Orthopedic Coding Alert

Reader Question:

Best Choice for Rheumatoid Nodule Excision is 28043

Question: How do we claim for excision of rheumatoid nodule in the metatarsal bone. The diagnosis documented is ‘rheumatoid nodule, plantar aspect of first metatarsal head.’


North Carolina

Answer: The excision of the rheumatoid nodule is typically reported as excision of a benign soft tissue tumor. The nodule may be a protrusion. You report code 28043 (Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm) for this. The diagnosis code is 714.0 (Rheumatoid arthritis).

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