Orthopedic Coding Alert

Question How do we code when the operative note reads, "A transverse incision was made over the distal end of the stump, dissection was taken down through subcutaneous tissues and the fascia. The distal femur was identified and the overgrown bone was located. An osteotome was then used to remove the area of bony overgrowth."

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Answer If the diagnosis is heterotopic bone in the amputation stump, you report 27360 (Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess).