Hvanhyning
New
Procedure (per the OP note)
1. Right foot resection of prominent peroneal tubercle, calcaneus (CPT 28120)
2. Right Peroneal longus tendon debridement, removal of low lying muscle belly, distal to tip of the fibula (CPT 28200)
3. Right foot debridement of peroneal brevis tendon (CPT 28200)
The surgeon removes the peroneal tubercle with a rongeur and smooths with a rasp to remove any rough edges. He incises the tendon sheath, and there is significant thickening of the sheath. He then appears to extensively debride the peroneus longus and brevis tendons for moderate tendinosis, moderate synovitis, scar tissue, no tearing to either tendon. Some thickening of the peroneal tendon sheath was excised. All unhealthy portions of tendon sharply debrided with a 15-blade.
CPT 28200 is for repair of tendon. I am not seeing repair here. I'm thinking CPT 28086 (Synovectomy, tendon sheath, foot, flexor) instead. Any other advice/suggestions?
Thank you!
1. Right foot resection of prominent peroneal tubercle, calcaneus (CPT 28120)
2. Right Peroneal longus tendon debridement, removal of low lying muscle belly, distal to tip of the fibula (CPT 28200)
3. Right foot debridement of peroneal brevis tendon (CPT 28200)
The surgeon removes the peroneal tubercle with a rongeur and smooths with a rasp to remove any rough edges. He incises the tendon sheath, and there is significant thickening of the sheath. He then appears to extensively debride the peroneus longus and brevis tendons for moderate tendinosis, moderate synovitis, scar tissue, no tearing to either tendon. Some thickening of the peroneal tendon sheath was excised. All unhealthy portions of tendon sharply debrided with a 15-blade.
CPT 28200 is for repair of tendon. I am not seeing repair here. I'm thinking CPT 28086 (Synovectomy, tendon sheath, foot, flexor) instead. Any other advice/suggestions?
Thank you!