tci Outpatient Facility Coding Alert - 2018 Issue 1
Reader Question: Conquer This Bunionectomy Scenario
Question: In the ASC, the surgeon performed a modified McBride bunionectomy on the patient's left great toe and a hammertoe correction on the patient's left fourth toe. Which CPT®codes could we report? Florida Subscriber Answer: In this case, the ASC coder could report 28285-SG-T3 (Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)), or 28285-T3 if the payer does not require the SG modifier, for the hammertoe correction as the first procedure. Then, code the bunionectomy as the second procedure with 28292-SG-TA (Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed...
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