AHA Coding Clinic® for HCPCS - 2012 Issue 1; ASK the EDITOR

Medial Phalangeal Austin-Akin Osteotomy

A patient underwent an Austin-Akin osteotomy at our facility and we need assistance in the correct code assignment for this procedure.  The Austin-Akin procedure has been defined as a double osteotomy and is usually performed on the proximal phalanx and distal metatarsal or double osteotomy of the metatarsal. We currently report CPT code 28299, Correction, hallux valgus (bunion), with or without sesamoidectomy; by double osteotomy, for this procedure. Recently, an Austin-Akin osteotomy was performed and the physician documented the medial phalanx as opposed to the proximal phalanx.  Would this still be coded as an Austin-Akin procedure since it was performed on the medial phalanx instead of the proximal phalanx?  Any guidance you can provide would be greatly appreciated. ...

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