AHA Coding Clinic® for HCPCS - 2019 Issue 3; For Your Information

Reconstruction of hallux deformity with capsulotomy

A patient with a previous 1st ray reconstruction developed hallux varus requiring reconstruction of the angular deformity of the left hallux with capsulotomy of the left first metatarsophalangeal (MTP) joint. Incision was made over the MTP and the capsular adhesions and sesamoid apparatus were released. A guidewire was placed and holes were drilled to accommodate a mini-tightrope to stabilize the joint and re-align the angulation of the toe. The capsule was re-approximated and the extensor hallucis longus tendon was lengthened and secured. What is the correct CPT code(s) for reconstruction of angular deformity of hallux with hallux varus repair with mini-tightrope and capsulotomy of the first MTP? ...

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