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the pick arthroplasty is more than 29898 debridement. I see the drilling for vascularization in 29891 which is what the pick holes are doing, however, I don't think I should use a code 29891 as he is not removing/excising the osteochondral defect but just debriding off the subtalar area 29906 and then doing the pick arthroplasty to help promote healing.