Wiki Metatarsophalangeal joint arthroplasty

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I have a foot surgeon who is wanting to bill for a Metatarsophalangeal joint arthroplasty with a interpostional graft and/or an allograft? The dx code is HAllux Ridigus. I can't really come up with a code that is not unlisted. any ideas????
 
Yes, we have but Hallux Ridgus is not payable for code 28293? and if the MTP joint isn't the 1st joint what would you do?
 
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