28110 -LT for Tailor bunion exostectomy bump n run... no debating that one. The day I ever do a surgery with that as my primary procedure, I'm out the game. Wow.
28043 -59 -LT or similar on the "mass between metatarsal midshaft 2 +3" mass (correct CPT depends if subcut or subfascial and size greatest dimension).
...the 14040 is only for bilobe and rotation flaps and such. Also no on the nerve surgery code for excision mass. I think you need to submit APMA podiatry fellowship orthoplastic certificate to the payer and have prior auth to bill those. Prior auth will typically take proof of failing ABFAS multiple times, yet passing all CAQs available on date of sugrery. The 14040 are most typically done with other 14040s, a nerve stimulator or two, a bunch of streuvixxx, and an ex fix on 330 pound Charcot patients who will get a BKA a few months later... by associates getting 30 or 35% of collections... or 'academic' DPMs.
In all seriousness, this stuff is not uncommon. Some residencies teach this. There are tons of DPMs who bill V-to-Y on routine hammertoes. I had one DPM guy who I did some revisions after (had to request orig op reports) who was doing 64727 on nearly all of their bunions, hammertoes, whatever.... multiple if there were multiple incisions. I have no idea if they were getting paid... but I do know the facility did not have an OR microscope.
