Results 1 to 5 of 5

Instep exostosis

  1. #1
    Exclamation Instep exostosis
    Medical Coding Books
    Can anyone help with a cpt code for instep exostectomy of the foot?
    NoRaX

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default More info
    need more info

  3. #3
    Default
    Quote Originally Posted by NELENAZ View Post
    Can anyone help with a cpt code for instep exostectomy of the foot?


    The scenario is a follows:

    Attention was first directed to the left instep. Using a #15 blade, we made about a 3 to 3.25 cm incision, encompassing this bony exostosis. We went down with a fresh #15 blade, all superficial vessels were cauterized as necessary. We went down to the capsule, incised the capsule, and worked our way a little more laterally. We kept our incision away from the extensor hallucis longus tendon, though needed to go near that structure to access the instep, exostosis. But to decrease scarring to allow for better motion, we made our incision just about 1 cm medially, working our dissection to the area. We went down, used a curved osteotome, about 8 mm and 10 mm, and remodeled the area meticulously. I used a power rasp, and flushed and suctioned copiously with sterile saline. I inspected for bleeders, and there were none. We closed the deep structures with 3-0 Vicryl in simple interrupted undyed, and the subcuticular in 4-0 Vicryl undyed, and the skin in 4-0 Prolene in simple interrupted fashion.
    NoRaX

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    since the instep is the arched area between the toes and ankle, I would think that he was removing the exostosis from a metatarsal bone (28104) but based on the documentation, I think I would query the physician for additional info.

    Hope this helps

  5. #5
    Talking
    Thank you. I have feedback from another coder that agrees with you.
    NoRaX

Similar Threads

  1. subungual exostosis
    By mellowyellow in forum Podiatry
    Replies: 0
    Last Post: 08-12-2015, 05:24 PM
  2. Exostosis of foot
    By coders_rock! in forum Orthopaedics
    Replies: 0
    Last Post: 11-13-2012, 01:29 PM
  3. Exostosis removal
    By coders_rock! in forum Orthopaedics
    Replies: 4
    Last Post: 12-07-2011, 07:52 AM
  4. Exostosis
    By coder067 in forum Podiatry
    Replies: 0
    Last Post: 06-24-2011, 01:02 PM
  5. Exostosis help!!!
    By KristieStokesCPC in forum Outpatient Facilities
    Replies: 2
    Last Post: 05-16-2011, 10:44 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.