Practice Quiz

Medical Coding

Category - 20,000 Series

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A patient was suffering from severe hallux valgus of the right foot. The physician excised extraneous bone from the lateral end of the proximal phalanx and the medial eminence of the metatarsal bone. The physician inserted the implant in the lateral end of the proximal phalanx. What is the correct CPT code for this procedure?
  1. 28290
  2. 28292
  3. 28293
  4. 28296
Explanation
Answer: C - The correct CPT code for this procedure is 28293 (Correction, Hallux Valgus, with or without Sesamoidectomy; Resection of Joint with Implant). Code 28290 is only used for a simple resection without implant. Code 28292 is used for the removal of the lateral end of the proximal phalanx and the medial eminence of the metatarsal bone, but it does not include the implant.
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Additional Answers

Jean Bruening says:

CPT 28293 is a deleted code (Jan, 2017). CPT 28291 has replaced this code. Please review these guidelines.

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