Wiki "scarf" bunionectomy?

[writecode]

Would anyone have guidance on coding this procedure? Thanks!

 

[RebeccaWoodward*]

I believe it's 28296...anyone else?

 

[Anna Weaver]

scarf

I was thinking 28298 but only because I had heard this referred too before as "Scarf Akin" procedure. But not sure at all.

 

[RebeccaWoodward*]

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

 

[eblanken]

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!

 

[magnolia1]

I reviewed both websites that were provided, and I have to say that I would lean toward using 28292 & 28306.

 

[RebeccaWoodward*]

I found this too...There is a Q/A on page 22. I'm still digging.

http://www.codingline.com/SeminarDocs/NY2008/3 - Coding Clinic.pdf

 

[mbort]

I use 28296

 

[Anna Weaver]

scarf

I learn so much from this forum!!!

 

[mbort]

Mary,

I have been eagerly waiting for your response (yes...I'm being serious). These are the type of questions that keep me up at night . Have a good one!

aww thanks glad I could be of help

 

[writecode]

thanks everyone

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

 

[DebbieMc]

Cpc-h

28296