Results 1 to 3 of 3

Coding for complicated bunion correction

  1. Question Coding for complicated bunion correction
    Medical Coding Books
    What would be the correct CPT coding for the following please:

    A patient has a Lapidus-type procedure done, but the joint is fitted with a lateral plate after being packe with osteoinductive/osteoconductive bone graft with cancellous bone chips. The foot was irrigated, and there was still some deviation at the first matatarsophalangeal joint with sesamoid positions being slightly lateral to central.

    The op report then states "an Austin bunionectomy was then performed with an OrthoSorb pin secured in place without incident with Chevron osteotomy being slightly longer."

    Wound irrigated incisions reapproximated and dressed.

    I'm a little stumped, I can't find any coding that actually matches what was done... Help!

  2. #2
    Default
    Quote Originally Posted by Wendy McBride View Post
    What would be the correct CPT coding for the following please:

    A patient has a Lapidus-type procedure done, but the joint is fitted with a lateral plate after being packe with osteoinductive/osteoconductive bone graft with cancellous bone chips. The foot was irrigated, and there was still some deviation at the first matatarsophalangeal joint with sesamoid positions being slightly lateral to central.

    The op report then states "an Austin bunionectomy was then performed with an OrthoSorb pin secured in place without incident with Chevron osteotomy being slightly longer."

    Wound irrigated incisions reapproximated and dressed.

    I'm a little stumped, I can't find any coding that actually matches what was done... Help!

    I am not sure the dx? The Lapidus, osteotomy is included in the Lapidus, as well as fixation, and typically only the hospital is billing for allograft bone material supply.

    His only option would be to charge the Lapidus code and append "22" modifier, you will have to either send cover letter or document in the op report why is was more difficult and how much more time it took- if you do not document why/time difficulty they will not pay you more.

  3. Default
    Thank you kindly, I appreciate the guidance!

Similar Threads

  1. complicated coding scenario - please help
    By LINDA in forum Pediatrics
    Replies: 3
    Last Post: 10-07-2014, 04:00 PM
  2. Need helping coding a complicated procedure
    By Colliemom in forum Gastroenterology
    Replies: 1
    Last Post: 09-07-2012, 12:07 PM
  3. Coding Practice/Policy for Correction
    By lracine in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-14-2011, 03:33 PM
  4. Bunion correction
    By MCook in forum Podiatry
    Replies: 1
    Last Post: 01-18-2011, 11:55 AM
  5. bunion
    By elenax in forum Outpatient Facilities
    Replies: 2
    Last Post: 12-07-2009, 06:31 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.