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Malunion Metacarpophalangeal Joint

  1. #1
    Default Malunion Metacarpophalangeal Joint
    Medical Coding Books
    Doctor did a corrective osteotomy with wedge bone graft of an articular malunion at the metacarpophalangeal joint.

    There is no malunion repair code for this joint (that I can find). Can this be coded with the osteotomy and autograft or would an open repair of the metacarpophalangeal joint be more appropriate? Opinions, please.

  2. #2
    If he is completely taking down the fracture, I would lean towards the open reduction. If he is doing a lot of bony debridement type work, then I would lean in the direction of the osteotomy.

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