Multiple Fasciotomies Same Hand for Dupuytren’s

July 26, 2018

Question:
Our hand surgeon, not infrequently, will perform multiple fasciotomies in the hand for the treatment of Dupuytren’s.  We are reporting CPT code 26045 for each fasciotomy but now we are questioning if this is correct or not.  Before we refund claims paid, will you tell us if this code is reportable multiple times in the same hand?

Answer:
CPT code 26045 (Fasciotomy, palmar (eg, Dupuytren’s contracture); open, partial) is reportable one time regardless of how many “fasciotomies” were performed.   The only time this code is reportable twice on the same day is if both hands were treated. The code is a “palmar” code, thus includes all work on the same palm.

*This response is based on the best information available as of 07/26/18.

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