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Thread: CR Perc Pinning Toe

  1. #1

    Default CR Perc Pinning Toe

    I must be blind! Is there a CPT code for closed reduction, percutaneous pinning of a toe OTHER THAN a great toe???

  2. #2
    Join Date
    Apr 2007
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    Default 28515

    Closed treatement fx, phalanx or phalanges, other than great toe, with manipulation each

  3. #3

    Default

    I looked at that but how do I account for the percutaneous pinning? (I'm feeling really dense today for some reason! )

  4. #4
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    Default Sorry this was were 3M was leading me and I read the descriptor wrong.

    look at 28496 very closely, it's for the great toe, phalanx or phalanges.

    "percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation".

  5. #5
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    Apr 2007
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    Pensacola, Fl
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    Default

    apparently due to my first response, I'm having a "dense" day too!

  6. #6

    Default

    Yup! Looked at that one too, but this is how my EncoderPro describes this code:

    The physician treats a fracture of the big toe involving one or both of the bones without open surgery but with pin fixation through the skin and manipulation of the fractures.

  7. #7
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    Apr 2007
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    Default

    My take on Encoder just from seeing other posts on this forum, is that it's not alway correct. My take would be to go w/ CPT. I have 3M and look where that led me? Otherwise, I'd have to say use the unlisted code (yuck, no one wants that) but I really do feel CPT is correct.

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