Hi, can someone please help me , WHAT ICD 10 CODE DO I USE FOR BICEP TENDON TEAR , ESPECIALLY WHEN THE REPORT SAY THAT THE TEAR IS DEGENERATIVE , WHEN I LOOK UP THE CODE IT TAKES ME TO SPONTANEOUS , THAT DOES NOT SEEM APPROPRIATE
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Tag Archives: tendon
Wrist ECU tendon deepening in ulnar groove and 6th comp reconstruction
Hi there! Are there any possible wrist tendon experts that have come across this procedure.
Pt has ECU subluxation
The surgeon makes an incision down to the 6th dorsal compartment and dictates that it is slightly loose. THe ECU would mobilize in this, however, the ECU was not torn out of the sheath itself. This was then elevated subperiosteally from the ulnar side in order to keep the ECU within its subsheath. The tendon through the subsheath did not show any obvious tearing. At this point, with superiosteal dissection this allowed the facilitation of the ulnar groove, this was flattened slightly. A bur was used in order to deepen this to about 2mm. At which point placing a Freer in here I was able to appreciate a healthy concavity that would hold the ECU. The ECU was placed into the groove that was graded and held with a pickup and then bringing the wrist through ROM, pronation, supination multiple times there was no sublutation what was appreciated.
A mini Mitek anchor was place dont he ulnar border where the initial inciions had been made on the ECU sheath and then a second suture anchor just proximally. Both anchors were firm and stable. Then a mattress suture was placed in the subsheath as well incorporaing the extensor retinaculum of the 6th compartment and this located the ECU within the groove. This second anchor also had a mattress suture placed again incorporating both layers. These sutures were then placed in a running fashion proximally and distally to both acnchors creating a stable sheath.
The closest procedure I see is 25275 (no graft involved) possibly a comparable to unlisted.
Thank you in advance
Use and reimbursement of amniotic membrane during tendon repair
I am new at podiatry and want to find out everything I can on this topic. My 2 docs want to know if they use an amniotic membrane to aid in reducing scar tissue, as well as augmenting tendon repair, is this reimbursable?
Thanks in advance for your time and advice.
Arthroscopy, biceps tendon release and arthroscopic rotator cuff repair
It was coded 29827-RT and 29999
Acromioplasty and claviculectomy were also done. So I thought you also code 29826-RT and 29824-RT. It seems that these must be included in the 29827-RT.
Achilles tendon lengthening
I’m having difficulty in choosing the right combination of codes for these procedures. I believe the haglund excision is 28120. I don’t believe the Achilles debridement is separately billable. For the Achilles lengthening I’m looking at 27685 or 27687, but neither one seems an exact fit.
Procedures: Left Achilles tendon debridement with Haglund excision and Achilles tendon lengthening.
An approximately 10 cm incision was made over the posterior aspect of the heel and was taken down through skin and soft tissue. The tendon was split down the midline, and all degenerative and teninotic debris was excised. We then elevated the tendon from its calcaneal insertion, then used an osteotome and rongeur to removed the prominent haglund deformity and associated bone spurs. We then irrigated the area and tightly reattached the healthy tendon down to the calcaneus using the Arthrex SpeedBridge. We then made a 3 cm incision over the mid posterior calf, protecting the sural nerve and lesser saphenous vein, and made a medial to lateral incision across the gastrocnemius fascia allowing us to lengthen the Achilles approx. 10 degrees. The areas were all then irrigated and closed in layer fashion.
Susan Reinier, CPC
20103 with tendon and nerve repair?
20103 is a "separate procedure". But I’m not sure if that applies more to debridement and closure of the wound, and if it can be used in addition to tendon and/or nerve repairs in the same location.
This is a portion of the OP note:
The distal forearm laceration was extended distally in a zigzag fashion. The subcutaneous tissues dissected using spreading motions with Littler scissors. Hemostasis was maintained with bipolar electrocautery. The wound was explored. Hematoma was removed. The wound was irrigated copiously with sterile saline by bulb syringe. The FCU tendon was identified and was found to be lacerated approximate 70% on the ulnar side. The underlying ulnar nerve was completely transected. Artery was intact. The FDS and FDP tendons were individually identified and inspected. Each the tendons was intact, including FDP to the small finger, however there was laceration into the muscle bellies of the FDP tendon on the ulnar aspect.
*
Attention was turned to the ulnar nerve repair. The operating microscope was brought to the field. The nerve was further isolated and freed using microsurgical HM is a microsurgical techniques. Both ends of the nerve were trimmed back to healthy-appearing fascicles using microsurgical scissors. The nerve was repaired using 8-0 nylon sutures placed circumferentially in the epineurium.
*
Attention was then turned to the flexor carpi ulnaris tendon repair in zone 5. The 70% laceration was repaired using 4-0 FiberWire sutures in a modified Kessler pattern, then oversewn with an additional figure-of-eight.
Thank you,
Cindy
Gluteus medius tendon repair
Hi
I am needing a CPT code for "repair of chronic gluteus medius tendon tear". I can’t seem to find one and am leaning towards unlisted procedure, even though I hate to use those. If there isn’t a CPT code for it, is there one close to it so I can get an idea for a dollar amount to charge if I use the unlisted procedure?
Thanks so much.
Lorie