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Coding tip: Learn types and names of bunion procedures, part 2 of 2

Ambulatory Surgery Reimbursement Update, October 16, 2007

It is very important to know the type of procedure performed, and to verify its components before selecting a bunionectomy code. Some other common bunion procedures includes the Austin, Reverse Austin, Mitchell, Chevron, Kalish, Youngswick, Reverdin, Reverdin-Green and Hohmann procedures, all of which are coded with CPT code 28296. This involves a metatarsal osteotomy performed with or without a Sesamoidectomy. The Akin Procedure/Phalanx Osteotomy procedure (CPT code 28298) involves the removal of a medially-based bony wedge from the base of the proximal phalanx to correct its axis. The Lagroscino or Austin-Akin/Double Osteotomy procedure (CPT code 28299) is for a severe hallux valgus or a congruent joint. This is a combination of two osteotomy procedures and may be performed with or without a Sesamoidectomy. The Proximal Osteotomy procedure (CPT code 28306) is performed at the base of the first Metatarsal for severe Metatarsus Primus Varus of more than 15 degrees. For an Arthrodesis procedure of the Great Toe of the Metatarsophalangeal joint, use CPT code 28750. This procedure is for arthritic changes at the 1st MTP joint, coupled with severe Hallux Valgus.

This tip is brought to you by Ellis Medical Consulting, Inc.