I have a physician who always does a flexor tenotomy (28232) with hammertoe surgery. CPT code description in Optum for hammertoes (28285) only discusses extensor tenotomy. Everyone I have asked just says "tenotomy is always included with 28285." This physician does a separate paragraph for flexor tenotomy, makes a separate incision (although same toe(s), of course). Encoder says 28285 and 28232 can be billed together with a modifier. Is FLEXOR tenotomy appropriate to bill, or is it included in code 28285? I am new to Podiatry coding and really am looking to do this correctly. Any clarity at all here is greatly appreciated!