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Thread: "scarf" bunionectomy?

  1. #1
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    Default "scarf" bunionectomy?

    Would anyone have guidance on coding this procedure? Thanks!
    Becky L Prunty CPC-H

  2. #2
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    Default

    I believe it's 28296...anyone else?

  3. #3
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    Default scarf

    I was thinking 28298 but only because I had heard this referred too before as "Scarf Akin" procedure. But not sure at all.

  4. #4
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    Now I'm really confused. I have some material that suggests 28296 but then I ran across this.

    Some eponym procedures include a combination of techniques that cannot be captured in a single code. One of the most common is a distal soft tissue realignment (28292) combined with proximal first metatarsal osteotomy (28306). Common eponyms: Ludloff, Scarf, Juvara.

    http://www.the-martin-group.com/BONE...ones_July.html

  5. #5
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    According to "A Manual of Orthopedic Terminology, 7th edition" it describes a scarf procedure as: "for hallux valgus; a midshaft osteotomy with a scarp overlapping cut to correct metatarus primus varus." I believe that 28296 would be the appropriate code since the scarf procedure is an osteotomy of the metatarsal.

    This site describes the technique for the scarf osteotomy
    http://www.omjournal.org/OriginalArt...osteotomy.html

    Hope this helps!
    Eileen Blankenship, CPC
    Remote Coder

  6. #6
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    Smile

    I reviewed both websites that were provided, and I have to say that I would lean toward using 28292 & 28306.
    Karen Maloney, CPC
    Data Quality Specialist

  7. #7
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    I found this too...There is a Q/A on page 22. I'm still digging.

    http://www.codingline.com/SeminarDoc...g%20Clinic.pdf

  8. #8
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    Default

    I use 28296

  9. #9
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    Default scarf

    I learn so much from this forum!!!

  10. #10
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    Default

    2017 ICD-10-CM Coding Book
    Quote Originally Posted by rebeccawoodward View Post
    Mary,

    I have been eagerly waiting for your response (yes...I'm being serious). These are the type of questions that keep me up at night . Have a good one!

    aww thanks glad I could be of help

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