What CPT code replaced 19304?

What CPT code replaced 19304?

Code 19304 for subcutaneous mastectomy has been deleted. To report breast reduction or tissue removal for gynecomastia, see 19300, mastectomy for gynecomastia. For breast tissue removal for breast-size reduction for other than gynecomastia, use 19318, reduction mammoplasty.

What is the volar plate?

The volar plate is a thick ligament that connects two bones in the finger. There are other ligaments to each side of the joint as well (collateral ligaments).

What is the CPT code s for a repair of medial collateral ligament of left elbow using local tissue?

24345 — Repair medial collateral ligament, elbow, with local tissue.

What replaced CPT code 20926?

For 2020, code 20926 will be deleted and replaced with five new codes (15769–15774) in the Integumentary System, Other Flaps and Grafts subsection. Table 1 provides the new code descriptors and relative value units (RVUs) for 2020.

Where is your volar plate?

The volar plate is a strong ligamentous structure on the underside of the finger at the point where the proximal and middle phalanx bones meet, called the proximal interphalangeal joint (or PIP joint).

How many volar plates are there?

In the MCP joints, the four volar plates of the fingers and the capsules within which they lie are blended with and interconnected by the deep transverse metacarpal ligament which ties the metacarpal heads together.

Is the ulnar collateral ligament medial or lateral?

The ulnar collateral ligament (UCL) or internal lateral ligament is a thick triangular ligament at the medial aspect of the elbow uniting the distal aspect of the humerus to the proximal aspect of the ulna.

What is the lateral collateral ligament of the elbow?

The lateral collateral ligament (LCL) of the elbow is the ligament on the outside of the elbow, not to be confused with the LCL in the knee. The LCL in the elbow is sometimes also called the radial collateral ligament (RCL). This ligament can become sprained or torn as a result of a sports injury.

How do you prepare the volar plate for surgery?

Incise the interval between the volar plate and the accessory collateral ligament. This will allow mobilization (advancement) of the volar plate. A scalpel is then used to dissect any sizable remaining fracture fragment from the volar plate. Preserve as much of the volar plate as possible.

What are the contraindications for volar plate arthroplasty?

In order for volar plate arthroplasty to be used, at least 60% of the dorsal articular surface needs to be intact. Loss of more than 40% of the articular cartilage is a contraindication for this procedure, and bone graft reconstruction becomes necessary. Alternatively, a hinged external fixator may be used. 2. Approach

What is volar plate capsulodesis?

Capsulodesis of the volar/palmer capsule (which includes the “volar plate”) tightens that capsule to limit the extension of the MP joint, restore the volar stability of the joint, and thereby improve pinch strength.

What are the options for finger flexion after volar plate reduction?

If the volar plate is shortened, it is not acceptable to flex the finger by more than 30 degrees in order that it reach the groove. If the surgeon has to flex the finger further, then a flexion contractor is likely to develop. The only options in this event would be the use of a hinged external fixator, or even primary arthrodesis.