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Kienbock’s w/ Proximal row carpectomy with a dorsal capsule interposition flap

Anyone have guidance on the coding for the capsular interposition flap when done along with the PRC (or is it considered inclusive). When reading the CPT Lay Asst. I can’t discern if the phrasing "Ligaments may need to be reattached to other bones" is sufficient for the work – any thoughts appreciated. Thank you!
Cindy

Medical Billing and Coding Forum

CPT HELP: Proximal Row Carpectomy w/ capitate resurfacing

A physician in my office performed a Proximal Row Carpectomy with a interosseous nerve excision and capitate resurfacing wrist arthoplasty w/ implant.

The proximal row carpectomy is 25215 but the capitate resurfacing wrist arthoplasty w/implant has me stuck. Has anyone looked into this coding for this procedure before? They seem to have a arthoplasty with prosthetic replacements for a variety of other carpal bones however not the Capitate.

Help with a CPT code this procedure would be much appreciated. Thank you

Medical Billing and Coding Forum