Question

A 45 year-old presents to the operating room with a right index trigger finger and left shoulder bursitis. the left shoulder was injected with 1 cc of xylocaine, 1 cc of celestone and 1 cc of marcaine. an approximately 1-inch incision was made over the a1 pulley in the distal transverse palmar crease. this incision was taken through skin and subcutaneous tissue. the a1 pulley was identified and released in its entirety. the wound was irrigated with antibiotic saline solution. the subcutaneous tissue was injected with marcaine without epinephrine. the skin was closed with 4-0 ethilon suture. clean dressing was applied. what cpt® codes are reported?

Answer 1

This is a case of a patient presenting with right index trigger finger and left shoulder bursitis. The CPT code involving the incision procedures on the hand and fingers is CPT 26055 with -F6 applying to the index finger of the right hand. In the removal of the fluid in the left shoulder joint, this corresponds to the CPT code of CPT 20610 with a 51 modifier because of multiple surgeries and LT because the left is involved. Therefore the answers are CPT 26055-F6 and CPT 20610-51-LT.