CPT Assistant, May 2021, Volume 31, Issue 5, page 13
Question:
What specifically constitutes a release of the proximal interphalangeal (PIP) joint as described in code 26123? Is excision of the cord sufficient to report a release or does it require capsulotomy, capsulectomy, and/or volar plate release?
Answer:
Excision of the cord to release the PIP joint is sufficient to report code 26123, Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft). Skin lengthening through Z-plasty or skin graft, excision of the diseased fascial cord, and any necessary capsuloligamentous releases, when performed, are inherent to code 26123 and may not be reported separately.
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