How To Use CPT Code 26045

CPT 26045 describes a surgical procedure known as palmar fasciotomy, which is performed to treat Dupuytren’s contracture. This article will provide a comprehensive overview of CPT code 26045, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26045?

CPT 26045 is a code used to describe a surgical procedure called palmar fasciotomy. This procedure is performed to treat Dupuytren’s contracture, a condition that causes the tissues of the hand to contract and the fingers to permanently bend, impairing movement. The provider makes an open incision in the palmar fascia, which is the connective tissue under the skin in the palm of the hand, to release the tension and restore normal hand function.

2. Official Description

The official description of CPT code 26045 is: ‘Fasciotomy, palmar (eg, Dupuytren’s contracture); open, partial.’ This code specifically refers to an open procedure in which the provider incises the palmar fascia to treat Dupuytren’s contracture. It is important to note that there are other codes available for different approaches to treating this condition, such as percutaneous fasciotomy (code 26040) and fasciectomy (codes 26121-26125).

3. Procedure

1. Before the procedure, the patient is appropriately prepped and anesthetized to ensure their comfort and safety.
2. The provider makes an incision in the skin, carefully extending it down through the subcutaneous tissue to reach the palmar fascia.
3. Once the palmar fascia is exposed, the provider retracts the subcutaneous tissue to access the contracted tissue causing the Dupuytren’s contracture.
4. The provider then releases the tension by incising the thick or shortened tissues, allowing the fingers to regain their normal range of motion.
5. After releasing the contracted tissue, the provider sutures the wound closed in layers to promote proper healing.

4. Qualifying circumstances

CPT code 26045 is used for patients with Dupuytren’s contracture, a condition characterized by the thickening and shortening of fibrous bands on the palmar surface of the hands and fingers. The procedure is performed by a qualified healthcare professional and is typically reserved for cases where less invasive treatments have been ineffective. It is important to note that the specific circumstances for using this code may vary, and it is essential to consult the official coding guidelines and documentation requirements for accurate reporting.

5. When to use CPT code 26045

CPT code 26045 should be used when a provider performs an open palmar fasciotomy to treat Dupuytren’s contracture. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If a different approach, such as percutaneous fasciotomy or fasciectomy, is used, the appropriate corresponding code should be reported instead.

6. Documentation requirements

Accurate documentation is crucial when reporting CPT code 26045. The following information should be included in the medical record:

• Patient’s diagnosis of Dupuytren’s contracture
• Description of the procedure performed, including the approach (open) and extent (partial)
• Date of the procedure
• Details of the incision and closure technique
• Any additional procedures or services provided during the same encounter
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 26045, it is important to ensure that the documentation supports the use of this specific code. The procedure must meet the criteria outlined in the code description, including an open approach and partial fasciotomy for Dupuytren’s contracture. It is also essential to follow any additional guidelines provided by the payer or coding guidelines. It is important to note that there may be specific rules regarding reporting this code in conjunction with other related codes, and it is crucial to review the official coding guidelines and consult with the payer for accurate billing.

8. Historical information

CPT code 26045 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

These codes represent different approaches to treating Dupuytren’s contracture and should be used based on the specific procedure performed.

9. Examples

1. A provider performs an open palmar fasciotomy on a patient with severe Dupuytren’s contracture, releasing the contracted tissue and restoring hand function.
2. A patient with Dupuytren’s contracture undergoes a partial fasciotomy, performed by a qualified healthcare professional, to improve finger mobility.
3. A provider performs an open palmar fasciotomy on a patient with advanced Dupuytren’s contracture, allowing the fingers to regain their normal range of motion.
4. A patient with Dupuytren’s contracture undergoes a partial fasciotomy to alleviate the symptoms and improve hand function.
5. A provider performs an open palmar fasciotomy on a patient with recurrent Dupuytren’s contracture, releasing the contracted tissue and preventing further progression of the condition.
6. A patient with Dupuytren’s contracture undergoes a partial fasciotomy to address the hand deformity and restore hand function.
7. A provider performs an open palmar fasciotomy on a patient with severe Dupuytren’s contracture, improving finger extension and enhancing hand function.
8. A patient with Dupuytren’s contracture undergoes a partial fasciotomy to alleviate pain and improve hand mobility.
9. A provider performs an open palmar fasciotomy on a patient with advanced Dupuytren’s contracture, releasing the contracted tissue and improving hand function.
10. A patient with Dupuytren’s contracture undergoes a partial fasciotomy to address the hand deformity and restore hand function.