Surgical Case #35 Operative Report Preoperative Diagnosis: Postoperative Diagnos

Question

Surgical Case #35 Operative Report Preoperative Diagnosis: Postoperative Diagnosis: Operation: Procedure Carpal tunnel compression, left, severe Same Release, left carpal tunnel After successful axillary block was placed, the patient's left arm was prepared and draped in the usual sterile manner. Tourni- quet was inflated. A curvilinear hypothenar incision was made and the palmaris retracted radially. The carpal tunnel and the transverse carpal ligament were then opened and completely freed in the proximal directions. It was noted to be severely tight in the palm with flattening and swelling of the median nerve. The carpal tunnel was opened distally in the hand and noted to be clear, out to the transverse palmar crease. The wound was then closed with 4-0 Dexon in subcuticular tissues. Sterile bulky dressing was applied, and the patient was awakened and taken to the recovery room in satisfactory condition. Code(s): Index entries:

Explanation / Answer

Carpal tunnel compression: G56.02
Carpal tunnel release, left: 20526 modifier LT

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