Wiki bunionectomy

[PLAIDMAN]

Is anyone aware of any exceptions to billing 28297 with 28298. My doc did both for different dx, but cci edits include 28298 with 28297, which just makes no sense to me, in reading the description of procedure for 28297 there really no work done on the phalanx so i dont really know why they are included with each other.

I would use the 28299 but there is no osteotomy in 28297, so how could i bill a double osteotomy?

any thoughts??

 

[nsteinhauser]

I would code 28297 (rt or lt) - then 28298 - 59 (rt or lt). I know - the fusion done in 28297 is not an 'osteotomy' so you can't use the 28299. The Akin is really a separate procedure so I would code it and use the -59. You can send the op note. CCI allows you to override the edit on those with a -59, don't they?