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Thread: capsular advancement, first metatarsophalangeal joint

  1. #1

    Question capsular advancement, first metatarsophalangeal joint

    AAPC: Back to School
    Hello, I need help

    MD performed "first metatarsophalangeal joint implant" which I coded as
    28293.....#2 procedure was capsular advancement, first metatarsophalangeal
    joint.....md stated in op note " attention directed to the distal aspect of the
    proximal phalanx after which, the capsular structures were lifted from the
    underlying periosteum and carefully interposed into the first metatarsophalangeal joint for good appostion after additional cushioning
    at the level of the joint" What code should I use? Thanks, Brenda

  2. #2
    Join Date
    Apr 2007


    this sounds like a capsulotomy to me which is bundled into the 28293.

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