Physician performed partial amputation, tip of big toe on the right and
bunionectomy proximal phalangeal osteotomy big toe on right as well. 11752 would not be the procedure because the nail wasn't touched. Physician advised me only bone was removed. Thanks in advance!
Kim, CPC
DX: Hallux valgus, right foot with chronic infection, tip of the distal phalanx, right foot
29898 would cover the bunionectomy, but how would I code the partial amputation?
---this is the amputation part of the procedure only----
PROCEDURE: We first excised the gangrenous tip of the big toe trying to avoid the nail bed. It was an elliptical incision and it did remove all the chronically infected (gangrenous) tissues down to the bone. In order to obtain closure, a good part of the distal phalanx was removed using sharp osteotome and a rongeur. This was contoured as best as we could to allow closure of the wound. The dog ears were adjusted on either side. The closure was then performed using simple nylon sutures, starting in the middle and then working side to side until we had closed the tip of the distal phalanx.
bunionectomy proximal phalangeal osteotomy big toe on right as well. 11752 would not be the procedure because the nail wasn't touched. Physician advised me only bone was removed. Thanks in advance!
Kim, CPC
DX: Hallux valgus, right foot with chronic infection, tip of the distal phalanx, right foot
29898 would cover the bunionectomy, but how would I code the partial amputation?
---this is the amputation part of the procedure only----
PROCEDURE: We first excised the gangrenous tip of the big toe trying to avoid the nail bed. It was an elliptical incision and it did remove all the chronically infected (gangrenous) tissues down to the bone. In order to obtain closure, a good part of the distal phalanx was removed using sharp osteotome and a rongeur. This was contoured as best as we could to allow closure of the wound. The dog ears were adjusted on either side. The closure was then performed using simple nylon sutures, starting in the middle and then working side to side until we had closed the tip of the distal phalanx.