How would you code a bunionectomy with proximal metatarsal osteotomy and soft tissue release? I was thinking CPT 28295 and 28313 but wasn’t sure if this was correct.

Thanks in advance.

The foot exsanguinated and the tourniquet inflated. A classic Mann style distal soft tissue release was done and then a proximal osteotomy of the 1st metatarsal using the Mau osteotomy with the PROMO system. An excellent correction was obtained. Fixation was with the plate and the additional 3.0 mm lag screw. Partial resection of the medial eminence was done and medial capsule plication done too. Closure done with the tourniquet deflated. The adductor hallucis tendon sutured to the medial eminence.