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  #1  
Old 10-18-2011, 10:44 AM
jmkitchen jmkitchen is offline
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Default CR Perc Pinning Toe

I must be blind! Is there a CPT code for closed reduction, percutaneous pinning of a toe OTHER THAN a great toe???
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Old 10-18-2011, 10:51 AM
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nrichard nrichard is offline
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Default 28515

Closed treatement fx, phalanx or phalanges, other than great toe, with manipulation each
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Old 10-18-2011, 11:01 AM
jmkitchen jmkitchen is offline
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I looked at that but how do I account for the percutaneous pinning? (I'm feeling really dense today for some reason! )
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Old 10-18-2011, 11:07 AM
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Default Sorry this was were 3M was leading me and I read the descriptor wrong.

look at 28496 very closely, it's for the great toe, phalanx or phalanges.

"percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation".
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Old 10-18-2011, 11:08 AM
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apparently due to my first response, I'm having a "dense" day too!
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Old 10-18-2011, 12:36 PM
jmkitchen jmkitchen is offline
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Yup! Looked at that one too, but this is how my EncoderPro describes this code:

The physician treats a fracture of the big toe involving one or both of the bones without open surgery but with pin fixation through the skin and manipulation of the fractures.
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Old 10-18-2011, 01:16 PM
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My take on Encoder just from seeing other posts on this forum, is that it's not alway correct. My take would be to go w/ CPT. I have 3M and look where that led me? Otherwise, I'd have to say use the unlisted code (yuck, no one wants that) but I really do feel CPT is correct.
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