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CODINGLINE CORNER

08/11/2012     




Query: Bunionectomy Coding

Our doctor performed a base wedge osteotomy as well as an Akin bunionectomy, left foot. In reading the coding books I have, it appears that I should bill CPT 28299 (bunionectomy with double osteotomy). Would this be correct for the procedures done?

Kim Crayton, Biller, Office of Tamara Whitaker Bay, DPM, Kalamazoo MI

Response: If you look in the CPT book (professional edition), there are illustrations that show examples of the various combinations of multiple osteotomies that could apply. While a metatarsal and phalangeal osteotomy combination is not one, the others include variations using these. Yes, CPT 28299 (bunionectomy with double osteotomy) is the correct code.

Tony Poggio, DPM, Alameda, CA

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