What Is The Cpt Code For Repair Of Hallux Varus

Hallux valgus (bunion) is a mutual forefoot deformity, which typically comprised of a bony prominence at the distal metaphysis (head) of the start metatarsal, lateral deviation of the dandy toe (hallux) at the first metatarsophalangeal joint, and valgus rotation of the hallux.

A bunion is simple the prominence over the get-go metatarsal. This can be on the side or acme of the foot, or both.

Sesamoids are in the flexor tendons on the bottom of the pes. Every bit the metatarsal head moves away from the second metatarsal, the sesamoids are no longer located under the metatarsal head, further causing deviation of the toe and the metatarsal. As a result, the joint sheathing on the medial of the human foot stretches and the lateral side tightens up. Equally the condition progresses, the tendons contract and crusade further difference of the toe and the metatarsal.

Coding Guide for Bunionectomy Procedures codes

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Coding rules for Bunionectomy CPT codes

Abunionectomy is a surgical process to excise, or remove, a bunion. The bulk of bunionectomy procedures are performed to right the deviation of the metatarsal. When correcting that deformity, the valgus deformity of the often corrects without the demand for additional surgery, such every bit an osteotomy of the phalanx.

Their are many CPT codes added and revised in this section. CPT code 28292, 28296, 28295, 28297, 28298 & 29299 are used for coding bunionectomy.

Their are many small and minor procedures are included in the bunionectomy. Minor procedures included in Bunionectomy are:

Removal of the bony prominence (bunion)
Removal of additional osteophytes
Arthrotomy
Capsulotomy
Tenotomy
Tendon release
Tenolysis
Placement of internal fixation
Removal of bursal tissue
Articular shaving at the first metatarsophalangeal articulation

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When to utilize CPT code 28292 and 28295

To report procedure lawmaking 28282, a bunionectomy should exist performed to right hallux valgus past removing the medial eminence of the metatarsal bone and resecting the base of the proximal phalanx. The base of the proximal phalanx is resected and two sesamoid bones located on either side of the metatarsal head may also be excised if they are fractured or inflamed.

This is by and large done for mild deformities where at that place is very picayune deviation of the metatarsal.

28292 –Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method

To report process code 28295, a first metatarsal osteotomy is performed to correct hallux valgus in a bunionectomy procedure. The osteotomy site is proximal. It includes sesamoidectomy when performed. An osteotomy is performed when there is moderate metatarsus primus varus (difference of the kickoff metatarsal abroad from the other metatarsals) and the intermetatarsal angle is greater than 40 degrees.

28295 –Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, whatever method

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When to report CPT code 28296 & 28297

CPT 28296 is reported to correct a hallux valgus deformity with a distal metatarsal osteotomy. The procedure includes sesamoid bone removal, when necessary, to help with bone realignment. This type of correction is done for patients with mild hallux valgus of less than forty degrees and a minimal increase in the departure of the metatarsal.

28296 –Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method

For coding cpt code 28297, a bunionectomy involving excision of the medial eminence, tenotomy, and articulation fusion of the first metatarsal bone to the first cuneiform os is performed to right hallux valgus. The fusion may be washed with sesamoid bone removal, when necessary. This type of correction is washed for a severe intermetatarsal angle or instability of the first tarsometatarsal joint.

28297 –Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with first metatarsal and medial cuneiform joint arthrodesis, whatever method

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When to utilise CPT lawmaking 28298 & 28299

To report CPT code 28298, a proximal phalanx osteotomy is performed to correct hallux valgus in a bunionectomy procedure. This procedure may be performed with sesamoid bone removal, when necessary, to assist with os realignment.

28298 –Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method

To report CPT lawmaking 28299 , two or double osteotomy procedures are done to straighten the toe and the metatarsal. These procedure may be done along with sesamoid os removal, when necessary, to aid with realignment. The double osteotomy can be a combination of an osteotomy of the phalanx and the metatarsal (proximal or distal) or a proximal and distal metatarsal osteotomy.

28299 –Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with double osteotomy, any method

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