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07/04/2005    R. Denis Russell, DPM

Query: Freiberg's Infraction/Lesser MTPJ Implant

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


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