28118 and 28119 haglund's and spur exc w/fasciotomy

One of our providers is performing a haglund's exc, Achilles repair and calcaneal spur exc w/plantar fasciotomy. Our coder picked 28118 and 27654 for the Achilles. Her question is can she also code the 28119 in addition? I didn't think so but there is a CPT Assist (please see below) that states instead of/in addition to and that is what is making us question if we can bill both 28118 and 28119.


Thank you,

Ashley

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