair by forming a scar, rather like a cut on the skin. However, a tendon takes much longer to heal, and remains vulnerable for several weeks after the skin wounds have healed. This is only a guide and may vary according to individual injuries. 0 – 4 weeks Wear the splint at all times. And Tendon. Add 7th Character: A,D,S Shoulder And Upper Arm Level** Forearm Level: Wrist And Hand Level (At Or Distal To Wrist) Muscle Side Code Code Flexor Carpi Radialis Flexor Carpi Ulnaris Palmaris Longus Right NA^ S56.221 - S66.821 - Left NA^ S56.222 - S66.822 - Extensor Carpi Radialis Longus, Extensor Carpi Radialis Brevis

We present an all-inside technique for zone I flexor tendon repair that combines suture anchor fixation with buried back-up fixation. The back-up fixation uses transosseous tunnels and a dorsal counterincision to allow a suture tied dorsal to the distal phalanx and buried. This technique is strong and permits early active range of motion. The dorsal tie-over does not require a suture button ...

For the latter, there are records dating back to 1967 where the first attempts to repair a flexor tendon with a cadaveric allograft were performed by Peacock [8,9]. To date, records of such a procedure are scarce, which makes the use of a cadaveric tendon allograft an area worth exploring, particularly in patients that present with tendon ...Sep 12, 2012. #1. Doctor wants 25290 and 26170. Dx: Laceration right forearm with laceration of the palmaris. Procedure: Irrigation and debridement and excision of palmaris tendon. Palmaris longus was approached through a transverse incision over the redness and swelling. Flexor tendon sheath of palmaris was opened.CPT Code 25312, Surgical Procedures on the Forearm and Wrist, Repair, Revision, and/or Reconstruction Procedures on the Forearm and Wrist - Codify by ... CPT ® 25312, Under Repair, Revision, ... The tendon was acquired via separate incision of the ulnar half of flexor carpi radialis used as "in... [ Read More ] 25447 w/25310 or 25312.Since initial reports suggesting primary tendon repair as possible and even desirable emerged in the 1960s, significant advancements in the understanding of flexor tendon anatomy, biology, mechanisms of response to injury, and methods of repair, have been made. Recent research highlights enhanced improvements in operative techniques and rehabilitative care that have made primary flexor tendon ...Jun 7, 2012. #1. This is the surgery i am having trouble coding: 1. Left Repair and Debridment of Achilles Tendon (27650) 2. Partial excision of calcaneous for haglunds exotosis (28119) 3. Transfer and Transplant, Deep, Flexor Hallicis Longus Faciotomy (27691)Flexor Tendon Repair. - Anatomy: - on volar aspect of finger, FDP passes through FDS to insert on distal phalanx; - both long flexor tendons are tightly enclosed in common tendon sheath which corresponds to zone II; - anatomical proximity explains the development of adhesions between FDS & FDP tendons & digital.Dec 8, 2020. #1. Been staring at this recent complicated laceration for a bit and need some help please. There were several flexor tendons torn (zone 4/5) and I have those coded, but wanted to know: If both the profundus and superficalis tendons are repaired in zone 4/5 of the right index finger, would that be 26350?Flexor tenolysis is a surgical procedure used to remove adhesions that inhibit active flexion of digits. ... Demers AJ, Moran TE, Bustos FP, Forster GL, Natal E, DeGeorge BR Jr. Revision of Flexor Tendon Repair: Factors Associated With Flexor Tenolysis. Hand (N Y). 2022 Dec 23. 15589447221142890.How do you know if your flexor tendon is torn?The most common signs of a flexor tendon injury include:An open injury, such as a cut, on the palm side of your...

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Files related to Flexor tendon repair or advancement, single, in no mans land; secondary, each tendon (26357) Find Window. X. Type in text to find: Hand Surgery CPT Codes, sorted by number. Repair - Hand Flexor Tendon CPT Codes. American.FIGURE 15-2 Flexor tendon pulley system. The annular pulleys are designated A1 through A5, with cruciate pulleys C1, C2, and C3. This specimen has a relatively thin A4. Tang's subdivision of Zone II includes 2A which covers the long insertion of the FDS; 2B extending from the proximal edge of 2A to the distal edge of the A2 pulley; 2C covering the length of the A2 pulley; and 2D which is ...CPT Code 25312, Surgical Procedures on the Forearm and Wrist, Repair, Revision, and/or Reconstruction Procedures on the Forearm and Wrist - Codify by ... CPT ® 25312, Under Repair, Revision, ... The tendon was acquired via separate incision of the ulnar half of flexor carpi radialis used as "in... [ Read More ] 25447 w/25310 or 25312.CPT Code 26440, Surgical Procedures on the Hand and Fingers, Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers - Codify by AA ... CPT ® 26440, Under Repair, ... the provider performs tenolysis, which releases the flexor tendon of the palm or finger from adhesions. This surgical procedure is limited to either the palm ...Patients with a CPT code for a fracture, arterial repair, or replantation on the day of flexor tendon repair were excluded (Appendix 1) given the potential impact on post-operative therapy protocols. Reoperation type and timing within one year was determined via CPT codes, as were number of post-operative therapy visits within one year of index ...The optimal time for initiating hand therapy following flexor tendon repair is unknown, ... (CPT) code indicating they underwent an isolated zone II flexor tendon repair (CPT 26356) between January 1, 2009 and October 1, 2015. All patients had an associated International Classification of Diseases, ninth revision (ICD-9) diagnosis of tendon ...The. superficialis tendon decussates into two tendon slips, which pass. around the profundus tendon near the metacarpal phalangeal joint, and. subsequently insert as a chiasma on the palmar surface of the middle. phalanx. The profundus tendon passes through the decussation and. inserts at the distal phalanx (zone I).Read on for advice on coding foot tendon repair and tenolysis. E/M Often Leads to X-Ray, MRI. Often, the orthopedist's initial encounter with a tendon repair/tenolysis patient would start with an office/outpatient evaluation and management (E/M) service. ... 28200 (Repair, tendon, flexor, foot; primary or secondary, without free graft, each ... ….

Zone 1, FDP Flexor Tendon Repair Protocol. The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a flexor tendon repair. It is by no means intended to be a substitute for one's clinical decision-making regarding the progression of a patient's ...ween the thumb, index, and middle finger was found postoperatively. At 1.5 months postreplantation, simultaneous tenolysis and corrective tendon repair were performed under local anesthesia. The proximal tendon origins were confirmed intraoperatively with the patient awake. Six months after replantation, the patient underwent extensor pollicis longus tendon shortening and pulley reconstruction ...(D) Cut off and weave the FHL. (E) Drill a osseous tunnel just anterior to the insertion site of AT in the calcaneus. (F) Guide the FHL into the tunnel and fix that with a absorbable hydroxyapatite screw. (G) Suture the proximal and distal ends of AT to the FHL respectively. AT = Achilles tendon, FHL = flexor hallucis longus tendon.0. Mar 5, 2021. #1. My question is if Dr. is repairing a Flexor Digitorum Profundus tendon not in zone 2, should we code 26350 or 26370. 26350 is repair of flexor tendon, not in zone 2 and 26370 is repair of advancement of profundus tendon with intact superficialis tendon. One states Flexor tendon and the other states profundus tendon. Thank you,It is compelling that PTT reconstruction is an inseparable part of adult flexible flat foot correction surgery with some evidence supporting transfer off lexor digitorum longus (FDL) and flexor hallucis longus (FHL) to posterior tibialis tendon (7-12).To the best of our knowledge, existing reconstruction techniques only restore the main navicular …the CPT codes tracked to each defined case category. The CPT codes available in each ... 28200 Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon ... each tendon 28210 Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) 28230 Tenotomy, open, tendon flexor; foot ...Flexor tendon reconstruction is uncommon today given the advances in flexor tendon repair and postrepair rehabilitation. Nonetheless, patients with a delay in the diagnosis of a flexor tendon laceration or patients with a failed flexor tendon repair may be candidates for reconstruction. Flexor tendon reconstruction includes flexor tenolysis, 1-stage …injury involving the flexor digitorum profundus Avulsion-type (FDP) tendon (ie, jersey finger injury) is relatively common and is seen in athletes and nonathletes. The mech-anism of injury includes forced hy-perextension of the distal interpha-langeal (DIP) joint while the finger is actively flexing. The common term is.Jul 27, 2006 · In fact, the correct code for repair of the FPL tendon is 26356 ( Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath [e.g., no-man's land]; primary, without free graft, each tendon ). If you repair the flexor digitorum profundus (FDP) with an intact flexor digitorum superficialis (FDS), you should report 26370. Whilst no definitive criteria, flexor tendon repairs are often performed in those with >50% laceration (or less in cases of triggering). This can be done under general anaesthesia or with a regional block. Flexor tendon reconstruction is an alternative option, whereby either the palmaris longus, plantaris, or extensor digitorum longus (to 2nd ... Cpt flexor tendon repair, The procedure is performed through wide exposure of the flexor tendon using a Bruner incision or a midlateral incision. The approach is often dictated by prior wounds and incisions. ... If a flexor tendon repair was performed, the site should be examined and débrided as needed to allow for smooth tendon gliding. If more than 30% of the width ..., Files related to Flexor tendon repair or advancement, single, in no mans land; secondary, each tendon (26357) Find Window. X. Type in text to find: Hand Surgery CPT Codes, sorted by number. Repair - Hand Flexor Tendon CPT Codes. American., The chosen technique for repair of flexor tendons should achieve a strong enough repair to allow healing and withstand early mobilization to prevent adhesions and stiffness. Strong evidence shows that the strength of a repair is almost directly proportional to the number of core sutures.1 Looped sutures2 double the number of core sutures with 1 pass. The most commonly used looped sutures for ..., Other newer CPT codes 25109= excision of tendon in forearm, flexor or extensor 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft American Academy of …, Files related to Flexor tendon repair or advancement, single, in no mans land; secondary, each tendon (26357) Find Window. X. Type in text to find: Hand Surgery CPT Codes, sorted by number. Repair - Hand Flexor Tendon CPT Codes. American., For hand surgery, regional anaesthetic is injected into the base of the neck or the top of the shoulder to numb the whole arm. If your tendon was damaged as the result of a wound, the wound will be thoroughly cleaned. A cut (incision) may be made in your hand to make the wound larger and the 2 ends of the ruptured tendon will be stitched together. , CPT ® 27659, Under Repair, Revision, and/or Reconstruction Procedures on the Leg ... The provider performs repair of one or more flexor tendons of the leg, with or without placement of a graft, in a patient who had a prior repair. ... Peroneal tendon repair code[/b] [QUOTE="jdemar, post: 144954, member: 15899"]I do understand the anatomy of ..., 1 day ago · 27659 - CPT® Code in category: Repair, flexor tendon, leg... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials. , Michigan Subscriber. Answer: Because the orthopedist repaired two flexor tendons you should bill 28200 ( Repair tendon flexor foot; primary or secondary without free graft each tendon) twice indicating the two tendons repaired. Since the code descriptor refers to "each tendon " you shouldn't have a problem reporting two units of the code., Jan 25, 2011. #7. CPT 28200 is a procedure of the foot, but the peroneous brevis tendon starts at the leg and goes down to the foot, and according to op note above, it looks more like the surgery was of the leg/ankle not foot, "incision made at the posterior of the lateral malleolus". Definition: The lateral malleolus is a bony prominence on ..., Hammertoes are among the most common deformities of the forefoot.[1] It results from an imbalance between the weak intrinsic muscles and the stronger extrinsic muscles surrounding the metatarsophalangeal joints (MTPJ) of the lesser digits. Hammertoe is a deformity that involves flexion at the interphalangeal joints (IPJ) and can be distinguished into categories including the classic hammertoe ..., AMA Comment CPT code 23420, Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty), is intended to identify an old tear., Request an Appointment. 410-955-5000 Maryland. 855-695-4872 Outside of Maryland. +1-410-502-7683 International. Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon. This is the strong, fibrous cord in the lower leg that connects the muscles of your calf to your heel., 27659 - CPT® Code in category: Repair, flexor tendon, leg... CPT Code information is available to subscribers and includes the CPT code number, short description, long …, Dec 23, 2022 ... Patients were subsequently classified by the presence or absence of a flexor tenolysis of the palm or finger (CPT-26440-26442) for all variables ..., Purpose: To assess whether early rehabilitation could be safe after flexor digitorum longus (FDL) tendon transfer, the current biomechanical study aimed to measure tendon displacement under cyclic loading and load to failure, comparing a traditional tendon-to-tendon (TT) repair with interference screw fixation (ISF). Methods: 24 fresh-frozen …, Right way: You should report 25447 and 25310 ( Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon) for the patient in our example. That's because the physician detaches one end of the FCR and cuts it, then uses the cut end to repair the CMC joint. The other end, however, still remains in its ..., op-note. Postop Diagnosis: Chronic re-rupture of the right tendo-achilles, status post deep soft tissue infection, resolved. Procedure: Reconstruction of the right tendo-achilles with V-Y lengthening and direct end-to-end reanastomosis. Description: the previous incision which is in the medial border of the terminal achilles tendon was utilized ..., Feb 18, 2021 · The Ideal Flexor Tendon Repair. A step-by-step ideal flexor tendon repair is as follows: Minimal but satisfactory exposure; A solid 4- to 6-strands core suture repair with slight bulkiness on the repair site; Tailoring of particular finger’s flexor tendon repair with WALANT surgical setting. 1. Minimal but Satisfactory Exposure , Summary. In this procedure, the provider repairs the profundus tendon in the finger while keeping the superficialis tendon intact. The provider performs a primary repair within a few days of injury. For clinical responsibility, terminology, tips and additional info. start codify free trial. , 1. Right elbow radial collateral ligament repair, (CPT code 24343). 2. Common extensor tendon repair, (CPT code 24359). A longitudinal incision was made centered over the lateral aspect of the right elbow. Blunt dissection was carried down to fascia. The fascia was split in line with the skin incision., with a flexor to extensor tendon transfer. Five of 7 patients reported their outcome as good to excellent (71%).3 This procedure remains a useful adjunct as a salvage procedure for failed plantar plate repairs or those that do not have suf-ficient plantar plate available for repair. In the past, these previously described procedures, CPT ® 27691, Under Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) ... 28220 [I]Tenolysis, flexor, foot; single tendon[/I] is coded ..., Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. …, During the procedure, the surgeon might opt to apply a tissue graft obtained from another location in the patient's body. When your surgeon performs flexor forearm/wrist repair, choose from the following codes, depending on encounter specifics: 25260 (Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle), Rupture, hand/wrist flexor tendons (727.64) Rupture, hand/wrist extensor tendon (727.63) Laxity of ligament (728.4) Reconstruction of unstable distal radioulnar joint (25337) Repair, tendon sheath, extensor, forearm and or wrist, with free graft includes graft harvest (25275) Synovectomy, extensor tendon sheath, wrist, single compartment (25118), Flexor tendon injuries are common and occur mostly due to penetrating trauma. Surgical repair is required for complete tendon lacerations, and many techniques exist. This article reviews the principles of tendon structure, function, healing, and anatomy. Repair techniques are discussed in detail for each flexor tendon zone. Postoperative rehabilitation greatly influences outcomes, and several ... , Excision of tendon, finger, flexor separate procedure (26180) Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon (26350) Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes obtaining graft), each (26352) Flexor tendon repair or ..., Flexor tendon injuries typically occur from a cut on the palm side of your fingers, hand, wrist, or forearm. Flexor tendons can also be injured when a finger or thumb is violently pulled away from you while you are attempting to grasp something, such as the jersey of an opposing player in sports. While an open cut may cause a tendon laceration ... , prevent a tendon rupture. WEEKS 1-2: Discontinuation of narcotics is expected, continue with Tylenol and ibuprofen as needed. Recheck with Dr. Bakker at week 2 to have your stitches removed. A nerve injury with a tendon injury may require greater protection. Discuss with your surgeon if the nerve repair was with or without tension., For hand surgery, regional anaesthetic is injected into the base of the neck or the top of the shoulder to numb the whole arm. If your tendon was damaged as the result of a wound, the wound will be thoroughly cleaned. A cut (incision) may be made in your hand to make the wound larger and the 2 ends of the ruptured tendon will be stitched together., Excision of tendon, finger, flexor separate procedure (26180) Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon (26350) Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes obtaining graft), each (26352) Flexor tendon repair or ..., Tendon ruptures repair with carpal tunnel release flexor tendon orthopaedics synovectomy tendon repair wrist I need help coding the following: I don't know if I should code 64721,26440 and 26415, one or the other or what quantity.