Op Report: 4 cm linear incision placed over 5th MPJ. Dissection carried down to level of joint capsule where a T capsulotomy was performed. All periosteal as well as capsular tissues were dissected free from the head of the 5th MPJ. Using a high speed oscillated saw the lateral eminence removed. A tempered K-wire was inserted at the apex of the future osteotomy site. The osteotomy was then cut. The capital fragment was translocated medially about 1/3rd of the width of the metatarsal shaft. A 1.5 x 16mm screw was placed across the osteotomy site going from the dorsal distal to the plantar proximal direction & tightened to two-finger tightness. Remaining lateral eminence was transected with high speed saw. A 3-0 vicryl was used to reapproximate the capsule, 4-0 subcu, 5-0 for skin edges. Isn't CPT 28296 for big toe bunionectomy only? I thought this should be coded 28110 or 28308. I have done extensive research & could not find a "reverse austin bunionectomy" for 5th toe. Any help or explanation would be helpful.
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