Wiki Malunion Metacarpophalangeal Joint

[coderguy1939]

Doctor did a corrective osteotomy with wedge bone graft of an articular malunion at the metacarpophalangeal joint.

There is no malunion repair code for this joint (that I can find). Can this be coded with the osteotomy and autograft or would an open repair of the metacarpophalangeal joint be more appropriate? Opinions, please.

 

[mbort]

If he is completely taking down the fracture, I would lean towards the open reduction. If he is doing a lot of bony debridement type work, then I would lean in the direction of the osteotomy.