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11/05/2005    Deb Carr, CCS

Multiple Arthrodesis Procedure Coding l Procedure Coding

Query: Multiple Arthrodesis Procedure Coding l
Procedure Coding


How would I coding these procedures:


- arthrodesis of the calcaneocuboid joint with
bone block, lateral column lengthening; and


- arthrodesis of 1st metatarsal-tarsal joint and
2nd metatarsal-tarsal joint with plantar-flexory
opening graft, allograft 1st metatarsal-tarsal
joint for a reconstruction of
longitudinal arch and stabilization of the
midfoot arthrosis.


The diagnosis is severe flat foot with acquired
midfoot arthrosis, right foot


Deb Carr, CCS
Enola, PA


Codingline response: I would recommend the
following:


CPT 28740 (arthrodesis, midtarsal, single joint)
CPT 28730 (arthrodesis, midtarsal or tarsal-
metatarsal,
multiple).


Howard Zlotoff, DPM, Camp Hill, PA


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