Hand and Upper Extremity

Abstract

In pediatric hand and upper extremity surgery, numerous situations arise where there is variability or doubt in which code to use for a particular procedure. Was that an open reduction or closed reduction with percutaneous fixation of a fracture? Should we code trigger fingers and thumbs the same way? And, when is post-axial polydactyly a reconstruction versus excision?   This JPOSNA Coding Corner will present case scenarios encountered by pediatric orthopaedic surgeons who care for common upper limb conditions. The intent is to provide guidance to aid proper surgical billing; however, it is important the ultimate code selection reflects the procedure performed and supporting documentation.