04/09/2004    Deb Carr, CCS

Coding a Metatarsal Resection

Query: Coding a Metatarsal Resection

I see coders using both CPT 28104 (excision or
curettage of bone cyst or benign tumor, tarsal
or metatarsal) and CPT 28122 (partial excision
tarsal and metatarsal bone) for removal of
exostosis.

Other than the depth one would excise bone,
which code is the correct code when the surgeon
is simply using a burr and ronguer to reduce an
exostosis?

Deb Carr, CCS
Enola, PA

Codingline Response: Resection of an exostosis
from metatarsal and/or tarsal bones should be
coded as CPT 28122; resection of an exostosis
from the talus or calcaneus should be coded as
CPT 28120.

Additionally, there is another code for
ostectomy of calcaneus, CPT 28118.

Howard Zlotoff, DPM
Camp Hill, PA

There are no more messages in this thread.