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CODINGLINE CORNER

11/28/2007     




Query: Coding for Repair of a Subluxed MPJ

One year ago, I performed and arthrodesis of the 2nd digit. Unfortunately, the 2nd digit became subluxed at the metatarsal-phalangeal joint with associated changes to the overlying skin.

I performed an extensor tendon lengthening along with a capsulotomy and flexor tendon transfer. I also performed a V-Y skin plasty. What would be the proper CPT code(s)?

Michael Fein, DPM, Bethel, CT

Response: There are several ways this repair can be coded.

Given the surgical description you provided, I would recommend the single code, CPT 28313 - reconstruction, angular deformity of toe, soft tissue procedures only.

Harry Goldsmith, DPM, Cerritos, CA

[Dr. Goldsmith will be a featured speaker at the Codingline-NYSPMA 2008 "Strictly Coding*" Seminar (www.codingline.com/events-ny.htm) - approved for 8.0 PMAC CEUs and 7.5 American Academy of Professional Coders CEUs (prior approval obtained)]

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