How do you code a tendon transfer?


How do you code a tendon transfer?

When a flexor carpi radialis tendon graft is harvested in the forearm for arthroplasty stabilization, the American Society of Surgery for the Hand (ASSH) has instructed its members to utilize code 26480 for reporting Transfer or transplant of tendon, carpometacarpal area or dorsum of hand without free graft, each …

Where is the EPL tendon?

Introduction. The extensor pollicis longus (EPL) tendon resides within the 3rd dorsal extensor compartment of the wrist, inserts upon the distal phalanx of the thumb, and is the primary extensor of the thumb.

How do you transfer an economic impact payment?

Transfer funds by calling 1.800.240.8100

  1. Be sure you have activated your EIP Card before attempting to transfer funds.
  2. Call 1.800.
  3. Once authenticated by the IVRU, follow the prompts to set up your destination bank account prior to completing your ACH transfer.

How can I transfer money from EIP to bank?

To transfer money from your stimulus debit card to your bank account, go to the EIP Card website or use the Money Network mobile app, and select the option to “Move Money Out.” You’ll need both the routing number and the account number from your bank account to make the transfer.

What is EIP muscle?

Purpose: The extensor indicis proprius (EIP) is a muscle of the forearm that originates from the posterior surface of the ulna and the adjacent interosseous membrane and attaches to the index finger. Many anatomical variations of this muscle have been reported in the literature.

Can CPT 25447 and 25310 be billed together?

Right way: You should report 25447 and 25310 (Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon) for the patient in our example. That’s because the physician detaches one end of the FCR and cuts it, then uses the cut end to repair the CMC joint.

Can 64721 and 64718 be billed together?

According to NCCI there are no bundling issues with these codes. Medicare has recently recouped payment on claims where these have been billed together.

What is EIP to EPL surgery?

EIP to EPL Tendon Transfer Surgery Tendon transfer surgery is a type of hand surgery that is performed in order to improve lost hand function. The most common indication in my practice for tendon transfer is tendon ruptures due to rheumatoid arthritis or fractures. One such tendon is EPL (Extensor pollicus longus).

When is EIP to EPL tendon transfer indicated?

In general, EIP to EPL tendon transfer is indicated if EPL primary repair is not possible due to attritional rupture (poor tendon quality), segmental tendon loss (unable to bridge gap), or an old injury where the EPL muscle and tendon unit have irreversibly retracted.

How do you test for EIP?

To verify EIP function, the patient should demonstrate independent index finger extension with the other fingers clenched in a tight fist. The EDCI tendon will visibly buckle with this maneuver. The procedure is best performed with the patient awake to assure proper tendon tensioning, repair strength, and tendon glide.

What is the recovery time for EIP tendon surgery?

The EIP tendon is then re-directed and sewn into the thumb bone or thumb tendon (EPL). After this type of surgery, a splint or cast is used for a few weeks, after which supervised therapy may be started allowing gentle movement with a protective splint may be used for an additional few weeks.