What is a double osteotomy bunionectomy?

Double osteotomy bunionectomy was a reliable technique for the treatment of moderate hallux valgus. The procedure resulted in reliable pain relief, good correction of deformity, and improved cosmesis. Patients were generally pleased with the results and were able to wear a variety of footwear comfortably.

What types of bunion surgery are there?

What are the types of bunion surgery?

  • Exostectomy: During this surgery, your surgeon shaves off the bunion.
  • Osteotomy: Your surgeon makes a few small incisions in the bones.
  • Arthrodesis: Sometimes, arthritis inflammation can lead to bunions.

Does CPT code 28299 need a modifier?

This would be appropriately coded using CPT code 28299 which is defined as: Correction, hallux valgus [bunionectomy], with sesamoidectomy, when performed, with double osteotomy, any method. Since it was performed on the right foot, it would be correctly appended by the RT modifier.

Does CPT code 28296 need a modifier?

*It is acceptable to append the T5 modifier to CPT code 28296 if necessary, based on payer rules. This example indicates that the hammertoe surgery is distinct from the bunion procedure and provides the anatomic location of each surgery.

What is the CPT code for bunion correction with osteotomy?

CPT® code 28295 describes bunion correction when a proximal metatarsal osteotomy is necessary and includes sesamoidectomy, when performed. An osteotomy may be performed when there is moderate metatarsus primus varus (deviation of the first metatarsal away from the other metatarsals) and the intermetatarsal angle is greater than 40 degrees.

What is a double osteotomy for a bunion?

The double osteotomy can be a combination of an osteotomy of the phalanx and the metatarsal (proximal or distal) or a proximal and distal metatarsal osteotomy. Carefully review all the codes in this range before choosing your final code for bunion correction.

What happened to the legacy names in the bunionectomy code descriptors?

The bunionectomy code descriptors will no longer retain legacy-named procedures (eg, Keller-, McBride-, or Mayo-type procedure). Clinical practice, modifications to, and variations of the legacy-named procedures have evolved to the point that including the legacy names in the code descriptors is no longer appropriate or accurate.

What is the CPT code for bunion surgery 28297?

CPT® code 28297 reports a bunion correction with a joint fusion between the foot bone located behind the big toe (first metatarsal) and the bone of the middle foot located behind the first metatarsal.