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metatarsal and prox. phalanx resection

Linda Posted Fri 25th of May, 2012 13:17:37 PM

Dx is Diabetic pt w/osteomyelitis w/chronic ulcer 5th ray.

My first question is sequencing diagnosis codes.
Osteo-730.28,Diabetes-250.60, ulcer-707.15 ?

Second ques. if both the eroded metatarsal bone and the base of the proximal phalanx were resected which code would be appropriate? I am considering 28005 vs. 28122. Is there a better choice?

SuperCoder Answered Fri 25th of May, 2012 13:50:06 PM

1.) Dx sequence would be: 1.) 250.60, 2.) 730.28, 3.) 707.15
2.) CPT code 28122 sound good for the given scenario, but how to capture the resection of proximal phalanx?
Additionally you should report 28124 to capture the resection of proximal phalanx.

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