Wiki Bone biopsy proximal phalanx toe

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seslinger

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A doctor did a "bone biopsy of the proximal portion of the lateral aspect of the phalanx" and the office is using 20225 but would 20220 be better to use?

thank you for any imput:)
 
seslinger said:
A doctor did a "bone biopsy of the proximal portion of the lateral aspect of the phalanx" and the office is using 20225 but would 20220 be better to use?

thank you for any imput:)
Click to expand...


I'm thinking neither..of course I dont have the documentation either.

Please look at 26110 to see if it meets your needs :)

Mary, CPC,COSC
 
It was of the toe said possible tophi - path came back "synovial & fibroadipose tissue with slight chronic inflammation, osteomyelitis cannot be excluded."
 
seslinger said:
It was of the toe said possible tophi - path came back "synovial & fibroadipose tissue with slight chronic inflammation, osteomyelitis cannot be excluded."
Click to expand...

sorry..I should no better than to assume body parts by now!!

Can you tell me how he did the bone biopsy--what was the technique used, etc? Can you post the note?
 
It doesnot say exactly the technique it states "The head was reshaped once again with the bur and the bone biopsy was performed with a rongeur on the proximal portion of the lateral aspect of the phalanx. This was sent for gross examination. During dissection down into the capsule there continued to be a white cottage cheese likely flaky substance that appeared around the tissue. These flakes were tried to be removed from the area. They were very small, was unable to tell what they looked like. It almost looks like a gouty tophi."
 
That also kind of makes sense Mary.......

When I was reading the description procedure, I did think that it sounded like more than a biopsy.
 
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