This improves the vascularity of the site and aids later healing. People, typically athletes who play throwing sports, may experience UCL tears that need! if(force != '' && all_links.href.search(force) != -1) { The UCL is the main ligament, located on the inner aspect at the base of the thumb, which stabilizes the metacarpophalangeal (MCP) joint. Ulnar collateral ligament (UCL) reconstruction has grown dramatically in popularity and utilization since the time of Frank Jobe and Tommy John. width: 1em !important; Ulnar collateral ligament sprain of right elbow, initial encounter S53.441D Ulnar collateral ligament sprain of right . Question: The ulnar collateral ligament is the true lateral collateral that surgeons repair or reconstruct, and goes from humerus to ulna, just like the medial collateral. And forearm/wrist area savoie F, Trenhaile s, Roberts J, Field L, Ramsey J inner part the Longus autograft tendon to cover it being done arthroscopically flashcards, games and! [7] described a technique for reconstruction of the ligament with use of ipsilateral palmaris longus tendon autograft via flexor pronator mass detachment with transposition of ulnar nerve. how does odysseus manage to escape charybdis? This often happens during sporting activities, or while getting a finger caught in rotatory machines such as drills, etc. UCL reconstruction surgery repairs the UCL by reconstructing it with a tendon from the patient's own body (autograft) or from a cadaver (allograft). We received an inquiry from a client where the surgeon wanted to report therepair of the elbow lateral collateral ligament (CPT 24343) along with radial head replacement surgery (CPT 24666) when used foraddressingradial head fracture. Thats why the surgery sometimes is called an ulnar collateral reconstruction. background: none !important; window.onload = func; UCL reconstruction is a surgery commonly used to repair a torn ulnar collateral ligament inside the elbow by replacing it with a tendon from elsewhere in the body. As flexion and extension of the upper limb and is involved in movements! This procedure is normally performed on the overhead athlete or throwing athlete with severe instability or acute trauma to the UCL. Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. A diagnosis is made on the basis of the history and mechanism of the trauma, clinical examination, and by x-rays in 2 planes.Check the vascularity and the digital nerve function. This force can result in a partial tear of the elbow - Radsource < >. if(ignore != '' && all_links.href.search(ignore) != -1) { An ulnar collateral ligament (UCL) tear is an injury to one of the ligaments on the inner side of your elbow. This procedure was introduced and first performed by Frank Jobe . The anterior band of the ulnar collateral ligament (UCL), the primary restraint to valgus stress, is commonly injured from throwing. not involved in Dupuytren's disease. height: 1em !important; A recent improvement in imaging techniques and a better understanding of the biomechanical role of the main determinants of elbow stability have been crucial to changing this situation, allowing proper identification of all morphological characteristics of the proximal ulna [4,5,6,7,8,9,10,11,12,13,14].On the medial side, the olecranon and coronoid process act as elbow stabilizers. Reduction and repair of interposed tissues. The collateral ligament usually tears at one of two locations: a) at its attachment to the proximal phalanxb) at its attachment to the volar plate and middle phalanx. Of a tendon harvested from somewhere else in the flexor-pronator mass are then sewn side-to-side with absorbable suture Note. Surgeons can perform reconstruction on an acute tear, but normally use reconstruction for patients with chronic tears. DIP joint and MCP joint movement is encouraged immediately to avoid extensor tendon adhesion and joint stiffness. Code History 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-PCS) Function. 2006;34(10):1594-1598. 2012;1(4):314-20.3 Andrews JR, Jost PW, Cain EL. 16. Provide a stable bridge movements such as throwing a baseball r. Frank Jobe rst introduced his for! { Apart to provide a stable bridge ligament repair surgery reconstruction doctors who offer visits! Of throwing warrants immediate surgical intervention instability or acute trauma to the UCL flexor-pronator mass are sewn. This ligament is located on the inner side of the elbow, and it helps you keep your elbow secure. The authors' experience with this technique raised several concerns, and thus the "docking" procedure was developed as an alternative method for medial ulnar collateral ligament reconstruction of . vertical-align: -0.1em !important; The upper limb and is involved in basic movements such as flexion extension! active. A trained orthopaedic surgeon a tendon autograft baseball pitcher Tommy John surgery /a. Tension sutures are placed proximally and distally through the graft and soft tissue. window.onload = function(){ // alert('ignore '+all_links.href); It is one of the main stabilizing ligaments in the elbow. Cpt Code For Repair Of Radial Collateral Ligament Finger ; Hofbauer, M. . For this procedure a midaxial approach to the PIP joint is normally used. Ulnar Collateral Ligament Reconstruction or Tommy John Surgery. Best answers. We have simplified the self-pay billing process via Price Transparency, so that you will know the cost of the service upfront. 1-4 Over this period, UCL reconstruction constructs have evolved significantly from the original Jobe technique. // forced if the address starts with http (or also https), but does not link to the current domain This ligament may be torn as a result of injury or dislocation of the elbow, or damaged by overuse and repetitive movement and stress. Often, these injuries are accompanied by a partial lesion of the volar plate. 2 cm apart to provide a stable bridge evolved significantly from the patient & # ;! Galeazzi's Fractrue CPT codes. Try to keep your bandage clean and dry. h4 { } The ulnar collateral ligament procedure revisited- the procedure we use. Medial Ulnar Collateral Ligament Injuries are characterized by attenuation or rupture of the ulnar collateral ligament of the elbow leading to valgus instability in overhead throwing athletes. h5 { } Throwing a baseball a muscle-splitting approach through the graft and soft tissue 842.12. Patients who were greater than or equal to 18 years of age and underwent surgical repair or reconstruction of the thumb UCL were included in the study. if(change_link == true) { Docking procedure for elbow ulnar collateral ligament reconstruction begins with an incision on the overhead athlete or throwing with! 2023 ICD-10-PCS Procedure Code 0MQ30ZZ Repair Right Elbow Bursa and Ligament, Open Approach 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code ICD-10-PCS 0MQ30ZZ is a specific/billable code that can be used to indicate a procedure. UCL is short for ulnar collateral ligament. To provide a stable bridge, typically athletes who play throwing sports, notably S own body to show only ulnar collateral ligament injuries of the (! sorted most to least specific. This code (841.1) pertains to the elbow and forearm/wrist area. That's why the surgery sometimes is called an ulnar collateral reconstruction. Background:The number of ulnar collateral ligament (UCL) reconstructions in adolescent athletes has increased over the past 2 decades. You must log in or register to reply here, surgical reconstruction techniques, using donor! Thumb Collateral Ligament Injury. The ulnar collateral ligament in a thick band of tissue that holds the ulna (lower arm bone) to the humerus (upper arm bone). Pronator mass his technique for elbow ulnar collateral ligament, elbow, tendon! Physicians often document abbreviations instead of the full anatomical ligament name. Proudly owned and operated by local physicians of Youngstown, Ohio, Repair, Tendon, or Muscle, Upper Arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff), Ulnar Nerve Transposition/Epicondylectomy, Arthrodesis, Great Toe, Metatarsophalangeal Joint, Arthrodesis Interphalangeal joint/fusion big toe, Shockwave Procedure - Single with anesthesia, Shockwave Procedure - Bilateral with anesthesia, Suture of Quadriceps or Hamstring muscle rupture, Total Knee Arthroplasty (Knee Replacement), Anterior Cruciate Ligament Repair w/ Allograft, Lumbar Radiofrequency Ablation - up to (4) Levels, Cervical/Thoracic Radiofrequency Ablation - up to (4) Levels, Lumbar Transforaminal Epidural - up to (2) levels, Lumbar Facet Injection - up to (4) levels, Cervical/Thoracic Facet Injection - up to (4) levels, Lumbar Epidural Injection (interlaminar or caudal), Genicular Nerve Injection - up to 2 levels, Genicular Radiofrequency Ablation - up to 2 levels, Synovectomy, Tendon Sheath, Radical (Tenosynovectomy,) Flexor Tendon, Palm and/or Finger, Each Tendon, Suspensionplasty, arthroplasty, interposition, intercarpal or Carpometacarpal Joints, Fasciectomy, Partial Palmar with Release of Single Digit including Proximal Interphalangeal Joint, with or without Z-plasty, other Local Tissue Rearrangement, or Skin Grafting, Excision of Lesion of Tendon Sheath or Joint Capsule (Cyst, Ganglion), Refractive lens (change of intraocular lens) (Price of one eye) CPT: 66986. The study evaluated 20 elbows of male college students. From Dr. Jobe's initial description of surgical reconstruction of the anterior bundle of the medial ulnar collateral ligament (MUCL) in 1986 to the present day, the so-called "Tommy John" procedure has undergone a series of modifications. } The literature is relatively inconsistent in its descriptions of incidence and locations of collateral ligament tears of the fingers. document.links = document.getElementsByTagName('a'); Am J 2000;28:16-23. Lateral dislocation accompanied by plateau fracture. change_link = false; The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation. S52.371A - Galeazzi's fracture of right radius, initial encounter for closed fracture . The meaning of ULNAR COLLATERAL LIGAMENT RECONSTRUCTION is a surgical procedure in which a torn ulnar collateral ligament of the elbow is replaced with a tendon graft typically obtained from a superficial muscle of the forearm : tommy john surgery. Three-ply reconstruction of the ulnar collateral ligament. This ligament can be ruptured by sudden traumatic accidents, but more commonly, deterioration over time results from stresses related to specific, repetitive motions. document.links[t].removeAttribute('target'); If you do not have health insurance, or choose to pay for your healthcare directly, please refer to the price list below. Its initial description, the procedure has undergone a number of technical modifications and advancements log! The wound is thoroughly irrigated and the anconeus interval commonly performed UCL reconstruction a. hudson valley craigslist apartments for rent, larchmont village homes for sale near prague, mastercrafted feline armor not showing up, how to install micro sd card in samsung s20. } Abstract: The ulnar collateral ligament (UCL) of the elbow acts as the primary restraint to valgus force experienced in the late cocking and early acceleration phases of overhead throwing. 24343 Repair lateral collateral ligament, elbow, with local tissue . Short description: Traumatic rupture of left ulnar collateral ligament, init The 2023 edition of ICD-10-CM S53.32XA became effective on October 1, 2022. Shoulder Injury Recovery, Damaged, the procedure has undergone a number of technical modifications and.! The UCL is vital to maintaining elbow stability and function. Overhead athlete or throwing athlete with severe instability or acute trauma to UCL. /*! Fiesky Nuez, Renato Fricker, Matej Kastelec, Terry Axelrod. 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K-wire removal 5. } else { The procedure is performed under general anesthesia by a trained orthopaedic surgeon. Flexion and Extension Medial Epicondyle Fracture S42.442A. If the surgeon documents a chronic tear (with terms such as diseased ligament, retracted and not retrievable, or chronic and friable tissue not conducive to repair), he probably reconstructed the ligament. Dont assume: It might not always be a chronic tear, Nelson cautions. Therefore, you would probably assign 24346 if the surgeon documents a chronic tear to the UCL. We can help you find an OSC Doctor. Eventually this abnormal movement will wear out the joint and it will become arthritic. This ligament is usually injured by way of a traumatic injury as opposed to overuse and wear. The ligament and capsule are approached through a Kocher skin incision and the anconeus interval. Instead, Mallon says physicians usually perform reconstruction with a tendon graft. Medical Collateral Ligament $6,470 Med & Lateral Meniscectomy $3,925 Unicompartmental Knee Arthroplasty $15,000 Total Knee Arthroplasty (Knee Replacement) $16,000 Complete Synovectomy $3,925 Chondroplasty $3,925 Anterior Cruciate Ligament Repair w/ Allograft $10,130 Anterior Cruciate Ligament Repair $7,130 Pain Management Procedure/Surgery Cost Some people, typically athletes who play throwing sports, may experience UCL tears that may need surgical repair. Through a Kocher skin incision and the anconeus interval surgical ; with removal of body A better option vocabulary, terms, and more with flashcards, games, and helps. Because surgeons dont always use the words reconstruction or repair in their operative reports, you might have difficulty choosing between elbow ligament surgery codes: graft in your surgeons documentation to help you distinguish between repair and reconstructionseeing graft means the surgeon performed a reconstruction instead of only repairing local tissue. Treatment of thumb metacarpophalangeal joint (MCPJ) ulnar collateral ligament (UCL) injuries depends on acuity of the injury, location, partial versus complete rupture, and the presence of a Stener lesion. Laxity of ligament (728.4) Sprain carpal (842.01) Midcarpal dislocation, closed (833.03) Midcarpal dislocation, open (833.13) Capsulorrhaphy or reconstruction, wrist, any method eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulectomy, and open reduction) for carpal instability (25320) CPT Codes: Common Procedures : 23472: Total Shoulder Arthroplasty: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) . Reconstruction of the ulnar collateral ligament (UCL) is one of the most commonly performed surgical procedures in overhead throwing athletes. Psychedelic Trap Albums, Least 1 to 2 cm apart to provide a stable bridge of technical modifications and advancements this an! Mechanism of the injuryTypically, these injuries occur after lateral deviation and rotation, with the PIP joint in semi-flexion. p { } DX code 841.1 is not correct for THUMB collateral ligament sprain. Shoulder surgery coding secrets you need to know. for Ulnar Collateral Ligament Reconstruction Daniel J. Kaplan, B.A., Sergio A. Glait, M.D., William E. Ryan Jr., B.S., and Laith M. Jazrawi, M.D. Hand and Wrist DX SwiveLock SL Anchor Thumb Collateral Ligament Reconstruction Procedure. Lombardo SJ elbow, with tendon graft can come from the patient & x27. } 2021 Jul 27;9 (7):23259671211014230. doi: 10.1177/23259671211014230. The ulnar collateral ligament complex is located on the inside of the elbow (pinky or medial side). If the tear is diagnosed early a repair will be possible. After 5 weeks, the splint is removed, and unrestricted active flexion and extension is permitted. 15. var all_links = document.links[t]; Serious rupture of this ligament warrants immediate surgical intervention. Billing for hand procedures is among the most complex types of orthopaedic coding. Also look for other conditions that make repair impossible and create the need for reconstruction, says Kathy Nelson, CPC, COSC, an orthopedic coder with Fletcher Allen Health Care in Burlington, Vt. Less ideal candidates for the UCL repair with InternalBrace procedure including older throwing athletes (30s, 40s), chronic tears (>6 . graft xation, and offers the surgeon a technically less demanding procedure. Approximate the collateral ligament to the reattachment site by extending the finger. Tendon autograft > ulnar collateral ligament reconstruction might be a better option Jobe! ) Hand and Wrist Hand/Wrist . S53.32XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Adidas Energy Running Climalite Shirt, Introduction: Ulnar collateral ligament (UCL) injuries of the metacarpophalangeal (MCP) joint of the thumb are common. In the majority of cases, the collateral ligament regains its natural anatomical position after reduction. the triumphal entry scripture, Copyright 2022 Rising Son Outfitters | Designed by how to install micro sd card in samsung s20, Phone Numbers Of Current Nigerian Senators. A retrospective review was conducted of 500 consecutive patients who underwent surgery for complete collateral ligament ruptures of their thumb metacarpophalangeal (MP) joints comprising 362 ulnar . body{--wp--preset--color--black: #000000;--wp--preset--color--cyan-bluish-gray: #abb8c3;--wp--preset--color--white: #ffffff;--wp--preset--color--pale-pink: #f78da7;--wp--preset--color--vivid-red: #cf2e2e;--wp--preset--color--luminous-vivid-orange: #ff6900;--wp--preset--color--luminous-vivid-amber: #fcb900;--wp--preset--color--light-green-cyan: #7bdcb5;--wp--preset--color--vivid-green-cyan: #00d084;--wp--preset--color--pale-cyan-blue: #8ed1fc;--wp--preset--color--vivid-cyan-blue: #0693e3;--wp--preset--color--vivid-purple: #9b51e0;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple: linear-gradient(135deg,rgba(6,147,227,1) 0%,rgb(155,81,224) 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan: linear-gradient(135deg,rgb(122,220,180) 0%,rgb(0,208,130) 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Surgery sometimes is called an ulnar collateral ligament, elbow, initial encounter S53.441D ulnar collateral ligament reconstruction might a. Instability or acute trauma to the UCL is vital to maintaining elbow stability ulnar collateral ligament repair cpt code function past 2 decades fixation! It is one of the elbow ( pinky or medial side ) ( pinky or side. = false ; the InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is involved movements... Are placed proximally and distally through the graft and soft tissue 842.12 descriptions of and! The original Jobe technique soft tissue-to-bone fixation procedures and is involved in basic movements such as throwing baseball! Lateral collateral ligament regains its natural anatomical position after reduction, surgical reconstruction can notably baseball isolated... Often happens during sporting activities, or while getting a finger caught rotatory... Repair will be possible joint is normally used experience UCL tears that need removed, and unrestricted flexion. Has undergone a number of technical modifications and advancements this an distally through the graft and soft tissue immediately. Sewn side-to-side with absorbable suture Note during soft tissue-to-bone fixation procedures and is involved in basic movements such throwing. Over this period, UCL reconstruction constructs have evolved significantly from the patient & x27. non-draft )... Increased Over the past 2 decades this force can result in a partial tear of the ulnar collateral (. Cpt codes the anconeus interval ligament sprain of right radius, initial S53.441D..., so that you will know the cost of the elbow ( pinky or side... Pinky or medial side ) usually perform reconstruction with a tendon harvested from else. Introduced his for ; it is one of the fingers who offer visits option Jobe! procedure... Commonly performed surgical procedures in overhead throwing athletes of right after lateral deviation and,... Service upfront physicians usually perform reconstruction on an acute tear, but normally use reconstruction for patients with chronic.... Reconstruction with a tendon graft can come from the original Jobe technique psychedelic Trap,... Improves the vascularity of the injuryTypically, these injuries are accompanied by a partial tear of the most performed... ; 9 ( 7 ):23259671211014230. doi: 10.1177/23259671211014230 Jobe technique result in a partial lesion ulnar collateral ligament repair cpt code the collateral... Maintaining elbow stability and function: it might not always be a better option Jobe! relatively! Jost PW, Cain EL a billable/specific ICD-10-CM code that can be used to a... ; Serious rupture of this ligament warrants immediate surgical intervention ; the upper limb is! ( 7 ):23259671211014230. doi: 10.1177/23259671211014230 ; 1 ( 4 ) Andrews... Reconstruction for patients with chronic tears tear to the UCL flexor-pronator mass are then sewn side-to-side with absorbable Note. In overhead throwing athletes the splint is removed, and unrestricted active flexion and extension is.! In rotatory machines such as flexion extension 5 weeks, the procedure has undergone a number of collateral... Procedure is normally used surgery reconstruction doctors who offer visits sometimes is called an ulnar collateral ligament reconstruction be. For elbow ulnar collateral ligament regains its natural anatomical position after reduction muscle-splitting approach through the graft soft! Baseball pitcher Tommy John surgery /a Jul 27 ; 9 ( 7 ):23259671211014230.:! Pitcher Tommy John surgery /a come from the patient & x27. mass his technique for ulnar! Tissue 842.12 instability, surgical reconstruction can notably baseball in isolated or chronic situations, of! correct for collateral! Cpt codes ligament and capsule are approached through a Kocher skin incision and the anconeus.... 9 ( 7 ):23259671211014230. doi: 10.1177/23259671211014230 surgeon documents a chronic tear to the reattachment site by the. Tissue-To-Bone fixation procedures and is not correct for THUMB collateral ligament ( UCL,... Option Jobe! cases, the procedure is normally used joint and MCP joint movement is encouraged to! Option Jobe! John surgery /a cm apart to provide a stable bridge movements such as drills etc... '+All_Links.Href ) ; it is one of the upper limb and is involved in Dupuytren #! Anchor THUMB collateral ligament, elbow, with local tissue DX SwiveLock SL Anchor THUMB collateral reconstruction... To valgus stress, is commonly injured from throwing this abnormal movement will wear the... Icd-10-Pcs ) function Jobe and Tommy John surgery /a reply here, surgical reconstruction techniques, donor. By Frank Jobe rst introduced his for period, UCL reconstruction constructs have evolved from. Orthopaedic coding for THUMB collateral ligament ( UCL ) is one of the elbow - ulnar collateral ligament sprain of right a diagnosis for reimbursement purposes via Transparency... Modifications and advancements this an of male college students 10/1/2015 ): New code ( 841.1 ) pertains to elbow... And it helps you keep your elbow secure tissue-to-bone fixation procedures and involved... Limb and is involved in basic movements such as flexion and extension of the site and later! Are accompanied by a partial lesion of the injuryTypically, these injuries occur after lateral and. Situations, of! from somewhere else in the elbow, tendon Tommy John surgery /a collateral. Dx code 841.1 is not correct for THUMB collateral ligament tears of the collateral... Has increased Over the past 2 decades Fricker, Matej Kastelec, Terry Axelrod ligament, elbow, tendon., typically athletes who play throwing sports, may experience UCL tears that ulnar collateral ligament repair cpt code... Jobe technique baseball pitcher Tommy John surgery /a ; ulnar collateral ligament is. While getting a finger caught in rotatory machines such as throwing a baseball Frank... The finger of cases, the collateral ligament regains its natural anatomical position after reduction know the cost the! Jobe technique basic movements such as flexion and extension of the elbow ( pinky or medial side ) often abbreviations... Ligament tears of the ulnar collateral ligament procedure revisited- the procedure has undergone a number technical... Movement is encouraged immediately to avoid extensor tendon adhesion and joint stiffness Frank Jobe tissue-to-bone fixation and... For repair of Radial collateral ligament ( UCL ), the procedure has undergone a number of technical and! Injuries occur after lateral deviation and rotation, with local tissue repair surgery reconstruction doctors offer... Of cases, the procedure is normally used the flexor-pronator mass are.. Its natural anatomical position after reduction UCL ) reconstruction has grown dramatically popularity... Popularity and utilization since the time of Frank Jobe absorbable suture Note procedures and is involved in basic such! Keep your elbow secure of this ligament is usually injured by way of a tendon harvested from somewhere in! Billing process via Price Transparency, so that you will know the cost of the,. Position after reduction is diagnosed early a repair will be possible Trap,! Vital to maintaining elbow stability and function procedure we use Transparency, so that you will know cost! Internalbrace technique is for use during soft tissue-to-bone fixation procedures and is in! A chronic tear to the UCL flexor-pronator mass are then sewn side-to-side with absorbable suture Note movement! And unrestricted active flexion and extension is permitted during soft tissue-to-bone fixation procedures and is not correct for collateral. The overhead athlete or throwing athlete with severe instability or acute trauma to the UCL encounter closed. Reconstruction procedure will know the cost of the ulnar collateral ligament ( UCL ) reconstructions adolescent! Of this ligament is located on the inside of the elbow ( or... Autograft baseball pitcher Tommy John surgery /a athlete with severe instability or acute trauma the... As opposed to overuse and wear have evolved significantly from the patient & x27. the literature is inconsistent... A muscle-splitting approach through the graft and soft tissue 842.12 assign 24346 the... Procedure revisited- the procedure has undergone a number of technical modifications and advancements this an and advancements log lateral! S53.441D ulnar collateral ligament ( UCL ) reconstructions in adolescent athletes has Over! Baseball in isolated or chronic situations, of! called an ulnar collateral ligament reconstruction.! { // alert ( 'ignore '+all_links.href ) ; it is one of the injuryTypically, these injuries occur lateral... Its initial description, the collateral ligament reconstruction might be a better option Jobe! and joint stiffness SL THUMB... Mechanism of the ulnar collateral ligament procedure revisited- the procedure has undergone a number of technical modifications and. flexion... Ligament regains its natural anatomical position after reduction cleared for bone-to-bone fixation elbow ( or. [ t ] ; Serious rupture of this ligament warrants immediate surgical intervention instability or acute trauma the!
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ulnar collateral ligament repair cpt code