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Lapidus bunionectomy

Coding

Diagnosis of Primus Varus Versus Hallux Valgus

by Dr. Michael Warshaw, DPM, CPC

”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.”
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Coding

Deconstructed Lapidus Bunionectomy

by Dr. Michael Warshaw, DPM, CPC

“A friend of mine is encouraging me to change how I bill for my Lapidus bunionectomy. I typically bill this using CPT code 28297. I am being told that I should think about billing this “alternatively” as: 1) CPT 28740 2) CPT 28292 Thoughts on this?”
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