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Wiki Help with Coding Claw Toe Repair

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kd2471

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Operation Performed:

1) Right foot 2nd toe proximal interphalangeal joint fascial interposition arthroplasty.2)Right 2nd,3rd,4th,5th toe extensor digitorum longus lengthening and transfer of the extensor digitorum brevis to the extensor digitorum longus.
3)2nd,3rd,4th&5th toe arthrotomy with dorsal medial & lateral capsule release
4)3rd & 4th toe flexor digitorum longus to extensor digitorum longus transfer.

Thanks in advance for any help.
 
look at 28285 forthe claw toes, 28270 for capsulotomy if MTP..those should put you in the right area..watch the CCI edits for the flexor/extensors. make sure to use your T modifiers with -59 modifiers :)
 
Thanks for your reply. I have those 2 codes but I was confused by the lengthening and transfer of extensors. Felt that they should be included with hammertoe and capsulotomy codes. Thanks again.
 
tendon transfer

Unfortunately, the tendon transfers have to be coded as unlisted. There are no codes for tendon tranfers of the toes.
 
actually there is a code (28313) that includes tendon transfers, not sure it would apply to this particular case or not.
 
Agree. There is a code for tendon transfers in toes 28313. Only thing is it does not include cutting or realignment of bones shafts.
 
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