“The patient is a 47 year old with a soft tissue mass over the distal fibula. It appears to be a gouty tophus and x-rays show no bone involvement. What would be the proper code for surgical debridement/excision of this mass?”
”We’re having a debate on coding for the diagnosis of primus varus versus the diagnosis of hallux valgus. When measuring angles, most patients have both a first intermetatarsal angle greater than 9 degrees (for primus varus) and a hallux abducto valgus angle greater than 15 degrees (for hallux valgus). Would we bill for both diagnosis codes? These are the diagnosis codes we use when billing our Lapidus bunionectomies.”
“We have been finding that, just recently, United Healthcare has a problem with the combination of CPT 64450 and CPT 76942. They are paying the CPT 76942. We have appealed with medical records and CPT 64450 still being denied. We have resubmitted with a 59 and are waiting on response. Is anyone else experiencing the bundling of these two codes?”
“We have a debate in my group about coding for a combination of bunion procedures. I performed an Akin bunionectomy and a Mcbride bunionectomy on the same foot. Are these procedures to billed separately or should I use CPT 28299?”
