Question: Our physician performed a partial phalangectomy on right fifth toe with a syndactylization on right fourth and fifth toes. The physician suggested codes 28150 and 28280. Codes 28153 or 28126 are also viable options. How should I code this procedure?
DX: Right fifth hammertoe
-- Made Triangular type incisions on the opposing surfaces of the fourth and fifth toes. Made an incision right in the midline of the proximal phalanx going out to the PIP joint. Entered and performed dissection in the PIP joint exposing the distal aspect of the proximal phalanx. Removed this with a bone biter. I then did the syndactylization by using a 4-0 nylon and first putting a suture into the apex of those two triangles and them closing the plantar arm and then dorsal arm.
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