CPT code 26080: Finger Joint Arthrotomy Billing Guide

CPT code 26080 is a surgical code for arthrotomy of an interphalangeal joint, with exploration, drainage, or removal of a loose or foreign body. In the American Medical Association’s CPT code set, the descriptor ends with the words interphalangeal joint, each. That last word sets the unit at one joint. The code covers open entry […]
CPT Code 25110: Excision of tendon sheath lesion, forearm and wrist

What is CPT Code 25110? CPT Code 25110 covers the excision of a lesion of the tendon sheath, forearm and/or wrist. It belongs to the 25000 musculoskeletal series of the Current Procedural Terminology (CPT) code set. Medicare treats the procedure as major surgery, so it carries a 90-day global period. The code applies to a […]
CPT Code 24138: Sequestrectomy of the olecranon process

CPT Code 24138: Definition and clinical description CPT Code 24138 covers a sequestrectomy of the olecranon process, performed for osteomyelitis or bone abscess. The American Medical Association publishes the long descriptor as Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process. The short descriptor on remittance notices is Sequestrectomy olecrn proces. The olecranon process is […]
CPT Code 23605: Proximal Humeral Fracture with Manipulation

CPT code 23605 is the procedure code for closed treatment of a proximal humeral fracture at the surgical or anatomical neck, with manipulation. The provider reduces the fracture by hand, without opening the site. The code carries a 90-day global period and pays about $535 in a physician office under the 2026 Medicare fee schedule. […]
CPT code 14350: Filleted finger or toe flap billing guide

CPT code 14350 covers the filleted finger or toe flap. Read more on place of service rates, digit modifiers, NCCI bundling, and the 90-day global period.
CPT Code 97161: Low complexity physical therapy evaluation

CPT 97161 covers a low complexity PT evaluation: one to two exam elements, modifier GP required, about $87-$102 from Medicare.
CPT Code 93970: Duplex scan of extremity veins, bilateral

CPT 93970 is the complete bilateral duplex venous scan. Use 93971 for a single extremity, since the mix-up drives most denials.
CPT code 20200: Superficial muscle biopsy

CPT 20200 covers an open biopsy of superficial muscle. It carries no global period, so a later wound check stays billable.
CPT code 14041: Adjacent tissue transfer billing guide

CPT code 14041 covers adjacent tissue transfer on the face, neck, hands and feet, for defects of 10.1 to 30 sq cm. Read more on modifiers, ICD-10 and denials.
CPT code 14021: Adjacent tissue transfer billing guide

CPT code 14021 covers adjacent tissue transfer or rearrangement on the scalp, arms, or legs for defects of 10.1 to 30.0 sq cm. The defect is not only the wound you closed. It is that wound plus the donor site you created to close it. Adjacent tissue transfer is one of the most audited procedures […]