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Wiki 5th Toe Osteotomy

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Robbin109

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Pt had a 5th metatarsal head osteotomy with internal fixation for Tailors Bunion. I know this procedure is coded as 28308, but does this include the implant. It was as Stryker implant with locking screw.
 
I don't think there's a CPT on top of or instead of 28308 to cover placement of the implant. More work but not enough to warrant a -22.
The facility could charge the HCPCS code for the implant.
Anyone else?
 
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