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  #1  
Old 11-04-2008, 10:38 AM
writecode writecode is offline
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Default "scarf" bunionectomy?

Would anyone have guidance on coding this procedure? Thanks!
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Old 11-04-2008, 11:00 AM
RebeccaWoodward* RebeccaWoodward* is offline
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I believe it's 28296...anyone else?
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Old 11-04-2008, 11:14 AM
Anna Weaver Anna Weaver is offline
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Default scarf

I was thinking 28298 but only because I had heard this referred too before as "Scarf Akin" procedure. But not sure at all.
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Old 11-04-2008, 11:30 AM
RebeccaWoodward* RebeccaWoodward* is offline
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Now I'm really confused. I have some material that suggests 28296 but then I ran across this.

Some eponym procedures include a combination of techniques that cannot be captured in a single code. One of the most common is a distal soft tissue realignment (28292) combined with proximal first metatarsal osteotomy (28306). Common eponyms: Ludloff, Scarf, Juvara.

http://www.the-martin-group.com/BONE...ones_July.html
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Old 11-04-2008, 11:54 AM
eblanken eblanken is offline
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According to "A Manual of Orthopedic Terminology, 7th edition" it describes a scarf procedure as: "for hallux valgus; a midshaft osteotomy with a scarp overlapping cut to correct metatarus primus varus." I believe that 28296 would be the appropriate code since the scarf procedure is an osteotomy of the metatarsal.

This site describes the technique for the scarf osteotomy
http://www.omjournal.org/OriginalArt...osteotomy.html

Hope this helps!
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Old 11-04-2008, 12:02 PM
magnolia1 magnolia1 is offline
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I reviewed both websites that were provided, and I have to say that I would lean toward using 28292 & 28306.
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Old 11-04-2008, 12:32 PM
RebeccaWoodward* RebeccaWoodward* is offline
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I found this too...There is a Q/A on page 22. I'm still digging.

http://www.codingline.com/SeminarDoc...g%20Clinic.pdf
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Old 11-04-2008, 02:20 PM
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I use 28296
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Old 11-04-2008, 03:01 PM
Anna Weaver Anna Weaver is offline
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I learn so much from this forum!!!
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Old 11-04-2008, 03:13 PM
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Quote:
Originally Posted by rebeccawoodward View Post
Mary,

I have been eagerly waiting for your response (yes...I'm being serious). These are the type of questions that keep me up at night . Have a good one!

aww thanks glad I could be of help
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