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Wiki foot surgery

suec

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118
Location
Clifton Park, NY
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Can someone explain or advise if this is coded correctly. CPT 23808 was denied as a subset to 28285 & 28270. Incision was made at the 2nd toe, and the following procedures were done: a MTP capsulotomy & tenorrhaphy (28270) A metatarsal shortening osteotomy 28308 and a hammertoe correction 28285. DX are: hammertoe & metatarsalgia. Believe these procedure are done on separate joints and can be coded. Not sure if this is correct or what I'm not understanding. Thank you.
 
28308 should be paid separately as this is treating the metatarsalgia. The capsulotomy (28270) is bundled. The hammertoe is a repaired at the PIP joint. The metatarsalgia is treated at the MTP joint. Note that 28270 is listed as a "separate procedure" meaning that it would need to be performed on its own for an unrelated procedure in order to bill out.
 
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