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