Wiki foot surgery

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suec

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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.
 
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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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