billing 2 amputations

solocoder

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If partial 4th and 5th ray amputations are done, but then during the procedure the doctor notices that the osteomyelitis is more extensive than previously thought, and ends up doing a transmetatarsal amputation, could the toe amputations be billed in addition to the transmetatarsal amputation?
Oddly, toe amputations do not bundle with the transmetatarsal amputation.

Any thoughts, please?
 
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