Wiki Exostectomy cuneiforms and cuboid CPT

[Jeffs1977]

Per my surgeons Op Note, he did the following surgery:

1. Cheilectomy left first MTP Joint
2. Exostectomy left third and fourth cuboid and lateral cuneiforms and cuboid bone
3. Placement of postoperative ankle block

I know the Cheilectomy is CPT 28289, however I have no clue on #2 and #3. Any insight is appreciated.

 

[PLAIDMAN]

Per my surgeons Op Note, he did the following surgery:

1. Cheilectomy left first MTP Joint
2. Exostectomy left third and fourth cuboid and lateral cuneiforms and cuboid bone
3. Placement of postoperative ankle block

I know the Cheilectomy is CPT 28289, however I have no clue on #2 and #3. Any insight is appreciated.

I would use 28122 for exostectomy each bone..........and post op block is included.

I know there has been debate on this......some people use excision of bone cyst