Operation heading: Rmvl of stitch and stitch granuloma and tightening of soft tissues of bunion, left.

Stitches left in fwg bunionectomy were causing pain and irritation.


Ethibond knot encapsulated with granulation tissue, removed. This was the source of her localized pain. The soft tissue granulation around the suture knot was débrided and excised. The periosteum over the bunion site was advanced slightly to bring the toe back into neutral position.

Question, Do I code the Soft tissue tightening. ? I was looking at 28313, but is this going too far for what he did? What about the granuloma codes?