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Austin Bunionectomy and Cheilectomy

L Posted Sun 15th of November, 2015 23:08:19 PM

How would I code the following? I was thinking 28296, 28285 but am not sure what else with the cheilectomy.
DIAGNOSIS:
1.Hammertoe deformity, right second toe.
2.Arthritis, right second MTPJ.
3.Hallux abductovalgus deformity, right.

PROCEDURE:
1.Right Austin bunionectomy.
2.PIPJ fusion, right second toe.
3.Debridement of second MTPJ with cheilectomy and clean out of joint.

SuperCoder Answered Mon 16th of November, 2015 03:03:50 AM

Thanks for your question.

For second MTPJ with cheilectomy, use CPT code 28899.

The CPT code 28289 that we have in CPT manual is only for first MTP joint with cheilectomy. There is no other CPT code for second toe or other toes, so will use (28899) unlisted code for this procedure.
CPT code 28296 and 28285 are correct. As per CCI edits, 28285 is a column 2 code for 28296, use appropriate modifier to code both together.

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