mucous cyst of toe - Health Topics
Mucous cysts are pseudocysts (cystic structures lacking a true lining) that usually appear on the middle or index finger of the dominant hand; toe involvement is uncommon. Although most mucous cysts ... Leg/Ankle Joint (27613 – 27647) Foot/Toes (28039 – 28175) For instance, if the pathology report comes back on a “right index finger mass” as a ganglion, then the CPT® code for its excision is 26160-F6 Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger-Right hand, second digit.
Understanding the Context
I believe digital mucous cysts are a type of ganglion cyst; consider whether it was a cyst of the bursa (M71.2-3) vs a cyst of the joint or tendon sheath (ganglion- M67.44_). You might consider if CPT 20612 for aspiration of a ganglion cyst better matches the documentation. This one is tricky because of the semantics involved. Your surgeon did two things: 1: excised a degenerative or mucous cyst from the capsule of the DIP Joint (26160), and 2: an arthrotomy of the same joint and removed an osteophyte from the distal phalanx (26236).
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In doing so, the 26080 is excluded because he did more than just an arthrotomy. Has anyone been able to find a code for Mucous Cyst? ICD-10 does not appear to have a specific code for it. I was thinking of going with "Epidermal" cyst, since the cyst being excised technically is in the skin (as opposed to a joint/ or bone cyst). But I thought ICD-10 was supposed to be MORE...
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ICD-10 for Mucous Cyst? | Medical Billing and Coding Forum - AAPC The work of soft tissue cyst excision may be reported with code 26160, Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger. The excisional debridement of the dominant bone pathology (eg, osteophyte) is reported based on the bone that requires excisional debridement. Radiographic Findings consistent with mucous cyst & significant degenerative arthritis in the DIP joint. Op Report: A curvilinear incision was made over dorsum of the left ring finger DIP joint. Dissection was carried through subcutaneous tissue.
Full-thickness skin & subcutaneous tissue flaps... Wiki - Excise Mucous Cyst & debride osteophytes left ring finger DIP ...