AHA Coding Clinic® for HCPCS - 2010 Issue 3; ASK the EDITOR

Revision Fusion, Great Toe

A patient presented to our facility with complaints of painful left great toe as well as left second and third digits. He has a previous history of fusion of the great toe. However, he has recurrent pain and pain in his digits specifically with walking. The patient undergoes revision of the first fusion and a new fusion of the third proximal interphalangeal joint. In the CPT codebook, there is a note under code 28760, Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint, directs the coder to use 28285, Correction, hammertoe, for hammertoe operation or interphalangeal fusion. Would it be correct to say that 28285 is for the treatment of all hammertoe and/or interphalangeal fusion? ...

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