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Mark A. Wolgin, MD, Orthopaedic Surgeon

Specialist (Fellowship Trained) in Spinal and Foot/Ankle Surgery, Albany, GA, Office Phone 229-883-4707

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This info listed to assist Dr. W. in coding procedures.

 

Foot and Toes (28001-28899)

Incision (28001-28035)

28001 Incision and drainage, bursa, foot
28002 Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space
28003 Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas
28005 Incision, bone cortex (eg, osteomyelitis or bone abscess), foot
28008 Fasciotomy, foot and/or toe
28010 Tenotomy, percutaneous, toe; single tendon
28011 Tenotomy, percutaneous, toe; multiple tendons
(For open tenotomy, see 28230 28232 -28234)

28020 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint
28022 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint
28024 Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint
28030 Neurectomy, intrinsic musculature of foot
28035 Release, tarsal tunnel (posterior tibial nerve decompression)
(For other nerve entrapments, see 64704, 64722)

Excision (28043-28175)

28043 Excision, tumor, foot; subcutaneous tissue
28045 Excision, tumor, foot; deep, subfascial, intramuscular
28046 Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot
28050 Arthrotomy with biopsy; intertarsal or tarsometatarsal joint
28052 Arthrotomy with biopsy; metatarsophalangeal joint
28054 Arthrotomy with biopsy; interphalangeal joint
28060 Fasciectomy, plantar fascia; partial (separate procedure)
28062 Fasciectomy, plantar fascia; radical (separate procedure)
(For plantar fasciotomy, see 28008, 28250)
28070 Synovectomy; intertarsal or tarsometatarsal joint, each
28072 Synovectomy; metatarsophalangeal joint, each
28080 Excision, interdigital (Morton) neuroma, single, each
28086 Synovectomy, tendon sheath, foot; flexor
28088 Synovectomy, tendon sheath, foot; extensor
28090 Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot
28092 Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each
28100 Excision or curettage of bone cyst or benign tumor, talus or calcaneus;
28102 Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)
28103 Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft
28104 Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;
28106 Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)
28107 Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft
28108 Excision or curettage of bone cyst or benign tumor, phalanges of foot
(For ostectomy, partial (eg, hallux valgus, Silver type procedure), see 28290)
28110 Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
28111 Ostectomy, complete excision; first metatarsal head
28112 Ostectomy, complete excision; other metatarsal head (second, third or fourth)
28113 Ostectomy, complete excision; fifth metatarsal head
28114 Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)
28116 Ostectomy, excision of tarsal coalition
28118 Ostectomy, calcaneus (Used for removal of Haglund's deformity or pump bump)
28119 Ostectomy, calcaneus; for (plantar) spur, with or without plantar fascial release
28120 Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus
28122 Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus
(For partial excision of talus or calcaneus, see 28120)
(For cheilectomy for hallux rigidus, see code 28289)
28124 Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe
28126 Resection, partial or complete, phalangeal base, each toe
28130 Talectomy (astragalectomy)
28140 Metatarsectomy
28150 Phalangectomy, toe, each toe
28153 Resection, condyle(s), distal end of phalanx, each toe
28160 Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each
28171 Radical resection of tumor, bone; tarsal (except talus or calcaneus)
28173 Radical resection of tumor, bone; metatarsal
28175 Radical resection of tumor, bone; phalanx of toe
(For talus or calcaneus, see 27647)

Introduction or Removal (28190-28193)

28190 Removal of foreign body, foot; subcutaneous
28192 Removal of foreign body, foot; deep
28193 Removal of foreign body, foot; complicated

Repair, Revision, and/ or Reconstruction (28200-28360)

28200 Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon
28202 Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)
28208 Repair, tendon, extensor, foot; primary or secondary, each tendon
28210 Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)
28220 Tenolysis, flexor, foot; single tendon
28222 Tenolysis, flexor, foot; multiple tendons
28225 Tenolysis, extensor, foot; single tendon
28226 Tenolysis, extensor, foot; multiple tendons
28230 Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)
28232 Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)
28234 Tenotomy, open, extensor, foot or toe, each tendon
28238 Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)
(For subcutaneous tenotomy, see 28010, 28011)
(For transfer or transplant of tendon with muscle redirection or rerouting, see 27690 27691 -27692)
(For extensor hallucis longus transfer with great toe IP fusion (Jones procedure), see 28760)
28240 Tenotomy, lengthening, or release, abductor hallucis muscle
28250 Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure)
28260 Capsulotomy, midfoot; medial release only (separate procedure)
28261 Capsulotomy, midfoot; with tendon lengthening
28262 Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)
28264 Capsulotomy, midtarsal (eg, Heyman type procedure)
28270 Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)
28272 Capsulotomy; interphalangeal joint, each joint (separate procedure)
28280 Syndactylization, toes (eg, webbing or Kelikian type procedure)
28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
Note: not bundled with hammertoe: 28270: capsulotomy of MTP jt
28286 Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)
28288 Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head
28289 Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint
Note: don't use dx of arthritis--needs to have dx of hallus rigidus
28290 Correction, hallux valgus (bunion), with or without sesamoidectomy; simple exostectomy (eg, Silver type procedure)
Hallux Valgus Correction
28290 Simple resection of the medial eminence (Silver-type procedure).
28292 Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride or Mayo type procedure
28293 Correction, hallux valgus (bunion), with or without sesamoidectomy; resection of joint with implant
28294 Correction, hallux valgus (bunion), with or without sesamoidectomy; with tendon transplants (eg, Joplin type procedure, 1st MTP fusion with tendon transplant)
28296 Correction, hallux valgus (bunion), with or without sesamoidectomy; with metatarsal osteotomy (eg, Mitchell, Chevron, or concentric type procedures)
28297 Correction, hallux valgus (bunion), with or without sesamoidectomy; Lapidus type procedure
28298 Correction, hallux valgus (bunion), with or without sesamoidectomy; by phalanx osteotomy, Akin
28299 Correction, hallux valgus (bunion), with or without sesamoidect; by double osteotomy: 1st MT and PP
28300 Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
28302 Osteotomy; talus
28304 Osteotomy, tarsal bones, other than calcaneus or talus;
28305 Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)
28306 Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal
28307 Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)
28308 Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each
28309 Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure)
28310 Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)
28312 Osteotomy, shortening, angular or rotational correction; other phalanges, any toe
28313 Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)
28315 Sesamoidectomy, first toe (separate procedure)
28320 Repair, nonunion or malunion; tarsal bones
28322 Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)
28340 Reconstruction, toe, macrodactyly; soft tissue resection
28341Reconstruction, toe, macrodactyly; requiring bone resection
28344 Reconstruction, toe(s); polydactyly
28345 Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web
28360 Reconstruction, cleft foot

Fracture and/or Dislocation (28400-28675)

28400 Closed treatment of calcaneal fracture; without manipulation
28405 Closed treatment of calcaneal fracture; with manipulation
28406 Percutaneous skeletal fixation of calcaneal fracture, with manipulation
28415 Open treatment of calcaneal fracture, with or without internal or external fixation;
28420 Open treatment of calcaneal fracture, with or without internal or external fixation; with primary iliac or other autogenous bone graft (includes obtaining graft)
28430 Closed treatment of talus fracture; without manipulation
28435 Closed treatment of talus fracture; with manipulation
28436 Percutaneous skeletal fixation of talus fracture, with manipulation
28445 Open treatment of talus fracture, with or without internal or external fixation
28450 Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each
28455 Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each
28456 Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each
28465 Open treatment of tarsal bone fracture (except talus and calcaneus), with or without internal or external fixation, each
28470 Closed treatment of metatarsal fracture; without manipulation, each
28475 Closed treatment of metatarsal fracture; with manipulation, each
28476 Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each
28485 Open treatment of metatarsal fracture, with or without internal or external fixation, each
28490 Closed treatment of fracture great toe, phalanx or phalanges; without manipulation
28495 Closed treatment of fracture great toe, phalanx or phalanges; with manipulation
28496 Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation
28505 Open treatment of fracture great toe, phalanx or phalanges, with or without internal or external fixation
28510 Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each
28515 Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each
28525 Open treatment of fracture, phalanx or phalanges, other than great toe, with or without internal or external fixation, each
28530 Closed treatment of sesamoid fracture
28531 Open treatment of sesamoid fracture, with or without internal fixation
28540 Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia
28545 Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia
28546 Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation
28555 Open treatment of tarsal bone dislocation, with or without internal or external fixation
28570 Closed treatment of talotarsal joint dislocation; without anesthesia
28575 Closed treatment of talotarsal joint dislocation; requiring anesthesia
28576 Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation
28585 Open treatment of talotarsal joint dislocation, with or without internal or external fixation
28600 Closed treatment of tarsometatarsal joint dislocation; without anesthesia
28605 Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia
28606 Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (may be reported for mult joints with Lisfranc injury)
28615 Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation
28630 Closed treatment of metatarsophalangeal joint dislocation; without anesthesia
28635 Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia
28636 Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation
28645 Open treatment of metatarsophalangeal joint dislocation, with or without internal or external fixation (may be reported multiple times with 59 modifier for Lisfranc injury with mult MT's involved)
28660 Closed treatment of interphalangeal joint dislocation; without anesthesia
28665 Closed treatment of interphalangeal joint dislocation; requiring anesthesia
28666 Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation
28675 Open treatment of interphalangeal joint dislocation, with or without internal or external fixation

Arthrodesis (28705-28760)

28705 Arthrodesis; pantalar
28715 Arthrodesis; triple
28725 Arthrodesis; subtalar
28730 Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;
28735 Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)
28737 Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)
28740 Arthrodesis, midtarsal or tarsometatarsal, single joint
28750 Arthrodesis, great toe; metatarsophalangeal joint
28755 Arthrodesis, great toe; interphalangeal joint
28760 Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure)
(For hammertoe operation or interphalangeal fusion, see 28285)

Amputation (28800-28825)

28800 Amputation, foot; midtarsal (eg, Chopart type procedure)
28805 Amputation, foot; transmetatarsal
28810 Amputation, metatarsal, with toe, single
28820 Amputation, toe; metatarsophalangeal joint
28825 Amputation, toe; interphalangeal joint
(For amputation of tuft of distal phalanx, use 11752)

Other Procedures (28899-28899)
(For extracorporeal shock wave therapy involving musculoskeletal system, or plantar fascia, see Category III codes 0019T, 0020T)

28899 Unlisted procedure, foot or toes

--------------------------------------------------------------------------------

Splints
29505  LLS
29515  SLS

Strapping
29540  ankle and/or foot
29550  toes
29580  Unna boot

Cast Removal/repair (removal codes only for casts applied by another physician)
29705  full arm or leg cast
29720  repair of spica or body cast
29730  windowing of cast
29740  wedging of cast

 

 

Bunion with hammertoe, hammertoe not inclusive, should have 59 modifier and modifier to describe particular toe:

TA    L gr toe

T1    L 2nd toe

T2    L 3rd toe

T3    L 4th toe

T4    L 5th toe

T5    R gr toe

T6    R 2nd toe

T7    R 3rd toe

T8    R 4th toe

T9    R 5th toe

 

example, bunion and R second hammertoe:  28296, 28285-59, T6