Wiki bunion sx and arthrodesis

solocoder

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One of my doctors did a double osteotomy AND fusion of the metatarsal and cuneiform bones with a plate and screws (as in a Lapidus procedure). He was wanting to bill both a 28290 and 28297. I think they would be denied since they are bundled. Someone else suggested using 28299 (double osteotomy) alone, but that would not capture the arthrodesis. Does anyone have a suggestion? I was thinking 28299 AND 28730.
 
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