Author: The Coding Coach (Coding Coach)

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Claw Toe

We are having some debate about whether CPT code 28285 (hammertoe repair) would be appropriate for fusion of a claw toe? The claw toe is the DIP joint; the hammertoe is the PIP joint. However, code 28285 does not specify which interphalangeal joint is corrected. Should we report 28285 or an unlisted code?

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Suture Removal

Our surgeon saw a patient in the ER for a fracture and reported the global fracture code. The ER physician had repaired a separate wound laceration at a different site prior to our surgeon arriving in the ER. The patient is now being seen in the office and the surgeon evaluated the wound area, and removed the sutures. Is this reportable? If yes, what CPT code would I use?

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LeFort Fracture Repair

Kim, thank you for coming to our practice a few months ago for coding education. You kept everyone’s attention and my partners said they enjoyed the session. I had a coding question and was wondering if you can offer your insight. I have a patient with bilateral LeFort I, II and III fractures which were fixated on each side. Is it appropriate to code for the bilateral LeFort I, II, and III separately or do they need to be coded a different manner?

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