• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Coding evacuation of Sinus Tarsi

Create Wiki
S

Susan Edwards

New
Messages
2
Location
Copperas Cove, TX
Best answers
0
Our podiatrist has performed an open procedure with the following description:
3 cm incision to clear out the inflammatory tissue called Hoke's tonsil. The Hoke's Tonsil refers collectively to the contents (ligaments, fat, small vessels) of the sinus tarsi which is located between the talus and the calcaneus. We coded CPT 27610 with diagnosis 726.90 and our carrier denied the claim as the CPT did not match the DX. Can anyone help us code this procedure?
Susan Edwards
 
I would have coded the procedure as 28020, "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint." The procedure billed to the insurance, 27610 ,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body." The physician is referring to the anatomy of the foot.
 
You must log in or register to reply here.
Top