Full Answer
The surgical procedure "Trigger Finger Release," called Tendon Sheath Incision (26055) in CPT, cuts the tendon sheath at the A1 Pulley to open it up so the tendon will slide without getting hung up anymore. When the affected tendon is examined, it will usually be found to be swollen.
daedolos. The tendon release is a cutting of the A1 pulley (most of the time) while the tenosynovectomy involves removing a portion of the tendon sheath. Your three Dx should be for the two trigger fingers and the tenosynovitis. Hope that helps.
However, ICD-10 does not use this terminology, but gives the alternative term "Nodular tendinous disease," which is not necessarily incorrect, but it is not a term that most US Orthopedic/Hand/Plastic Surgeons would use.
The ICD-10-PCS code for this procedure is 0Y6N0ZF. The fourth character (N) identifies the body part as the left foot and the seventh character (F) identifies the level of detachment as partial fifth ray. The definition for partial fifth ray is amputation anywhere along the shaft or head of the fifth metatarsal bone of the foot. The fifth character identifies the technique to reach the operative site or approach. The procedural approach was open (0) because an incision was made to reach the operative site.
Editor's note: This is the second in a series of 10 articles discussing the 31 root operations of ICD-10-PCS.
The Alphabetic Index entry main term Extraction, subterm Bone Marrow refers the coding professional to Table 07D. The ICD-10-PCS code for this procedure is 07DR3ZX. The fourth character (R) identifies the body part as bone marrow, iliac. Unlike ICD-9-CM, the code specifies the specific location of the bone marrow biopsy.
The fifth character of the code identifies the technique used to reach the operative site. The approach for the bone marrow biopsy was percutaneous (3). In ICD-10-PCS the fifth character always identifies the specific approach utilized to reach the operative site.
In ICD-9-CM, the Alphabetic Index entry main term Amputation, subterm midtarsal identifies code 84.12, Amputation through foot. This code is assigned for amputations of forefoot, amputation through middle of foot, midtarsal amputation, and transmetatarsal amputation of either the right or left foot.