AHA Coding Clinic® for HCPCS - 2010 Quarter 3; ASK the EDITOR
Correction of the Metatarsalphalangeal (MTP) Joint with Implant
Patient has a history of arthritic bunion which has failed conservative treatment. The patient presents to have correction of the metatarsalphalangeal (MTP) joint with an implant along with a tendon transfer. Is CPT code 28293 the correct code for the insertion of the implant in the MTP joint? Is it appropriate to also report the tendon transfer separately or would it be included with the repair of the bunion? If the tendon transfer can be separately reported, what would be the correct code? ...
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Article Overview
This premium coding article discusses how a bunion repair involving the metatarsophalangeal joint and an implant is coded, including whether a tendon transfer is reported separately. It is intended for coders and billing staff working with foot and ankle procedures and focuses on CPT and HCPCS Level II code selection for a specific operative scenario.
Why This Topic Matters
Procedural coding for forefoot surgery can be affected by whether components of a repair are bundled or separately reportable. Understanding the article helps coders review code assignment for a bunion-related implant case and related ancillary procedure questions.
What You Will Learn
- How the article approaches coding for an MTP joint bunion correction with implant
- Whether a tendon transfer is discussed as a separate reporting question
- Which coding systems are involved in the procedure question
- How the guidance applies to a foot and ankle operative scenario
Who Should Read This
- Medical coders
- Coding auditors
- Orthopedic billing staff
- Podiatry billing staff
- Revenue cycle professionals
Codes Discussed
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