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Bunionectomy with mini tightrope implant ASC

  1. Smile Bunionectomy with mini tightrope implant ASC
    Medical Coding Books
    Has anyone coded for a Simple Bunionectomy on a Hallux with a mini tightrope implant that is connected to the second metatarsal? I read that you bill for the bunionectomy and append modifier 22 (Increased procedural service )but it is an invalid modifier with ASC centers.

    Thank you!
    Kelly Sumansky, MA, CPC-H, CMC

  2. #2
    28293 resection of joint with implant. This is the only bunionectomy code that includes implant
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  3. #3
    Default tight-rope
    The tight-rope is just a fixation device. The way I understand it is it's used instead of having to perform an osteotomy. I use bunionectomy code that includes fixation.

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