First MTP implant is a common procedure performed by Podiatrists, it can be somewhat tricky to bill. This page attempts to answer commonly asked questions about billing first MTP implants.
The CPT code to use is 28293 answered here. Yes it is a hallux valgus code but the explanation is listed here:
http://www.aapc.com/memberarea/forums/showthread.php?t=17120
Here is an old billing guide which explains 28293 as well:
http://www2.aaos.org/bulletin/aug02/cod.htm
If an osteotomy is performed with an implant whether Austin or other osteotomy the code 28308 is recommended:
http://www.supercoder.com/my-ask-an-expert/topic/total-joint-replacement-metatarsophalangeal-joint
Coding newsletter here recommends 28293 for implant as well:
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