tci Outpatient Facility Coding Alert - 2013 Issue 12

Reader Question: Choose Between 28296 and 28306 for Crescentic Osteotomy

Question: How should I code a crescent shelf osteotomy for a hallux valgus case? New York Subscriber Answer: You have two coding options to choose from when reporting this service. One option is to use 28296 (Correction, hallux valgus [bunion], with or without sesamoidectomy; with metatarsal osteotomy [e.g., Mitchell, Chevron, or concentric type procedures]). The second option is to select 28306 (Osteotomy, with or without lengthening, shortening, or angular correction, metatarsal; first metatarsal). In a crescentic osteotomy procedure, the proximal portion of the first metatarsal is the subject of the osteotomy. The descriptor for 28306 more closely matches...

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