Orthopedic Coding Alert
Turn to Unlisted Code for Contracture Procedure in Toe
Question: Diagnosis: 2nd Metatarsophalangeal stiffness The patient was taken to the operating room where she received left ankle local block anesthetic with approximately 8cc of 1% Lidocaine and 0.5% Marcaine. The 2nd MP right foot which previously had a 10 degree extension contracture was stretched into approximately 30 degrees of plantar flexion. This procedure was done at the same time and the surgeon wants to use 28120 (Partial excision [craterization, saucerization, sequestrectomy, or diaphysectomy] bone [eg, osteomyelitis or bossing]; talus or calcaneus): Diagnosis: Left calcaneal ununited anterior process fracture An approximately 3 cm incision in the anterior process of the calcaneus with bony prominence was then made. The EDB was separated around this bony fragment. The bony prominence was then removed with a combination of a rongeur and a key elevator through the fibrous union plane. After this had been removed, the surface of the bone was smoothed with a rongeur as there was a slight bony edge. This was flat after this. It was irrigated with antibiotics irrigation. How do we report these? Ohio Subscriber Answer:
Orthopedic Coding Alert
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Arrange Follow-Up with Original Surgeon
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Turn to Unlisted Code for Contracture Procedure in Toe
Question: Our surgeon documented the following:Diagnosis: 2nd Metatarsophalangeal stiffnessThe patient was taken to the operating [...] - Reader Question:
Select Code for Tenolysis of Biceps Done in Scope Surgery
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29826 is no longer a standalone code
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