Results 1 to 2 of 2

Ostectomy, partial saucerization

  1. #1
    Default Ostectomy, partial saucerization
    New Call-to-action
    I posted this on the ASC thread, also, being that I code for the facility. Any thoughts from a foot expert would be greatly appreciated!

    Procedure: Ostectomy, partial with saucerization at the 2nd, 3rd metatarsocuneiform joint and the fourth metatarsocuboid joint, left foot, and excision of hypertrophic nodular synovium from Lisfranc joint

    Description: A 3-cm lazy S-shaped incision was made beginning proximal to the lateral aspect of the talonavicular joint extending distally to the proximal one-third of the second metatarsal. This was done on the dorsum of the foot. The incision was deepened using blunt dissection and all vital structures were retracted. A dorsal linear incision was made into the Lisfranc joint at the level of the second and third metatarsocuneiform joints. Using sharp dissection and a periosteal elevator, the periosteal tissues and capsular structures were dissected to expose the base of the second metatarsal, third metatarsal, and fourth metatarsals and the associated cuneiforms and cuboid area. A transverse incision was made into the Lisfranc joint in these areas. Immediately, a large nodular violaceous soft tissue mass was identified to be lying within the second and third metatarsocuneiform joints. This was excised in toto and was consistent with a hypertrophic nodular synovitis. The hypertrophic bone was exposed and using an osteotome and mallet, this hypertrophic bone/exostosis was excised in toto on the base of the second, third, and fourth metatarsals and the distal end of the cuboid and second and third cuneiform bones at the joint level. Once this was removed, an osteotome and mallet were used to creat a saucerization of the joint surface in order to prevent any bony regrowth in this area.

    I was going with 28122 x3, but was told that in 2010 exostosis coding changed to those in the bone cyst range, but he does perform the saucerization. Any thoughts? Thank You VERY much.

  2. Default
    I'm no foot expert, but I have podiatrists in our hospital and I stayed in a Holiday Inn Express. I don't know of anything about bone spurs being in with bone cysts, but I looked in my cross coder and 28122 seems to work with the exostosis ICD-9 (726.91).

    Hope that helps!
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

Similar Threads

  1. Ostectomy 28112
    By aschaeve in forum Podiatry
    Replies: 1
    Last Post: 12-02-2014, 01:51 PM
  2. Replies: 1
    Last Post: 10-10-2014, 05:50 AM
  3. Replies: 0
    Last Post: 10-09-2014, 11:31 AM
  4. saucerization biopsy help
    By TLC in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-24-2014, 01:41 PM
  5. Ostectomy, partial saucerization
    By bethh05 in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-22-2010, 10:15 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.