Results 1 to 1 of 1

unlisted 28899 or 28289 with 28293 59

  1. #1
    Question unlisted 28899 or 28289 with 28293 59
    Medical Coding Books
    unlisted 28899 or 28289 with 28293 59

    A dorsomedial incision was made over the first MTP joint. Blunt dissection was carried down through the subcutaneous tissue. A dorsal capsulotomy was performed. A capsular release was performed medially, laterally, and dorsally. There were multiple loose bodies noted within the joint, small, 1 to 2 mm. In addition, there were peripheral osteophytes noted. At this point, using a combination of micro oscillating saw and rongeur, the medial, dorsal, and lateral osteophytes were removed. There were degenerative changes primarily on the base of the proximal phalanx. A small chondral defect was noted on the distal end of the metatarsal head.

    Peripheral osteophytes on the base of the proximal phalanx were resected. The area was sized to a 17 mm implant. Based on C-arm guidance, a guide wire was placed down the middle of the proximal phalanx. The base of the proximal phalanx was then hand reamed down to subchondral bone. A trial implant was inserted, which showed good alignment and position.

    The trial was removed. The broach was inserted. An Arthrex first proximal phalanx replacement was press fitted into position. Good approximation with the bone was obtained.

    The doc wants to use 28289 with 28293 but I have other research says that because it is not a bunion I should not use the 28289 and 28293 and go unlisted. Does anyone have documentation on this??
    dx is 725.2 and 715.37
    Last edited by ASC CODER; 02-14-2011 at 01:50 PM.

Similar Threads

  1. 28289 & 28293? Tia :)
    By MELJNBBRB in forum Podiatry
    Replies: 3
    Last Post: 02-11-2015, 01:00 PM
  2. CPT 28293 with Hallux Limitus(735.8)?
    By fredcpc in forum Podiatry
    Replies: 1
    Last Post: 03-06-2014, 09:50 AM
  3. 28289 vs 28293
    By KimberlyViruet in forum Podiatry
    Replies: 0
    Last Post: 12-27-2012, 07:33 AM
  4. unlisted??or 28289 and 28293??
    By ASC CODER in forum Orthopaedics
    Replies: 0
    Last Post: 02-14-2011, 02:28 PM
  5. Replies: 1
    Last Post: 08-25-2009, 06:56 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.