AMA CPT® Assistant - 2011 Issue 9 (September)

Hammertoe Correction and Metatarsophalangeal Joint Release (Q & A) (September 2011)

Septempber 2011 page 11a Hammertoe Correction and Metatarsophalangeal Joint Release Question: Is it appropriate to report a hammertoe correction (28285) along with a corresponding metatarsophalangeal joint capsulotomy (28270) during the same surgical encounter when both procedures are medically necessary to completely correct the presenting deformities? Answer: Yes. It is not unusual to have to perform both of these procedures during the same surgical session to completely correct a complex ray deformity. A hammertoe can be defined by a digital contracture at the distal interphalangeal joint and/or proximal interphalangeal joint. A contracted metatarsophalangeal joint is a dorsiflexory positioning of the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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