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Orthopedic Coding Alert

Reader Question:

Turn to Unlisted Procedure Code for MTP Instability

Question: For a patient presenting with instability in the right second metatarsophalangeal (MTP) joint with neuroma, our surgeon did the following procedures:Transfer of flexor to extensor tendons, right second toePinning of second MTP jointExcision of second and third webspace neuromaPlease help us with billing these procedures.Alabama SubscriberAnswer: There are no CPT® codes that describe tendon transfer in the foot or toe. You hence report the unlisted code 28899 (Unlisted procedure, foot or toes) for the tendon transfer that your surgeon is doing for the MTP instability. For the diagnosis of MTP instability, you report code 718.87 (Other joint derangement not elsewhere classified involving ankle and foot).For the excision of the webspace neuroma between the second and third toes, you report code 28080 (Excision, interdigital [Morton] neuroma, single, each). You report the diagnosis code 355.6 (Morton's metatarsalgia, neuralgia, or neuroma).

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