19.  You do a Dupyutren's with a palmar fasciotomy and release of the middle finger and small fingers.  A capsulectomy is performed on the PIP of the ring finger.  You accidentally cut the ring digital nerve and repair it after bringing in the microscope.  Code and bill this.

Answer:
26045 for fasciotomy, open partial, palmar for Dupuytren's contracture.
26125-51 for fasciectomy middle, ring and small finger. modifier -51 for multiple procedures.
26160 for excision of lesion of tendon sheath or capsule, hand or finger.
64831-20 for suture or digital nerve, hand or foot; one nerve. modifier -20 for microsurgery component (but not sure if you can bill for this)
 

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