DecisionHealth, DecisionHealth - 2026 Issue 6 (June)

Q&A: Consider indications when selecting metatarsal osteotomy code

Question: Can you help us determine the difference between CPT codes 28308 and 28309? If distal metatarsal osteotomies are done on metatarsals 2-4, would this be reported as 28308 x3 or 28309 x1? We had always heard that 28309 was reserved for more severe type/pes cavus foot deformities where osteotomies are being done specifically on the proximal metatarsal or multiple osteotomies on the same metatarsal.

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