Cpt code 25111 Nov 5, 2013 · Coding advice: You should report 64721 (Neuroplasty and/or transposition; median nerve at carpal tunnel) for the carpal tunnel release and 25111-51 (Excision of ganglion, wrist [dorsal or volar]; primary; multiple procedures) for the mass excision, says Heidi Stout, BA, CPC, COSC, PCS, CCS-P, Coder on Call, Inc. Although many billers rely on CCI's quarterly edits for the most current Medicare bundling guidance, non-Medicare carriers can bundle according to any guidance that professional societies and When it comes to orthopedic procedures, the 25111 CPT code plays a crucial role. This procedure is often necessary to alleviate pain, restore function, or prevent further complications CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. Sep 24, 2010 · Can I CODE 25111 WITH 25000 ? HERE IS THE OP NOTE Diagnosis : left wrist de quervains tenosynovitis with tendon sheath ganglion, as well as small ectostosis deep to the tendons Procedure After site was prepped and draped and time out called, an incision was made in transferse fashion approximately 1 cm proximal t the radial styloid. . For instance, the CPT code 25111 is used for dorsal (back) wrist ganglion cyst removal, while the CPT code 25112 is used for volar (palm-side) wrist ganglion cyst removal. Any direction would be appreciated. This procedure is often necessary to alleviate pain, restore function, or prevent further complications Enter date of surgery (DOS) or date of injury (DOI) to calculate the number of days, weeks, months or years post op. Aug 25, 2023 · Learn how to code surgical procedures with general anesthesia using CPT code 25111 and modifiers. Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Excision Procedures on the Forearm and Wrist 25065-25240 is a medical code set maintained by the American Medical Association. This code is specifically designated for the primary excision of a ganglion, which is the first instance of such a procedure being performed on a patient. Internal fixation may be used to stabilize the fracture with the help of plates, screws, wires, or pins. I know that CPT code 25115 is considered a component of CPT code 64721. 00 CPT Code: 25111 Ganglion Cysts Ganglion cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons. Ensure you're working with the most up-to-date version of CPT Code 25126 by opening it in our free code lookup tool. Sep 8, 2022 · If a patient has a mass at the dorsal aspect of the wrist and the provider thought it was a ganglion cyst but it ended up not being one can we still use the CPT code for the excision of the ganglion cyst CPT code 25111 here is the op note The right upper extremity was prepped and draped in CPT code 25111 is used to describe the surgical procedure for removing a lesion from a tendon in the wrist. Subscribe to Codify by AAPC for more features and resources. Ensure you're working with the most up-to-date version of CPT Code 64721 by opening it in our free code lookup tool. Feb 17, 2021 · Our hand specialist performed an excision of ganglion cysts on one wrist, both volar and dorsal. , tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis) and flexors. Proper coding ensures accurate billing and reflects the complexity of the surgical intervention performed. CPT code 25111 is used to describe the open treatment of a fracture of the shaft of the radius or ulna bone in the forearm. If present, CPT codes 64721 and 64719 are both reportable. TIA Tina CPT Code 25115 CPT 25115 describes radical excision of the bursa, synovia of wrist, or forearm tendon sheaths (e. This code is specifically utilized when a healthcare provider performs an operation to excise or cut out a growth or abnormal tissue from one of the tendons located in the wrist area. 1st dorsal compartment tenovaginotomy CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. CPT code 25111 is excision of ganglion cyst, dorsal or volar. You might be able to also charge 64704 (Neuroplasty; nerve of hand or foot) for the neurolysis of the dorsal cutaneous nerve, depending on the payer's policies. This procedure is often necessary to alleviate pain, restore function, or prevent further complications May 12, 2016 · I hope someone can help. This procedure is often necessary to alleviate pain, restore function, or prevent further complications How To Use CPT Code 25126 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. Ensure you're working with the most up-to-date version of CPT Code 25118 by opening it in our free code lookup tool. This procedure is often necessary to alleviate pain, restore function, or prevent further complications All patients seen in the plastic surgery clinic with International Classification of Diseases, Ninth Revision (ICD-9) code of 727. All rights reserved. The surgery CPT Code 25112 CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. What is CPT Code 25111? CPT Code 25111 refers to the surgical treatment of a fracture of the distal clavicle. Therefore, several codes would be bundled together or billing for multiple procedures would be “disallowed” by the bundling package. Synovectomy CPT Codes Carpal Tunnel, Trigger Fingers deQ Arthrotomy / synovectomy Arthrotomy, elbow; with synovial biopsy only (24100) Excision, olecranon bursa (24105) Excision, lesion of tendon sheath, forearm and/or wrist (25110) Excision of ganglion, wrist (dorsal or volar); primary (25111) CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. The ganglion cyst often resembles a water CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. Here are some key coding guidelines to keep in mind: Assign the appropriate CPT code (s) based on the procedure performed. This procedure is often necessary to alleviate pain, restore function, or prevent further complications The Current Procedural Terminology (CPT ®) code 25115 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Forearm and Wrist. Find out how Medical Bill Gurus can help you with insurance verification and reimbursement for this procedure. Whether you're a patient seeking information or a healthcare professional looking to expand your knowledge, this article aims to provide a comprehensive understanding of the 25111 CPT code. 41 and patients who had surgery with Current Procedural Terminology (CPT) codes of 25111 (excision of primary ganglion cyst) and 25112 (excision of recurrence ganglion cysts) were reviewed. extensor tenosynvectomy 4. This procedure is often necessary to alleviate pain, restore function, or prevent further complications How To Use CPT Code 25118 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. CPT code 25111 is used to describe the surgical procedure for removing a lesion from a tendon in the wrist. CPT code 25111 represents the surgical procedure for the excision of a ganglion located on the wrist, either on the dorsal or volar side. From its definition to its application, we will cover everything you need to know about this specific procedure. This procedure is often necessary to alleviate pain, restore function, or prevent further complications 3 days ago · Read the "tci Outpatient Facility Coding Alert" newsletter article titled: "Reader Question: Code 25111 Covers Both Synovectomy and Ganglion Excision" - subscription required Mar 20, 2013 · Confirm location, incision, and synovectomy, if any. , Milltown, New Jersey and CPT code 25111 is used to describe the surgical procedure for removing a lesion from a tendon in the wrist. For cysts located on the wrist or hand, CPT code 25111 is frequently used. Apr 5, 2019 · Hello adw9111, I am sorry but I do not have/could not find any helpful links or documentation on the coding of primary/recurrent wrist ganglion cyst excision. The Current Procedural Terminology (CPT ®) code 25112 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Forearm and Wrist. This procedure is often necessary to alleviate pain, restore function, or prevent further complications Additionally, this code cannot be used in conjunction with 25111, as that code is reserved for primary ganglion excisions. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements. The surgeon makes an incision in the wrist area and carefully realigns the fractured bone fragments. This procedure is often necessary to alleviate pain, restore function, or prevent further complications . Nov 16, 2025 · Category I CPT Code (s) Category II CPT Code (s) - Performance Measurement Category III CPT Code (s) - Emerging Technology CPT is currently identified by the Centers for Medicare and Medicaid Services (CMS) as Level 1 of the Health Care Procedure Coding System (HCPCS). CPT4 code Name of the Procedure: Excision of Ganglion, Wrist (Dorsal or Volar); Primary Common Name: Ganglion Cyst Removal Medical Term: Ganglion Cyst Excision Summary Ganglion cyst removal involves surgically excising a fluid-filled sac that commonly develops on the wrist area, either on the dorsal (back) or volar (front) side. g. This procedure is often necessary to alleviate pain, restore function, or prevent further complications CPT® CODE 25111 Details CPT® 2024 American Medical Association. *This response is based on the best information available as of 12/19/24. Learn the definition, code details, and clinical tips for CPT Code 25111, which is used for the excision of a ganglion, a fluid-filled mass, from the wrist. Dec 14, 2012 · Answer: You report 25111 (Excision of ganglion, wrist [dorsal or volar]; primary) for the ganglion that your surgeon is excising. The doctor I work with only wants to bill 25115 instead of 64721 because it has a higher reimbursement. But if the surgeon is doing both, but in separate locations on the same wrist for separate diagnosis, can both be coded. How To Use CPT Code 64721 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. The CPT code most commonly associated with ganglion cyst removal is 25111. CPT Code 25111 involves an open surgical approach to the distal radius fracture. Learn how to use CPT codes 25111 and 25112 for ganglion cyst removal, a common surgical procedure. This procedure is often necessary to alleviate pain, restore function, or prevent further complications Comprehensive CPT codes for bursa, ganglion, and synovectomy procedures. Created Date 20251116063804+00'00' Jan 24, 2018 · so I know that if a wrist arthroscopic procedure is being performed and then is converted into an open procedure it is coded as an open procedure only. Coding Guidelines When coding for ganglion cyst excision, it is essential to adhere to coding guidelines to ensure accurate billing. This procedure is often necessary to alleviate pain, restore function, or prevent further complications Jan 24, 2008 · Hello! I am trying to locate information on whether a synovectomy, extensor tendon sheath - 25118 is usually done at the same time as excision of ganlion cyst of the wrist - 25111. When I would code for this procedure the first time the patient had surgical excision treatment for the ganglion cyst was when CPT 25111 would be billed. The cyst is attached to a tendon or a joint through its fibers and contains synovial fluid, which is the clear liquid that lubricates the joints and tendons of Aug 19, 2025 · Identifying the Correct Ganglion Cyst Excision CPT Code Selecting the appropriate CPT code for ganglion cyst excision depends on several factors, including the location and complexity of the procedure. Review description and fee schedules for CPT Code 25111, intended for Surgery, and compare rates across different payers. An NCCI edit exists, so modifier 59 is appended in the presence of documentation. I did find that CCI edits state a modifier is allowed; but I can't find in what circumstances. For ganglion cyst removal, the most commonly used codes are 25111, which describes excision of a ganglion cyst of the wrist or hand, and 25112 for excision of a cyst of the ankle or foot. Document the nature and extent of the ganglion cyst excision in the medical record. This code covers the services rendered by an orthopedic surgeon when fixing and stabilizing a broken collarbone near the shoulder joint. Correctly coding these procedures is essential for proper reimbursement. MD Clarity offers software to help you optimize your revenue cycle and avoid underpayments. Let the examples below guide your hand mass excision coding. The Current Procedural Terminology (CPT ®) code 25118 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Forearm and Wrist. Thanks in advance! CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. I thought about 25075 . The HCPCS code set also includes additional codes that begin with a letter. When it comes to billing and coding within the healthcare system, the Current Procedural Terminology (CPT) codes are used to describe medical, surgical, and diagnostic services. CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. Provides information on ganglion-related CPT codes for medical procedures and treatments. The CPT 25111 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. Learn what CPT code 25111 means, how to use modifiers, and how to get reimbursed by Medicare. This procedure is often necessary to alleviate pain, restore function, or prevent further complications In December 2020, AAOS sent comments to NCCI regarding its proposed procedure-to-procedure (PTP) code pair edits scheduled for implementation as part of the NCCI version 2021 Q2 for a future release. Dec 19, 2024 · CPT code 64719 is not reportable with 64721 without the documentation of diagnostic test studies. CPT code 25320 is a medical code used to describe the procedure for repairing or revising a wrist joint. Dec 2, 2010 · what is the cpt code for 1. This procedure is often necessary to alleviate pain, restore function, or prevent further complications CPT code 25111 is used to describe the surgical procedure for removing a lesion from a tendon in the wrist. The most common locations are the top of the wrist (see Figure 1), the palm side of the wrist, the base of the finger on the palm side, and the top of the far joint of the finger (see Figure 2). Would that be appropriate? CPT Code 25112 CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. Ganglion Excision Price: $3,205. tendolysis EPB 3. This code describes the excision of a ganglion cyst of the wrist or hand, including the removal of the cyst along with some surrounding tissue if necessary. 00 CPT Code: 25111 Ganglion cyst removal, or ganglionectomy, is the removal of a fluid-filled sac on the skin of the wrist, finger, or sole of the foot. Code 64704 is a Column 2 code for 25111, but some payers allow you to report both codes and append a modifier to 64704 to indicate the separate services. This procedure is often necessary to alleviate pain, restore function, or prevent further complications Sep 29, 2014 · Would CPT 25115 RT and 64721 RT be appropriate for the above scenario? I am aware that these codes are bundled when billed in conjunction with one another- therefore my gut is telling me that modifier 59 appended to CPT 64721 is most likely not appropriate. This procedure is often necessary to alleviate pain, restore function, or prevent further complications For example, CPT code 25111 covers dorsal (back) wrist ganglion cyst removal, whereas 25112 pertains to volar (palm-side) removal. Common CPT Codes for Ganglion Cyst Excision: 25111: Excision of ganglion, wrist (dorsal or volar); primary 25112: Excision of ganglion, wrist (dorsal or volar); recurrent 26160: Excision of CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. 4 days ago · 25111 - CPT® Code in category: Excision of ganglion, wrist (dorsal or volar) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Ganglion cyst removal, or ganglionectomy, is the removal of a fluid-filled sac on the skin of the wrist, finger, or sole of the foot. Discover the use of Modifier 22 for increased procedural services, Modifier 47 for anesthesia by surgeon, and Modifier 50 for bilateral procedures. These bundled procedures CPT Code 25112 CPT code 25111 is a medical code used to describe the procedure for removing a lesion from a tendon in the wrist. For example, 29880 is the CPT code for a medial AND lateral meniscectomy. This procedure is often necessary to alleviate pain, restore function, or prevent further complications Apr 1, 2002 · CPT 2002 includes several new musculoskeletal codes that the Correct Coding Initiative (CCI) has yet to address, especially with regard to the appropriateness of bundling some of these procedures. Proper coding ensures accurate reimbursement and proper documentation. This code provides a standardized way for healthcare professionals to communicate and bill for the procedure. You do not separately bill for the synovectomy in this situation. The proposed correct coding modifier indicator (CCMI) of “1” would apply for the CPT code pair 25607, Open treatment of distal radial extra-articular fracture or epiphyseal separation, with A bundling package defines which surgical CPT codes can be reimbursed either separately or in combination. CPT code 25118 is a medical code used to describe the procedure of excising a tendon sheath in the wrist. Jan 1, 2017 · Accurate coding of wrist diagnoses, services, and procedures requires a solid working knowledge of wrist, hand, and distal forearm anatomy. If the surgeon did two separate incisions, can he bill 25111 twice? All the edits say that you can only bill it once, but how do you CPT® Code 25111 | Case2Code Links to CPT 25111 CPT codes help coders and billers identify the specific nature of the procedure performed. tendolysis APL 2. CPT® Code 25112 | Case2Code Excision of ganglion, wrist (dorsal or volar); primary (25111) Synovectomy, extensor tendon sheath, wrist, single compartment (25118) Radical excision of bursa, synovia of wrist, or forearm tendon sheaths eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors (with or without transposition of dorsal retinaculum Feb 12, 2017 · Price: $3,025. Reporting nodular masses in the hand can be challenging if you’re not clear on the tumor type, location, or exactly what services the surgeon provided. Apr 20, 2011 · What CPT code do you recommend for excision of a ganglion cyst, forearm? I know CPT 25111, but that is for the wrist . The Current Procedural Terminology (CPT ®) code 25110 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Forearm and Wrist. CPT code information is copyright by the AMA.