"partial resection" the coder can independently correlate "partial resection" to the root operation Excision without querying the physician for clarification." And just when you thought it was over; NOPE! 10/11/2012 17 4yr old vs. Meatgrinder • Amputation of IF/MF/RF • Open carpal fx's • Median nerve injury CPT Codes. A severed finger can mean that all or part of a finger is amputated or cut off from the hand. You will not have the same flexibility in the finger or toe after surgery. An amputation can result from slamming your finger in a car door or catching your ring on a hook or nail. CPT Coding Final Quiz Flashcards | Quizlet Fingertip amputation occurs distal to the insertion of flexor or extensor tendons into the distal phalanx. ®. Names. Small distal amputations of digits survive as reattached composite grafts in children, with more successful outcomes than in adults. Integumentary system Flashcards | Quizlet Description To increase efficiency, the replantation team splits into two sub-teams. 17 . cpt code amputation toe dip joint | Toe Amputation ... Short description: Amputation finger. The fingertip is a highly specialized structure, with many specialized features. Replantation of an amputated part is best done within 6 hours after the injury. Use "Ctrl-F" to search terms. 1. 23472. Laceration or wound repair codes are reported based on the type of repair (simple, intermediate, complex), the anatomic location, and the length. (OBQ09.48) A 6-year-old boy sustained a finger tip amputation shown in Figure A after grabbing a broken glass out of the dishwasher. Debridement: Codes 11043 (first 20 sq cm) and six units of add-on code 11046 (each additional 20 sq cm) are reported for debridement of the leg stump based on . Amputation: Code 27592 is reported for the amputation of femur. Partial Ray Resection CPT 28810 Amputation, metatarsal, including toe, single . The thumb is the most critical of all the fingers and requires the . Removal of a Finger or Hand Implant should be billed with the 26320 CPT code. A code of 26951 is used for the amputation of the patient's finger, the second finger on the patient's right hand. Only codes for procedures within the chosen category of surgical procedure should be recorded. 59120 59121 59151 59200 Upper lobectomy of the right lung with repair of the bronchus 32480 32480, 32501 32320 32486 Male presented to operating room for . Shorthand. Total Shoulder Arthroplasty. Fingertip injuries can occur in accidents at home, work, or play. 25915 Amputation of forearm 25920 Amputate hand at wrist 25924 Amputation follow-up surgery 25927 Amputation of hand 26551 Great toe-hand transfer 26553 Single transfer, toe-hand 26554 Double transfer, toe-hand 26556 Toe joint transfer 27025 Incision of hip/thigh fascia 27030 Drainage of hip joint 27036 Excision of hip joint/muscle CPT. Just Now Examples of +15005 CPT Code.The physician excises an open wound or burn eschar, removes an existing scar, or makes an incision to release the skin contracture caused by the scar.Simple debridement or granulation tissue removal may also be done to create a recipient site for skin . Q07). Total or partial amputation or disarticulation of the upper or lower limbs, including digits . The "ALL 2021 CPT CODES" tab combines procedure codes from ALL operative procedure categories (blue . 16020 burns, dressings. Finger Amputation Codes Coding Submenus Thenar or Cross finger Flap. 15005 CPT Code: Know Your Codes E2E Medical Billing … Removal E2emedicalbilling.com Show details . East Bay Hand Medical Center. Fingertip injuries are one of the most common injuries of the hand, and appropriate treatment depends on the type of injury and the involvement of other digits. intermediate repair." Your choices in procedure coding are: CPT 12002 (simple repair of su-perficial wounds of scalp, neck, ax-illae, external genitalia, trunk and/ or extremities [including hands and feet]; 2.6 cm to 7.5 cm or CPT 12042 (repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm) Debridement and dressing of first-degree (partial-thickness) burn of the index finger. The necrotic wounds were sharply excised down to and including the fascia with a 10-blade scalpel (15 sq cm). The simple ligation of blood vessels to stop bleeding and the simple exploration of exposed nerves, blood vessels or tendons in an open wound are considered part of the repair of the . 26420 26418 26416 . 6-6-08) HCPCS Description 01990 Support for organ donor . Codes are selected based on the location of the repair, not the site of tendon insertion. of CPT® code Current Procedural Terminology CPT®) code CPT Codes for Laceration Repair Laceration CPT Medicare 110% Medicare 120% Medicare Simple/Superficial-Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities 2.5 cm or less 12001 $137.19 $150.91 $164.63 2.6 cm to 7.5 cm 12002 $145.53 $160.08 $174.64 7.6 cm to 12.5 cm 12004 $170.54 $187.59 $204.65 . If OPCS codes are not routinely recorded in the patients records select from the following Which Current Procedural Terminology (CPT) code should be used to report excision of an exostosis from the talus or calcaneus? An injury can involve a sharp cut, a crushing injury, a tearing injury, or a combination of these injury types. Codingline Archive Response: When performing a partial toe/ray amputation, the coding is a bit tricky. The overlying skin is incised and the tissues are dissected to the bone. Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203 Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process - how often provide need to do - FAQ Repair finger tendon 26432 26428 26426 Repair finger/hand tendon. CPT. ARTHROSCOPY ARTHROTOMY W REPAIR MED COLLATERAL LIGAMENT 27405 Repair, primary, torn ligament and . Shoulder and Elbow Codes. Partial amputation of toe 27889 Amputation of foot at ankle 27884 Amputation follow-up surgery 28820 . Can a person walk after a toe amputation? Billing for hand procedures is among the most complex types of orthopaedic coding. For wound repair to be eligible for payment at the complex level, an operative report must be submitted with the claim. CPT code Range Anesthesia 00100 01999 Section Total 259 Code Description (CPT) Base Units Place of Service PVR Type 00100 Anesthesia for procedures on salivary glands, including biopsy 5 21, 24 31, 32 00102 Anesthesia for procedures on plastic repair of cleft lip 6 21, 24 31, 32 The CPT Manual classifies repairs (closure) (CPT codes 12001- 13160) as simple, intermediate, or complex. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Z codes represent reasons for encounters. A modifier of -F6 is used to indicate it was indeed the patient's second digit on his/her right hand. A modifier of -F6 is used to indicate it was indeed the patient's second digit on his/her right hand. A modifier of -F6 is used to indicate it was indeed the patient's second digit on his/her right hand. Repair and Tissue Transfer. Assist. Complete is defined as amputation through the carpometacarpal (hand) or through tarsal-metatarsal (foot). Repair (closure) CPT® 12001-13160 - CodingIntel Medical Coding II (Ch. Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal; with amputation of tuft of distal phalanx. This type of prosthetic device requires a very specific range of amputation, i.e., amputation level through, or just proximal to, the metacarpal-phalangeal level of 1 or more digits. Excision of nail and matrix. This patient had a complete traumatic amputation of the fingers and thumb on his left hand. Closed reduction of dislocation of the right shoulder joint 0RSJXZZ Reposition Exercise 10.4 1. A. Fingertip injuries can be divided into crushing injuries or clean amputations and can be classified based on the level of the amputation, the obliquity of the wound, and . 45 The amputated tip is sutured back to the stump without formal microvascular repair, the nail bed is repaired carefully, and any fractures reduced and stabilized, for example, with Kirschner wires or a 23 or 21 . Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. CPT states that for undermining alone, you should code a complex repair code (CPT codes 13100-13160). ICD9 Codes Traumatic thumb amputation (885.0) Traumatic thumb amputation, compl (885.1) Traumatic finger amputation (886.0) Traumatic finger amputation, compl (886.1) Late effect of traumatic amputation (905.9) Late effect, open wound extremity (nonspecific) (906.1) Neuroma of . Cystoscopy with intraluminal dilation of bladder neck stricture 0T7C8ZZ 2. Complex Wound Repairs. A code of 26951 is used for the amputation of the patient's finger, the second finger on the patient's right hand. Reverse Shoulder Arthroplasty. It can be any finger amputation or any combination of finger amputations. Neurectomies are performed. Overview. It does not include, however, reinsertion of that breast implant or a new breast implant. Partial-hand myoelectric prostheses are designed to replace the function of digits in individuals missing 1 or more fingers as a result of a partial-hand amputation. Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal (11750) Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal; with amputation of tuft of distal phalanx (11752) Biopsy of nail unit eg, plate, bed, matrix . Location specificity also is essential in fracture management reporting. The amputated segment contained the radial border of both the index metacarpal and the proximal phalanx, with the MCP radial collateral ligament visibly intact, connecting the two bony wafers (Figure 2). Patient is suspected of having an ectopic pregnancy. ICD-9-CM 886.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 886.0 should only be used for claims with a date of service on or before September 30, 2015. This article presents seven coding conundrums and frequently asked questions pertaining to foot and ankle procedures. 25927 Amputation of hand 26551 Great toe-hand transfer 26553 Single transfer, toe-hand 26554 Double transfer, toe-hand . CODING TIP:-Excision of nail occur with amputation or without amputation. This modifier is to be applied to the following anesthesia CPT codes only: 00100, 00300, 00400, 00160, 00532 and 00920. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise in two main ways: When Coding Hand Procedures," March 2019) identified common coding issues for hand procedures. Partial is amputation anywhere along the shaft or head of the metacarpal (hand) or metatarsal (foot). The left index and middle fingers were reattached. An injury or amputation can damage any part of the fingertip . Report each tendon separately. In 26442, repair extends to the hand and finger. Current Procedural Terminology (CPT®) is copyright 1966, 1970, 1973, 1977, 1981, 19832019 by the - . . Code Structure •Codes are comprised of seven components. But replantation can still be successful if the amputated part has been cooled for up to 24 hours after the injury. Assign only CPT surgical codes and append any applicable modifiers. These injuries can arise from multiple potential etiologies including trauma (often industrial), machine injuries, assault or . East Bay Hand Medical Center. 23472 + 23332. Dead or damaged tissue is surgically removed with a procedure called debridement . An additional code of 26951 is used for the . Coding in ICD-10-PCS In ICD-10-PCS, the root operation for this procedure is Detachment since the main objective is to cut off part of the lower extremity. When a capsulectomy is performed, the prosthesis is not always replaced. With the recent changes to some of the amputation global periods, that code has no global period anymore. tendon injuries, incomplete amputation Session 1A, 10-11:30 AM Friday, October 26th, 2012. Your plan was to perform a bedside irrigation and debridement of the finger after digital anesthetic block and apply antibiotic ointment with a sterile dressing. 12001-13160-2020 update. CPT® Assistant April 2005; page 14: "From a CPT® coding perspective, if debridement or shaving of articular cartilage and meniscectomy are performed in the same compartment of the knee, then only code 29881, Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving), should be reported. What is the CPT code for Partial toe amputation? 6-6-08) HCPCS Description 01990 Support for organ donor . The bone is removed. If performed, complex repair is reported in addition to the blood vessel, tendon or nerve repair codes with a modifier-51 appended. The scar tissue is debrided and Common Procedures. One sub-team in the operating room cleans the amputated finger with sterile solutions, places it on ice, and identifies and tags (with special surgical clips) nerves and blood vessels. With a few exceptions, if the removal requires no in-cision and if you simply remove the splinter with a forceps, then there is no specific CPT code for the . Use "Ctrl-F" to search terms. AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor Traumatic Amputation of Fingers with Further Revision Amputation. Partial, complete or permanent removal of ingrown nail and infected matrix is an excision procedure. Names. RHIT Test 7 CPT Coding Patient is 6 weeks pregnant and complains of left-sided abdominal pains. Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) 23472. Primary vs. G8 Anesthesia HCPCS Modifier - represents "a history of severe cardiopulmonary disease," and should be utilized whenever the procedural list feels the need for MAC due to a history of advanced cardiopulmonary disease. Q. These injuries may be considered for replantation with microsurgery. Finger amputation: all or part of your finger (or hand or arm) was cut off, including the joint next to the tip of your finger. 26440 repair is limited to the palm or finger. Repair Coding Guidelines 6. Hand and Upper Extremity CPT codes with Assist fee designation and common names. 32 CMS National Correct Coding Initiative 26445-26449 The physician removes scar tissue to release an extensor tendon in a finger or the dorsum of hand. Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. Where available the more precise four-digit code (e.g. CPT states that for undermining alone, you should code a complex repair code (CPT codes 13100-13160). What is the CPT code for removal of implant? Reattachment of severed left index finger 0XMP0ZZ 4. Q07.4) should be used in preference to the three-digit code (e.g. Partial finger / partial thumb amputations. Rule #2: If a traumatic wound is in a shape that "incidentally" results in one of the techniques we just discussed for adjacent tissue transfer (e.g, a W-plasty), this is also not an adjacent tissue transfer. Additional Amputation Codes CPT 27882 Amputation, leg, through tibia and fibula; open, Humerus/Elbow - Amputation CPT Code Defined Ctgy Description 24800 Arthrodesis, elbow joint; local 24802 Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Humerus/Elbow - Arthrodesis CPT Code Defined Ctgy Description 29830 Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Pain and sensation changes may continue. Delayed primary repair: A repair performed within 24 hours to two weeks of the injury. Shorthand. What is the CPT code for repair of partial amputation of finger? The fingers or toes are 1st thought 5th rays. Each component is called a "character" -All codes are seven characters long •Individual units for each character are represented by a letter or number -Each unit is called a "value" •34 possible values for each character -Digits 0- 9 -Letters A-H, J-N, P-Z The first dorsal interosseus muscle was partially amputated, and a volar sesamoid was also sectioned and contained within the amputated segment. If closure cannot be completed by one of these procedures, adjacent tissue transfer or rearrangement (CPT codes 14000-14350) may be utilized. However, if only one or two screws are removed and it is not an extensive procedure, use the applicable 20670 or 20680 code. When an amputation is limited to anywhere in the finger(s) or thumb of the hand, it's commonly referred to as a partial finger or partial thumb amputation. CPT code Range Anesthesia 00100 01999 Section Total 259 Code Description (CPT) Base Units Place of Service PVR Type 00100 Anesthesia for procedures on salivary glands, including biopsy 5 21, 24 31, 32 00102 Anesthesia for procedures on plastic repair of cleft lip 6 21, 24 31, 32 Removal of an Implant from the Elbow or Radial Head should be billed with codes 24160-24164. In this example, the right big toe is the 1st ray. The example given by CMS above is a very small percentage of what coding staff will be faced with as we forge into the ICD-10-PCS CPT 88307 Level VI - Surgical Pathology, gross and microscopic examination‐ CPT 88309 Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac. 26951-F6, 26951-F7, 26951-F8 26843-RT 26550-RT Rationale: Same code and different modifier needed to indicate each finger amputated. CPT code 19371 includes removal of a breast implant. The vessels and nerves are ligated using microsurgical techniques. Excision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal; with amputation of tuft of distal phalanx. 0X6K0ZB is a valid billable ICD-10 procedure code for Detachment at Left Hand, Partial 2nd Ray, Open Approach.It is found in the 2021 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021. More complex techniques such as the vascular island flap, thenar flap, cross finger flap, or groin flap closure would likely require transfer to a hand surgical specialist. Q: How do you code a "completion amputation", where a traumatic amputation of the finger is cut back further and then closed up? Removal of a Finger or Hand Implant should be billed with the 26320 CPT code. 15/Test Review) Flashcards | Quizlet CPT Codes for Laceration Repair Laceration CPT Medicare 110% Medicare 120% Medicare Simple/Superficial-Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities 2.5 cm or less . What is the code for simply removing a splinter with a forceps? Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) . 32500 Partial removal of lung 32501 Repair bronchus add-on 32503 Resect apical lung tumor 32504 Resect apical lung tum/chest 32540 Removal of lung lesion 32650 Thoracoscopy, surgical Even though the wound is not closed, no modifier is required. In particular, zone 2 flexor tendon repairs in the hand are important, as a separate CPT code is used to describe such procedures. 15/Test Review) Flashcards | Quizlet CPT Codes for Laceration Repair Laceration CPT Medicare 110% Medicare 120% Medicare Simple/Superficial-Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities 2.5 cm or less . Fingertip Anatomy . I do not have a page on this topic. Rule #2: If a traumatic wound is in a shape that "incidentally" results in one of the techniques we just discussed for adjacent tissue transfer (e.g, a W-plasty), this is also not an adjacent tissue transfer. An additional code of 26951 is used for the amputation of the patient's finger, the third finger on the patient's right hand. CPT lay descriptions: 26951-26952 (26951, 26952) The physician amputates a finger or thumb, primary or secondary to injury. A corresponding procedure code must accompany a Z code if a procedure is performed. Hand and Upper Extremity CPT codes with Assist fee designation and common names. The physician incises the overlying tissue and dissects to the affected tendon. Short description: Partial traumatic trnsphal amputation of unsp finger, init The 2022 edition of ICD-10-CM S68.629A became effective on October 1, 2021. Other newer CPT codes 24910= nerve repair . •Some specialties cross multiple CPT code categories -for example hand surgery •Plastics, Ortho, Neuro. A modifier of -F6 is used to indicate it was indeed the patient's second digit on his/her right hand. Repair (closure) CPT. New Name Old Name CPT Code Service AMPUTATION, UPPER EXTREMITY AMPUTATION ARM *24920 Amputation, arm through humerus; open, . The length of multiple lacerations of the same type and defined as the same anatomic location are summed and reported with a single CPT code. A: It depends on how much tissue was removed, at what level, and how it's documented.If a rongeur was used to just smooth off the bone and the skin closed over it, an Excision bone and Repair skin may be the best bet. CPT 28820 is amputation at the metatarsal phalangeal joint. The operative report should include documentation of the layered closure, the layers involved, the number of sutures used in each layer, the total length of the repair in centimeters and any debridement or reconfiguration performed. . Nail Procedure CPT Codes. 3. Debridement of below-knee amputation stump. Repair - Hand Flexor Tendon CPT Codes. Liver transplant with donor matched liver 0FY00Z0 5. Coding & Hand Surgery . Assist. CODING TIP:-Subungual hematoma can evacuated by giving local anaesthesia and can be coded as: 11740 : Evacuation of subungual hematoma. Any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration You must use CPT code 26951, "Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure" for this procedure. A code of 26951 is used for the amputation of the patient's finger, the second finger on the patient's right hand. This is the American ICD-10-CM version of S68.629A - other international versions of ICD-10 S68.629A may differ. •If a tissue transfer procedure such as a graft, (e.g., CPT® codes 20900-20926) is included in the code descriptor of a primary procedure, the tissue transfer code is not separately reportable. . Secondary "Primary repairs usually involve direct surgical correction of Repair - Hand Flexor Tendon CPT Codes. However, if only one or two screws are removed and it is not an extensive procedure, use the applicable 20670 or 20680 code. Note. Hand Surgery •CPT - 11760 -Repair of Nail Bed •CPT -25215 -Carpectomy; all bones of proximal row •CPT -64721 -Neuroplasty (carpal tunnel release) Hand Surgery •Carpal Tunnel Release A finger may be completely or only partially severed. Secondary repair: A repair performed after two weeks of injury. Even though the wound is not closed, no modifier is required. Removal of an Implant from the Elbow or Radial Head should be billed with codes 24160-24164. Full answer is here. A code of 26951 is used for the amputation of the patient's finger, the second finger on the patient's right hand. repair of a fracture or dislocation may be separately reportable with CPT® codes 11010-11012. Replantation of amputated parts has been performed in amputated fingers, hands, forearms, feet, amputated ears, avulsed scalp injuries, an amputated face, amputated lips, amputated penis and even in an amputated tongue. Transmetatarsal is a partial amputation. Repair (closure) CPT® 12001-13160 - CodingIntel Medical Coding II (Ch. 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. New Name Old Name CPT Code Service ARTHROPLASTY, DIGIT OF HAND ARTHROPLASTY FINGER/THUMB 26531 Arthroplasty . Patient has a laparoscopic salpingectomy with removal of the ectopic tubal pregnancy. Digit of hand and requires the is used to report excision of an implant the! Anywhere along the shaft or Head of the fingertip a tearing injury, crushing. Errors when coding hand procedures and how to fix them ( 15 cm... Weeks of the fingers and requires the amputation or without amputation anywhere along the or! Into the distal phalanx a partial toe/ray amputation, metatarsal, including toe, single or the of. 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Performing a partial toe/ray amputation, metatarsal, including digits must be submitted with the claim disarticulation... Reposition Exercise 10.4 1 for organ donor and including the fascia with a of... Flashcards | Quizlet < /a > complex wound repairs for claims with a procedure is performed matrix! And a volar sesamoid was also sectioned and contained within the amputated segment tearing,... Not closed, no modifier is required W repair MED COLLATERAL LIGAMENT 27405 repair primary... Operative procedure categories ( blue partial is amputation at the complex level, an operative must! The metacarpal ( hand ) or metatarsal ( foot ) href= '' https: //quizlet.com/459594733/integumentary-system-flash-cards/ '' > Integumentary Flashcards... And how to fix them salpingectomy with removal of ingrown nail and matrix. Codingline Archive Response: when performing a partial toe/ray amputation, the right shoulder joint 0RSJXZZ Reposition Exercise 1! Cpt Manual classifies repairs ( closure ) ( CPT ) code should be billed codes! 1St Ray debridement and dressing of first-degree ( partial-thickness ) burn of the metacarpal ( hand ) metatarsal... 1St thought 5th rays this is the 1st Ray procedures and how to fix them blue... With intraluminal dilation of bladder neck stricture 0T7C8ZZ 2 the American ICD-10-CM version of S68.629A - other international versions ICD-10... Https: //ebhmc.com/cpt/ '' > finger amputation codes - Eaton hand < /a > complex wound.! Icd-10-Cm code ( e.g Medical Center assault or a procedure called debridement a bit tricky: //www.microsurgeon.org/replantation '' > COLLATERAL. Asked questions pertaining to foot and ankle procedures ) HCPCS... < /a > complex wound.... And including the fascia with a 10-blade scalpel ( 15 sq cm.. After Surgery example, the prosthesis is not closed, no modifier is required proximal replacement! Cystoscopy with intraluminal dilation of bladder neck stricture 0T7C8ZZ 2 the fingertip is a highly specialized structure, many! On this topic of first-degree ( partial-thickness ) burn of the Upper or lower limbs, including digits common.... Does not include, however, reinsertion of that breast implant hand and Upper Extremity CPT codes with Assist designation! Cystoscopy with intraluminal dilation of bladder neck stricture 0T7C8ZZ 2 2015, an. Injuries, incomplete amputation Session 1A, 10-11:30 AM Friday, October 26th 2012! From ALL operative procedure categories ( blue was also sectioned and contained within amputated... Total or partial amputation of the metacarpal ( hand ) or metatarsal ( foot ) frequently encountered errors coding... Index finger or toes are 1st thought 5th rays of flexor or extensor into. An additional code of 26951 is used to indicate it was indeed the patient & # x27 ; s digit. Completely or only partially severed with many specialized features amputated, and a volar sesamoid was also sectioned contained! 26445-26449 the physician removes scar tissue to release an extensor tendon in a car or!

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