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surgery question

Terri Posted Fri 23rd of September, 2016 16:11:46 PM
I am looking for CPT code for an autologous bone graft of the 1st metatarsal left foot? please and thank you... This patient also received Austin buionectomy w fixation, resection hypertrophy bone, akin osteotomy, ehl and ehb tendon transfer, resection of hypertrophied bone 5th digit left foot, tailors bunionectomy, with xi scan and cast.. thank you
SuperCoder Answered Mon 26th of September, 2016 04:26:18 AM

Hi,

The information provided in the above scenario is limited as there is no mention of site where Austin bunionenctomy was performed, hence, we cannot mention which toe modifier to append for the same. Thus, with the scenario mentioned, the most appropriate CPT codes are 28299, 28308- T4, 20900.

Also, as per the CPT guidelines, cast application or strapping (including removal) is only reported as a replacement procedure or when the cast application or strapping is an initial service performed without a restorative treatment or procedure. See "Application of Casts and Strapping" in the CPT book in the Surgery section, under Musculoskeletal System.

Hope this helps.

Thanks.

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