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what is the cpt code for trigger finger release

by Etha Beahan Published 4 years ago Updated 2 years ago

Patients who have undergone trigger finger release without any concurrent procedures were identified from 2017-2018 using cpt code 26055.

What is the CPT code for trigger thumb release?

trigger finger release the coders are coding 26145 for open thumb trigger release, but I come up with 20655. Op Note: 1. Flexor pollicis longus tendolysis 2. Flexor tenosynovectomy Attention was directed to the thumb.

How long does trigger finger release surgery take to heal?

The surgery releases the sheath that is preventing the tendon in your finger from moving easily. Although it’s a simple procedure, trigger finger surgery recovery time is several weeks, with more time for finger exercises and a full recovery. Hand surgeons only perform trigger finger surgery after noninvasive treatments have not worked.

How to get a better trigger finger?

‘O’ Exercise

  • Bring your affected finger to your thumb to form an “O” shape.
  • Hold here for 5 seconds.
  • Then straighten your finger and bring it back to the “O” position.
  • Repeat 10 times at least twice a day.

What is the CPT code for trigger release?

Trigger Finger Release. Price: $2,740* CPT Code: 26055. Stenosing tenosynovitis is a condition commonly known as “trigger finger.” It is sometimes also called “trigger thumb.” The tendons that bend the fingers glide easily with the help of pulleys. These pulleys hold the tendons close to the bone.

What is procedure code 26055?

CPT Code: 26055 Trigger finger, trigger thumb, or trigger digit, is a common disorder characterized by catching, snapping or locking of the involved finger flexor tendon, associated with dysfunction and pain.

How do you bill a trigger finger release?

CPT 26055 is a standard and preferable surgical procedure that revitalizes the mobility of stiff fingers caused by a Trigger Finger. However, the finger remains contracted and pains when the patient uses those extensor tendons. Therefore, a specialty surgeon performs this surgery under local anesthesia.

What is the CPT code for a trigger finger injection?

CPT code 20550 is frequently used for a trigger finger injection, where the injection is administered to the tendon sheath.

What is the surgical procedure for trigger finger?

The surgical procedure for trigger finger is called “tenolysis” or “trigger finger release.” The goal of the procedure is to release the A1 pulley that is blocking tendon movement so the flexor tendon can glide more easily through the tendon sheath.

What is procedure code 20550?

Group 1CodeDescription20526INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL20527INJECTION, ENZYME (EG, COLLAGENASE), PALMAR FASCIAL CORD (IE, DUPUYTREN'S CONTRACTURE)20550INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA")6 more rows

Is 20550 a trigger point injection?

The musculoskeletal therapeutic injection codes 20550 through 20553 have been revised to read as follows: 20550, Injection(s); tendon sheath, ligament; 20551, Tendon origin/insertion; 20552, Single or multiple trigger point(s), one or two muscle(s);

Does CPT 20550 need a modifier?

Medicare requires modifier 50 to be reported with eligible codes on a single claim line (e.g., 20550-50).

What is the ICD 10 code for trigger finger?

ICD-10 code M65. 30 for Trigger finger, unspecified finger is a medical classification as listed by WHO under the range - Soft tissue disorders .

What is procedure code 20605?

CPT® Code 20605 - General Introduction or Removal Procedures on the Musculoskeletal System - Codify by AAPC. CPT. General Surgical Procedures on the Musculoskeletal System. General Introduction or Removal Procedures on the Musculoskeletal System.

Is trigger finger orthopedic surgery?

Open trigger finger release surgery is performed by an orthopedic surgeon on an outpatient basis. After administering a local anesthetic to numb your hand, your surgeon will use a scalpel or needle tip to make a small incision in the palm. This allows access to the tendon tunnel sheath.

Does Medicare pay for trigger finger surgery?

Will Trigger Finger Treatment Costs Be Reimbursed? Medicare may reimburse some of the cost of your treatment. If there is a gap between the total amount you are charged and what Medicare reimburses you, a private health fund may provide additional reimbursement. The amount varies between funds.

Can trigger finger surgery be done in office?

This procedure is most commonly done for the middle and ring fingers. You may have this procedure done in your doctor's office. Your doctor numbs your palm, then inserts a sturdy needle into the skin around your affected tendon. The doctor moves the needle and your finger around to break apart the blocked area.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33912 Injection of Trigger Points provides billing and coding guidance for diagnosis limitations that support diagnosis to procedure code automated denials.

ICD-10-CM Codes that Support Medical Necessity

The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 20552 and 20553.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10-CM Codes that Support Medical Necessity” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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