CPT Coding Hand and Extremity Surgery - AAPC

10/11/20121 CPT Coding for Hand and Upper Extremity Surgery Taizoon H Baxamusa, MD, FACSHandUpperExtremity&MicrovascularSurg eryAmerican Academy of Professional CodersHand, Upper Extremity , & Microvascular SurgeryThe Illinois Bone & Joint InstituteMorton Grove, ILSession 1A, 10-11:30 AM Friday, October 26th, 2012 Orthopaedic Hand & Upper Extremity & Microvascular Surgery Yale University Orthopaedic Surgeryypgy The Indiana Hand Center The American Academy of Orthopaedic Surgeons The American Society for Surgery of the Hand The Chicago Society for Surgery of the Hand Disclaimer ThisismyownpersonalexperienceandnotanAme rican Academy of Professional Coders is my own personal experience and not an official party line of the groups 1A, 10-11:30 AM Friday, October 26th, 201210/11/20122 Coding & Hand Surgery Devaluation of Hand Surgery codes within Oth diSOrthopaedic Surgery Complex variety of upper Extremity procedures Variability in interpretation of procedures CaseExamplesAmerican Academy of Professional Coders Case ExamplesSession 1A, 10-11:30 AM Friday, October 26th, 2012 Devaluation of Hand Surgery Big Joints pay more than small joints S i S t H d/F tAkl Spine>>Sports>Hand/Foot Ankle RVU of IT Hip fx (intern s procedure) is valued equal to Scaphoid fracture (complex hand referral from fellow orthopaedists) Important to accurately code for work performed dbib dihiCCdiAmerican Academy of Professional Codersand be reimbursed within proper Correct C

25109= excision of tendon in forearm, flexor or extensor 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft American Academy of Professional Coders 69990 is inclusive to above nerve repairs, not allowable Session 1A, 10-11:30 AM Friday, October 26th, 2012 Other newer CPT codes 24910= nerve repair

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  Repair, Tendon, Flexor

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