CPT code 26340 is a medical code used to describe the procedure of manipulating a finger with anesthesia.
CPT code 26340 is used to describe the procedure of manipulating a finger joint under anesthesia. This code is typically utilized when a healthcare provider needs to manually adjust or realign a finger joint to correct deformities, improve function, or alleviate pain, and the patient is given anesthesia to ensure comfort during the procedure.
For CPT code 26340 (Manipulate finger with anesthesia), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly greater effort than typically required.
2. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure was performed on both hands.
3. Modifier 51 - Multiple Procedures: Use this modifier if multiple procedures were performed during the same session.
4. Modifier 52 - Reduced Services: Use this modifier if the procedure was partially reduced or eliminated at the physician's discretion.
5. Modifier 59 - Distinct Procedural Service: Use this modifier to indicate that the procedure was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician: Use this modifier if the procedure was repeated by the same physician.
7. Modifier 77 - Repeat Procedure by Another Physician: Use this modifier if the procedure was repeated by a different physician.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if the patient had to return to the operating room for a related procedure during the postoperative period.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if the procedure was unrelated to the original procedure and was performed during the postoperative period.
10. Modifier 80 - Assistant Surgeon: Use this modifier if an assistant surgeon was required during the procedure.
11. Modifier 81 - Minimum Assistant Surgeon: Use this modifier if a minimum assistant surgeon was required during the procedure.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Use this modifier if an assistant surgeon was required and a qualified resident surgeon was not available.
13. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Use this modifier if a non-physician provider assisted in the surgery.
14. Modifier LT - Left Side: Use this modifier if the procedure was performed on the left hand.
15. Modifier RT - Right Side: Use this modifier if the procedure was performed on the right hand.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 26340 is reimbursed by Medicare, but it is essential to verify its specific reimbursement rate and coverage details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and their corresponding reimbursement rates. Additionally, it is crucial to consult with your local Medicare Administrative Contractor (MAC) to ensure that there are no regional variations or specific guidelines that might affect the reimbursement of CPT code 26340. Each MAC may have unique policies or requirements that could influence the reimbursement process.
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