Question

Preoperative Diagnosis: Hallus Valgus, right great toe. Bone spur, right second toe

Postoperative Diagnosis: Same

Operative Performed: Austin bunionectomy, Exostectomy, right second toe

The patient was brought into the operating room. After adequate sedation was obtained, lidocaine was infiltrated for local anesthesia. The right foot and ankle were prepped and draped in the usual sterile fashion. A linear incision was made overlying the first metatarsophalangeal joint and, was deepened below the extensor capsule. Bleeders were clamped and bovied. The vital structures were reflected. A full lateral release was noted. The first metatarsal head was transected utilizing a sagittal saw. A V-shaped osteotomy was performed. The capital fragment was shifted laterally, thus correcting the elevated metatarsal angles with the hallux valgus deformity. Once this was achieved it was stabilized utilizing a K wire. The overledges of bone was transected utilizing a sagittal saw. The deep structures were closed utilizing 3-0 Vicryl; the skin, utilizing staples. 

Attention was then directed to the second toe. At the medial aspect of the distal interphalangeal joint, a prominent bone spur was noted. A linear incision was made overlying this bone spur. It was identified transected and rasped smooth. The skin was then closed utilizing 3-0 Vicryl. Dry sterile dressing was applied after Marcaine was infiltrated for an extended anesthesia. The tourniquet was delatated. Normal vascular flow was noted to return. The patient left the operating room in satisfactory condition. Minimal blood loss. No complications 

Assign ICD-10-CM codes, CPT surgery codes, and the appropriate HCPCS level II and cpt modifiers.