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Wiki Multiple Talus Fractures ORIF

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hastarr

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I need help coding an op where the Dr did and ORIF of the talar neck and ORIF of the talar body. He did a medial incision to view the fracture and manually decompress it, then a lateral incision to do the ORIF of both fractures. Would I use 28445 once or twice? Any input would be greatly appreciated.
 
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