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Cheilectomy of the first metatarsophalangeal joint cpt help

M

Miko24

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Phelps, WI
Cheilectomy of the first metatarsophalangeal joint -28289

does the cpt code also include osteochondral repair 1st metatarsal head and repair of the base phalanx of the great toe?
 
Assuming there was no implant, the 28289 is correct for the cheilectomy which would include the work to the base of the phalanx. The OCD repair to the 1st met head does not appear to have a separate code and the APMA states that the procedure is also a part of the 28289, however, they do advise adding the 22 modifier to account for the extra time.
 
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