Query: Freiberg's Infraction/Lesser MTPJ Implant
I have a 16-year-old female patient who exhibits
significant
flattening and widening of the second metatarsal
head consistent with progression of a Freiberg's
infraction.
What would be the proper CPT coding for a total
joint replacement
using a Futura lesser metatarsal-phalangeal
joint hinged implant?
R. Denis Russell, DPM
Fountain Valley, CA
Codingline Response: There is no code for a
lesser MPJ implant. The best option is to use
the unlisted procedure code with explanation.
In the past we have considered CPT 28112-22
(ostectomy, metatarsal head; with extra work),
but the unlisted code would be better.
Tony Poggio, DPM
Alameda, CA
