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Hammer toe repair code or capsulotomy code?


Billings MT
Best answers
" A linear incision was made on the plantar aspect of the toes. This incision was deepened and underscored down to the underlying flexor tendon(s).The incision was deepened and a flexor tenotomy and a capsulotomy was performed. The toe(s) were then manipulated into the corrected position."

Would this be a 28285 or would it be a 28272? Doctor coded a 28010. There is a diagnosis of hammer toe. The capsulotomy is on the plantar capsule of the DIPJ.

Thanks for any help on this one.


True Blue
Local Chapter Officer
Salt Lake North
Best answers
I see this as 28313

The tenotomy and capusotomy are only reported if they are the only procedure performed.

Your diagnosis is hammer toe. It was corrected through a soft tissue procedure. That would be 28313.

Had the physician removed bone and/or used internal fixation the code would be 28285.