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Primus Varus

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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