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Wiki "scarf" bunionectomy?

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writecode

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Would anyone have guidance on coding this procedure? Thanks!
 
scarf

I was thinking 28298 but only because I had heard this referred too before as "Scarf Akin" procedure. But not sure at all.
 
Now I'm really confused. I have some material that suggests 28296 but then I ran across this.

Some eponym procedures include a combination of techniques that cannot be captured in a single code. One of the most common is a distal soft tissue realignment (28292) combined with proximal first metatarsal osteotomy (28306). Common eponyms: Ludloff, Scarf, Juvara.

http://www.the-martin-group.com/BONES_News2/Bones_July.html
 
According to "A Manual of Orthopedic Terminology, 7th edition" it describes a scarf procedure as: "for hallux valgus; a midshaft osteotomy with a scarp overlapping cut to correct metatarus primus varus." I believe that 28296 would be the appropriate code since the scarf procedure is an osteotomy of the metatarsal.

This site describes the technique for the scarf osteotomy
http://www.omjournal.org/OriginalArticles/FullText/fullText_scarf_osteotomy.html

Hope this helps!
 
thanks everyone

I really appreciate the thoughts and help that replied to this question. The links were helpful also. You fellow coders are great!
 
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