Question Metatarsal Bone Excision

kfrazier

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Patient had a partial excision of the metatarsal bone years ago. Now patient is having the remaining metatarsal excised. I was thinking 28140 since the remainder of the bone is being completely excised. My physician is thinking 28122 since the patient previously had a partial excision of the same bone. Reason for excision of the remaining metatarsal is osteomyelitis of the 1st metatarsal. Any input would be greatly appreciated.
 
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