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Complete excision of one or more ganglia or mucous cysts of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) osteophyte resections

(c) synovectomy

other than a service associated with a service to which item 30107 or 46336 applies—one joint (H)

Multiple Operation Rule

Fee: $223.65 Benefit: 75% = $167.75

(See para TN.8.190 of explanatory notes to this Category)

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Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed):

(a) flexor tenosynovectomy;

(b) sheath excision;

(c) skin closure by any method;

other than a service associated with:

(d) a service to which item 30107 applies; or

(e) a service to which item 46363 applies that is performed on the same ray

Multiple Operation Rule

Fee: $242.05 Benefit: 75% = $181.55 85% = $205.75

(See para TN.8.190, TN.8.284 of explanatory notes to this Category)

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