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HELP Please

  1. #1
    Default HELP Please
    Medical Coding Books
    Hello! I am having trouble with an coding an op report. Hoping someone will please give advice!!

    Pre Dx: End-stage osteoarthritis, first metatarsophalangeal joint of left foot
    Post Dx: same
    Procedure: Arthroplasty of the first metatarsophalangeal joint, left foot

    An incision was created over the dorsal medial aspect of the first metatarsophalangeal joint and was carried down through subcutaneous tissues bluntly. A medial capsulotomy was created exposing the proximal aspect of the proximal phalanx of the left great toe and the distal aspect of the first metatarsal on the left foot. A ball and cup arthroplasty was created. Significant joint crepitus was encountered prior to spur removal and joint reshaping. Significant decrease in regards to the patient's crepitance with passive range of motion of the first metatarsophalangeal joint of the left foot was encountered. The wound was copiously irrigated. Bone wax was placed over the exposed cancellous bone surfaces. The wound was copiously irrigated. Medical capsulotomy was reapproximated with 2-0 running Vicryl sutures. Skin was reapproximated with 5-0 nylon suture in a running horizontal mattress fashion. Sterile dressing was applied. The patient was transported to the recovery room in stable condition. Local anesthetic was injected into the incision site prior to dressing application for postoperative pain management. Sponge and needle counts remained correct throughout the case. Estimated blood loss was minimal.

    I keep questioning myself on this case. I truly appreciate all help. THANKS!

  2. #2
    Angry I tried my best
    Hi:

    I would go with unlisted code (28899) for this one.

    Girish Dadhich, CPC

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    look at 28750 to see if it meets your needs

    Mary, CPC,COSC

  4. #4
    Default
    Thanks!!!!!!

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