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Help with Coding Claw Toe Repair

  1. Default Help with Coding Claw Toe Repair
    Medical Coding Books
    Operation Performed:

    1) Right foot 2nd toe proximal interphalangeal joint fascial interposition arthroplasty.2)Right 2nd,3rd,4th,5th toe extensor digitorum longus lengthening and transfer of the extensor digitorum brevis to the extensor digitorum longus.
    3)2nd,3rd,4th&5th toe arthrotomy with dorsal medial & lateral capsule release
    4)3rd & 4th toe flexor digitorum longus to extensor digitorum longus transfer.

    Thanks in advance for any help.

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    look at 28285 forthe claw toes, 28270 for capsulotomy if MTP..those should put you in the right area..watch the CCI edits for the flexor/extensors. make sure to use your T modifiers with -59 modifiers

  3. Default
    Thanks for your reply. I have those 2 codes but I was confused by the lengthening and transfer of extensors. Felt that they should be included with hammertoe and capsulotomy codes. Thanks again.

  4. #4
    Default tendon transfer
    Unfortunately, the tendon transfers have to be coded as unlisted. There are no codes for tendon tranfers of the toes.

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    actually there is a code (28313) that includes tendon transfers, not sure it would apply to this particular case or not.

  6. #6
    Default
    Agree. There is a code for tendon transfers in toes 28313. Only thing is it does not include cutting or realignment of bones shafts.

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