Wiki 28289 vs 28293

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Atlanta, GA
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Podiatry Case:

Diagnosis: Right hallux rigidus with degenerative joint disease
Procedure: Metatarsophalangeal joint cheilectomy and first metatarsal head resurfacing with Arthrosurface implant.

I think 28289 is the most applicable, but its missing the implant. 28293 has the implant, but it is for hallux valgus.

Could I use both and use modifier 59? Or possibly use 28289 with modifier 22?

Thank you!!
 
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