AMA CPT® Assistant - 2010 Issue 12 (December)

Surgery: Musculoskeletal System (Q & A) (December 2010)

December 2010 page 12 BONUS FEATURE Surgery: Musculoskeletal System Question: What CPT code(s) should be reported for a hallux valgus repair performed using a modified McBride bunionectomy technique and a Ludloff osteotomy? Mimi Hughes, Coder, Fairfax, VA Answer: Code 28292, Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride, or Mayo type procedure, and code 28306, Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal, should be reported. Because the Ludloff osteotomy is primarily a metatarsal mid-shaft to base osteotomy, modifier 59, Distinct Procedural Service, should be appended to code 28306 to indicate that a...

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