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Exostectomy cuneiforms and cuboid CPT

  1. Default Exostectomy cuneiforms and cuboid CPT
    Medical Coding Books
    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.

  2. #2
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    Quote Originally Posted by Jeffs1977 View Post
    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

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