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Open reduction w/percutaneous pinning-distal phalanx articular fx
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Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleFor the operative case below would it be considered over-coding to code: 26235, f7; 26236, 51, f7; 26160, 59, 51,f7
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TECHNIQUE:
Patient was taken to the operating suite and after the induction of adequate general anesthetic the right upper extremity was prepped and draped in the usual sterile fashion. An Esmarch was used to exsanguinate the limb and the tourniquet was inflated to 250 mmHg. At this point in time an L shaped incision was made over the distal aspect of the right long finger have a large 1.5 x 1.5 cm lesion consistent with probable mucoid cyst. A radially based flap was elevated and dissection was carried down to the extensor sheath. There was a complex multi lobulated cystic lesion that was carefully excised off the extensor insertion and distal interphalangeal joint capsule radially. This was sent for pathologic identification. We carefully retracted the extensor mechanism and perform a distal interphalangeal joint arthrotomy with debridement of large dorsal osteophytes of both the base of the distal phalanx and the head of the middle phalanx. This was all sent for pathologic confirmation. The wound was then thoroughly irrigated. It was loosely closed with 4-0 nylon. Xeroform, 4 x 4’s, and a compression wrap was applied to the right long finger. The patient tolerated this procedure well and went to recovery room in stable.