AAPC - Back to school
Results 1 to 2 of 2

Thread: Bunionectomy & excision of bone spur

  1. #1

    Question Bunionectomy & excision of bone spur

    AAPC: Back to School
    I need help; surgeon does a Youngswick bunionectomy with internal screw fixation/left foot & excision of bone spur/left hallux: The op note is pretty lengthy if needed please let me know. I was looking at 28296 for the bunionectomy & confused on the excision of the bone spur looking at 28108 but have questions and need help/direction.

    I see that 28108 is bundled in 28296 but checked the CCI edits & it is allowed with a modifier. Can I code both CPTS if the bunion is from the 1st mtp joint & the bone spur excised from the proximal phalanx of the left hallux, seperate site/seperate incisions? Does this not meet the criteria for modifier 59? I checked out a bulletin from the AAOS August 2002 which states under 28296 "removal of additional exostoses in the area of the joint is inclusive." I'm so confused.

    Any help/direction would be appreciated. Thank you in advance for your help.

    Jody Hecht

  2. #2
    Join Date
    Apr 2007
    Wichita, KS


    All bunionectomies includes sesamoidectomy and/or simple exostectomy as part of the procedure. I would only code the exostectomy only if the operative proves that the exostectomy was more invovled than a simple exostectomy. I would only use 28108 only if the doctor documented a bone cyst not a bone spur.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

Similar Threads

  1. bone spur excision
    By kc-george in forum Orthopaedics
    Replies: 4
    Last Post: 02-23-2012, 01:14 PM
  2. excision olecranon bone spur
    By scooter1 in forum Orthopaedics
    Replies: 1
    Last Post: 05-16-2011, 01:09 PM
  3. Ossicle/bone spur excision
    By Valerie813 in forum Orthopaedics
    Replies: 2
    Last Post: 10-01-2010, 08:23 AM
  4. Excision bone spur and bursectomy, elbow
    By debwoods65 in forum Orthopaedics
    Replies: 1
    Last Post: 07-12-2010, 05:46 AM
  5. Bone Spur Excision.
    By nikkisgranny in forum Orthopaedics
    Replies: 0
    Last Post: 08-17-2009, 08:35 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?


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.