This is one of those times you wish for more detail. It looks like it was fixed with the k-wire but the question is - 28285 specifies only IP joint bones - the op note said the surgeon retrograded the wire (coming from the distal and middle phalynx) through the proximal phalynx up into the metatarsal head.... so if you fix the proximal phalynx to the metatarsal, (and it's NOT a hallux,) does that mean you can't use the 28285? Since it's not JUST an IP joint? That's the question I have. Since it looks like it was done to fix the IP joint, even if it was eventually anchored into the metatarsal head, I'd lean towards 28285. (And of course the possibility for an additional 20680 makes me feel rich but I don't want to add that removal if it's through the same incision as all the rest of the work...)
I'm not much help - but those are my thoughts.
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