But if you have issues with wound healing due to vascular insufficiency or neuropathy, your healthcare provider might advise that you take special care of your foot so that open wounds on your footwhich can lead to an infectionare fully healed before your surgery. al. Return to intensive sportsor demanding physical situations is usually possible by six months. Local nerve irritation:Irritation to the nerves supplying the big toe can occur as a result of this procedure. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Arthroscopic knee surgery. 0000035417 00000 n However, if only one or two screws are removed and it is not an extensive procedure, use the applicable 20670 or 20680 code. A cheilectomy is intended to be a one-time operation for the relief of pain and stiffness caused by hallux rigidus. I found 28118, but seems this applies only to the calcaneus :-(. CPT 28122 Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus . 1. Neal Blitz, DPM, FACFAS, is a board-certified doctor of podiatric medicine and creator of the Bunionplasty procedure. Code 28120,Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis . You will have your foot operation in an operating room or surgical suite. 2023 Dotdash Media, Inc. All rights reserved. Your anesthetic medication should wear off within a few hours. 0000013399 00000 n The incision is typically about 5-7 cm long, and sutures or surgical clips are used to close the incision. Thereafter, you can walk using special shoes recommended by your healthcare provider. 0000014904 00000 n The code includes the management of both fractured locations of the same metatarsal. When these measures are not effective, you might discuss surgery for big toe bone spurs with your healthcare provider. This is usually 2-4 weeks after surgery, possibly longer in some individuals. Refer to the CPT book for code descriptions. Losing weight reduces pressure on the bones in your feet and relieves pain associated with a bone spur. POSTOPERATIVE DIAGNOSIS: Right foot first tarsometatarsal bone spur. NPI Look-Up Tool (National Provider Identifier), Excision of part of metatarsal bone (procedure), Partial ostectomy of tarsals and metatarsals, Operative procedure on bone of lower extremity. Generally, over-the-counter pain relievers like Tylenol (acetaminophen) or Advil (ibuprofen) should provide relief. 0000009114 00000 n Depending on the payer may need to place codes on separate lines . Dorsal boss of the foot also known as "tarsal boss," "dorsal exostosis," and "humped bone" is a bone spur that grows from one of the intertarsal or tarsometatarsal joints. hbbd```b``dXd>dR Slf0; DV^"l82l;FDrE!G88}6 You are using an out of date browser. Acceptable CPT codes for Orthopaedic Sports Medicine Subspecialty Case List GENERAL 20520 Removal of foreign body in muscle or tendon sheath; simple 20525 Removal of foreign body in muscle or tendon sheath; deep or complicated 20920 Fascia lata graft; by stripper 20922 Fascia lata graft; by incision and area exposure, complex or sheet 0000024487 00000 n The following are 10 coding tips which may prove helpful. hWmo6+hNJ@ah*Y:#I(u;wH[V3!$,KcRZH 3Sx;qBL:(R`4^bL4 Y((P +M%B.B %"R)-S@9@d'O% ' c,,{UbM_u l9XUVh23w]TW3>QhkF?B4ge~Z77oGOuIh?*zt]!9|eZJ(7sqV~i(uFki8La*U}/rY`MJ&/_mMc5E7>n!r> ww>T2%r cq>J%Ey}]VU[evMhV5J6=/h|(VnR4G/ The 2023 edition of ICD-10-CM M25.775 became effective on October 1, 2022. San Francisco CA 94123. It is done under local anesthesia as either an open surgery or as a minimally invasive procedure with a smaller incision. 6 0 obj 0000007407 00000 n tarsal and metatarsal bone) for removal of. You will need to wear a surgical shoe that is recommended by your healthcare provider, typically for several weeks after your procedure. If you are having a minimally invasive procedure, your surgeon will use tiny tools that are inserted through the small incision to cut the bone. endstream endobj 730 0 obj <>stream A cheilectomy is done to improve severe pain and/or stiffness in your big toe that's associated with bone spurs. 0000002855 00000 n Does a bone spur on the top of the first metatarsal always indicate arthiritis? Then your skin will be closed with sutures and the area will be cleaned and covered with bandages. I think you are right; it does seem more accurate than my choice! Posted on February 27, 2023 by laguardia airport food terminal c She has a specialized certification in health-care and is published in the medical academic arena. I think the code should be 28122 but i'm getting another opinion that it should be coded 28104 that it is a bone cyst. Bring a form of identification, your health insurance card, and a form of payment if you are paying for your procedure or if you are paying a co-pay. 33\ 8Xe97F2(v%"hjx^rE?Jg/!ghkgs+;R|gw3# :Z"(0E83ACg^0(w {T@RBhi`T The Current Procedural Terminology (CPT) code for removal of a bone spur will depend on the location of the spur and whether it is done as a single procedure or in conjunction with another procedure. ; 2008. It does seem weird. 28740-RT. %%EOF 0000002468 00000 n Wilson received her Bachelor of Science from the Indiana University School of Medicine. No metatarsal head resections were performed phalangeal head resections were . Learn how to get the most out of your subscription. Coding additional codes or breaking procedures into separate codes when it could be covered under one code is often considered an unethical practice, because it is viewed as trying to obtain more money for a procedure. Podiatrist said metatarsal bone dropped. The decision may hinge on a number of factors, including anticipated recovery time and even the surgeon's preference. No charge. 0000006560 00000 n They develop over time in patients with arthritis or joint damage. endstream endobj 731 0 obj <>]/Filter[/DCTDecode]/Height 133/Length 31008/Subtype/Image/Type/XObject/Width 916>>stream For bone removal, try ostectomy. 0000012264 00000 n Perhaps even an xray. For example, the CPT code for bunionectomy on the toe (code "28108: Excision or curettage of bone cyst or benign tumor, phalanges of the foot") includes the procedure of a simple bone spur removal. You must log in or register to reply here. The diagnosis code for the exostosis would be ICD-9 726.91 (exostosis of unspecified site; bone spur NOS). |_}}P\Hv *n$lx1(C78gP]1*usjv4_f4bIjR(OLlZ;^=^ZAc#"+%>+S?*:]jq[hb*le\2lS2g\M!~'iNWZG(S+$Im"to }[KN%8 hIO6f8frT?4Owj)mZp.LDy&{9Wf`}]YW?B(v6}OoAb&zp,~PLZoVeUeM.%6~*{}!s/ ]HdmH.$#-B1G+GvJ| M25.775 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. %PDF-1.3 Be sure to keep an eye out for signs of impaired healing or infection such as redness, increased swelling, warmth, or oozing blood or pus. 0000005652 00000 n Other than the depth one would excise bone, which code is the correct code when the surgeon is simply using a burr and ronguer to reduce an exostosis? CPT code 29879 includes resection of osteophytes when performed in the same compartment. You might not be able to drive home after having surgery on your foot, so you should arrange for someone to take you home. 0000019149 00000 n The procedure is performed by making an incision centered over the top of the 1st MTP joint. 0000008147 00000 n JBJS Essent Surg Tech. If you look at the Leg and Ankle Joint section of CPT there is . &JQ%hAQx4HA e=;f h7[mSv47zx{9z}U/wz/XmM=5ffK> =s}TOn6mz2)94}n4Y5KTZfcV(-- /+ The incision for cheilectomy might be on the top of the big toe joint, though an incision on the side of the joint may be used in some cases. PROCEDURES: 1. endobj Thank you for choosing Find-A-Code, please Sign In to remove ads. when can i start skateboarding again? Enjoy a guided tour of FindACode's many features and tools. These are more likely if your foot is not kept clean during your recovery or if you have severe chronic disease, like uncontrolled diabetes. If there is a spur on the bottom of the foot and a plantar fascial release is performed, then code 28119,Ostectomy, calcaneus; for spur, with or without plantar fascial release, would be reported instead of/in addition to 28118. The operative note usually indicates that the . Most mildly displaced to nondisplaced traumatic or stress fractures of the metatarsals heal well without the need for surgery. You can wear comfortable clothes and shoes to your appointment. 3 Foot Ankle Int. 0000008490 00000 n Typically, the top third of the first MTP joint has arthritic changes. @~H\'N l%dkL--;dwC/^{9za^X/S=L}p/{0[3 269 Chestnut St. #271 Osteophyte, right foot. For example: Even if none of this applies to you, you may need to delay your surgery if you have an active foot infection or a foot wound. . Most patients report relief in their old footwear given that the uncomfortable bump has been removed. 0000006089 00000 n Neal Blitz, DPM, FACFAS, is a board-certified doctor of podiatric medicine and creator of the Bunionplasty procedure. The procedure is done to remove bony projections that result from hallux rigidus, a condition that can develop due to repetitive foot injuries and arthritis of the big toe joint. 32 years experience. For example, a pump bump is a common heel spur often caused by rubbing on the heel in women who wear high-heeled shoes. H Driving must not be attempted while impaired so pain and stiffness should be resolved before returning to safe operation of a motor vehicle. I see coders using both CPT 28104 (excision or. previous x-rays show no arthiritis. The difference can be identified with a physical examination of your foot and an X-ray. what should i do now? Is there anything i can do to strengthen my metatarsal bone after surgery?>. . Generally, the bone spurs are located on the top of the joint, but those on the sides of the joint can be removed during cheilectomy surgery as well. add metatarsal raise on insole. 0000004963 00000 n Big toe bone spur surgery is generally safe and uncomplicated. A healthy lifestyle can delay symptoms like pain, stiffness and limited motion. 784 0 obj <>stream The swelling should decrease rather than increase throughout this time. This creates extra blood flow and allows a chance for a scar-like tissue or cartilage to form. It might take a few days for you to adapt to your improved toe and foot mobility. Your procedure should take approximately one hour. Other than the depth one would excise bone, which code is the correct code when the surgeon. The 2023 edition of ICD-10-CM M25.774 became effective on October 1, 2022. If your pain is severe, or swelling worsens, talk to your healthcare provider to make sure that you aren't experiencing a complication. Surgical procedure 387713003. You may also have a pulse oximeter or another monitor placed on your finger to monitor your heart rate and oxygen level. Map-A-Code crosswalk tool easily crosswalks multiple codes between the code sets. Stiff big toe (hallux rigidus). 0000001156 00000 n The proper CPT code for removal of the dorsal exostosis of the 1st metatarsal-cuneiform joint would be CPT 28122. You might also need to put on a gown. Adam H. Kaplan, DPM, is a podiatrist who has been in private practice for over 5 years in New Jersey and specializes in a wide scope of foot care. x8;2(3 $$e`.B%zT4o9ieMtlg!7pb!E^7; ^b/3J?-kVq8B/0EI9Co-CwhZ }ZEh\ v1-^(y%2GH,[tb7]^WGQVN#t&ufn7=M$4E]"g.F' P March 20, 2022 In j crew t-shirts factory By. Ostectomy CPT Codes. 1 year ago. Cpt Code: 28288 - Removal Of Foot Bone Spur - Medpricemonkey. Change dressings as directed by your medical team. The cheilectomy recovery period involves resting the foot that was operated on, limiting certain other activities, taking good care of your incision(s), and minimizing pain and swelling. Residual pain and swellingcan be expected to limit some activities or even work for about three months post-operatively. Pages 198-199 of the 2021 CPT Professional Book describe CPT 28297 as includ-ing removal of the medial eminence of the first metatarsal head and ar- Range of motion exercises and occasionally physical therapy are started once the wound has healed. Common predisposing factors associated with bone spurs of the big toe and hallux rigidus include: Hallux rigidus, a consequence of arthritis of the big toe, is often preceded by hallux limitus, a milder form of big toe arthritis in which the joint is somewhat stiff, but not as painful or rigid as with hallux rigidus. You should not run or lift heavy objects that would put extra weight on your foot until it has fully healed and you get approval from your healthcare provider. 0000016314 00000 n Read the code descriptions carefully for these inclusions. If you look at code 27635 the description is "Excision or curettage of of bone cyst or benign tumor, tibia or fibula." H|T]o6}0QD(;]aZ>V\JtQy9amv7oah-|Cfn{7|6"EPZc{[zvv='6|1W4#7m'8JacPWU\ )@\a1 y?RzdBUY:@=_PX3+K8t(v/{EJ,+#!_B|r)sUaexs 7.T 0000037517 00000 n [ D4 The cheilectomy procedure is not indicated in patients with extensive arthritis involving the entire joint (i.e. You report code 28122 (Partial excision [craterization, saucerization, sequestrectomy, or diaphysectomy] bone [e.g., osteomyelitis or bossing]; tarsal or metatarsal bone, except talus or calcaneus) for this procedure. Excision of part of metatarsal bone 449062002. Wilson has extensive experience in education, marketing and sales. You can expect your toe to remain swollen for about six to eight weeks after surgery. 0000001978 00000 n Instructions for bandage and wound care are given. %PDF-1.4 % It is defined as Cutting out or off, without replacement, a portion of a body part. This procedure is effective only for patients who have arthritis involving the top part (dorsal aspect) of the great toe joint (first MTP joint). This helps to relieve pain and create space for the toe joint to move. 0000037206 00000 n SNOMED CT Concept 138875005. endstream endobj startxref Follow post op instructions. You might have your blood pressure and temperature checked. w !1AQaq"2B #3Rbr (Originally edited byDaniel Cuttica, DO), FootEducation LLC 28465 Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, . However, it's important that you start moving your toe soon after surgery to prevent scar tissue from making the toe stiff again. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? If you look at the Leg and Ankle Joint section of CPT there is a note that tells you "for exotosis excision use 27635". Spurs: Its possible to get "spurs" or osteophytes in multiple locations. When you go to your surgery appointment, you will be asked to sign a consent form and present your identification and health insurance information and/or payment. Open reduction internal fixation. Procedure by method 128927009. Follow the same type of thought process for bone spurs in other parts of the body. The CPT code for removal of the 5th metatarsal head at its anatomical neck in the left foot is 28290. emmiWhat does 1) Fifth left toe metatarsal head amputation means? 9}[`YKD2ebS)+sSFH*K-JU7G=#gD`d?3A%X^|Ox9MqQI~6>W}!w.c88~Od6'4hSh0ysbCDp5I{ ;*DUR4I8GN-&NypjgQw This surgery isn't right for everyone. Patients can experience relief for up to 10 years following the surgery. If you continue to participate in athletic activities, talk to your healthcare provider about how to select footwear that might help protect you from further injuries. I usually look for similar examples in the CPT book. The most common reasons for overnight hospital stays are related to management of other medical conditions such as diabetes, high blood pressure or asthma. )el[J8Pt1!k`e&R.HR8]Q GP$PB.ZTPg$VPlB d` HK,X 4fL%*KcbcK .Ll@>m1FJ'dhjXu/sfc`Pb! L" If you cannot locate the codes you need in the coding book index, try a synonym. The procedure involves an incision in the skin and removal of excess bone with the aid of orthopedic tools that cut away the bone spurs. Forward and backward mapping allows for easy transition between code sets. 28103 Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft 28110 Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) 28112 Ostectomy, complete excision; other metatarsal head (second, third or fourth) 28113 Ostectomy, complete excision; fifth metatarsal head 25151 - CPT Code in category: Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. JavaScript is disabled. Podiatry Management 400 Cranberry Ln, West Chester, PA 19380, Copyright 2023, Podiatry Management Online - All Rights Reserved. 0000028503 00000 n i have full range of motion. This is an outpatient procedure, and you should expect to go home on the same day as your cheilectomy. Bone spurs generally develop on top of the big toe joint and sometimes on the sides. Your surgeon may place surgical bone wax on raw bone surfaces to thwart bone spurs from reforming. 2 On where the fracture is, how extensive it is, and how it is treated. See our privacy policy. curettage of bone cyst or benign tumor, tarsal. Shoe styles you once wore may need changing if they are too narrow. Sutures are removed as soon as the incision heals, usually about 2 weeks after surgery. Osteophyte, left foot. This outpatient foot surgery is performed by an orthopedic surgeon or a podiatrist. H\N0y Get timely coding industry updates, webinar notices, product discounts and special offers. Modifier -51 needs to . Generally, with a minimally invasive procedure, you should expect a smaller scar and faster recovery. 0000010596 00000 n Foot Ankle Surg. The Excision root operation is identified by the character code B in the 3 rd position of the procedure code. Stevens R, Bursnall M, Chadwick C, et al. 0000014513 00000 n Rules-based maps relating CPT codes to and fromSNOMEDCT clinical concepts. Doctors typically provide answers within 24 hours. A cheilectomy involves removal of bone spurs that involve the top part of the big toe joint (1st MTP joint). Treatment of advanced stages of hallux rigidus with cheilectomy and proximal phalangeal osteotomy: Surgical technique. For a better experience, please enable JavaScript in your browser before proceeding. Look under the podiatry thread for 04/19/12 "exostosis confusion" Jamie queried the AMA and they responded that 'an exostosis is a benign tumor'.. so it would be 28104. @=O\[Y^J]Z?xB{ (@>7D |M'0j3\q6`]kb8IKNS ED#k !mht2" 9Q If this is your first visit, be sure to check out the. In all age groups, the bone spur removal is designed to improve mobility of the joint. There was noted to be a large bony spur at the level of the 1st metatarsal. 0000009864 00000 n Verywell Health's content is for informational and educational purposes only. This is done to allow increased motion through the big toe MTP joint, to decrease shoe wear irritation from the prominence (bump), and to eliminate some early arthritis on the upper surface of the joint. Bone spur on metatarsal, treated with cortisone, now foot is swollen ankle to toes, painful to stand or walk. Lee JY, Tay KS, Rikhraj IS. CPT 28122 Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus . 0000011421 00000 n It is sometimes referred to as hyperostosis.. dial eminence of the first metatarsal head, the single appropriate code is CPT 28740. Includes: Partial nephrectomy, liver biopsy. Jacqueline Wilson has more than 13 years of writing and editing experience both in print and online. For instance, advanced hallux rigidus may require treatment with a combination of osteotomy (cutting and reshaping the bone) and cheilectomy. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz These bone spurs can develop due to damage, inflammation, or wear and tear of the joint. In addition, something called micro-fracture may be performed. A. in the fifth metatarsal area would be rare but possible. XCG#7-y~!_ihU2Df$/ ,d{+YF60=Kx,Yk39A t8Bp`p`p`p`A?~#Gg?xyyyyyyyy2STd*3LE2S|v++ge'N(:Qvo7o7o_t!Bi\cL[s~{cFV` 4 If this is your first visit, be sure to check out the. WebThe CPT Code 28288 is the code used for Surgery / musculoskeletal system. For these, please consult a doctor (virtually or in person). Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. cpt code for medial cuneiform osteotomy. endstream endobj 729 0 obj <>stream 0000004767 00000 n You will then have local anesthesia injected into your skin with a needle. or metatarsal) and CPT 28122 (partial excision. hb```e``r2l,=K"`T9tf'N`+z$ J% 9444,--db`^/?0v``|OL Ef-e. You must log in or register to reply here. After you sign in, you will go to a pre-op area, where you will be asked to take off your shoes and socks. It may be approximately 5 centimeters (cm) in length if you've had an open procedure, and about 1 cm in length if you've had a minimally invasive procedure. Using double action rongeurs, the spur itself was removed and sequestrectomy was performed. Cortisone injected into a, can result in this reaction. A simple exercise of gently moving the great toe up and down is important to prevent stiffness. You should have resolution of any post-operative foot pain within a few days. At that point, you should not have any limitations. Excision or curettage of bone cyst or benign tumor of metacarpal (26200) Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) (26205) Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger (26210) Cheilectomy is the clinical name for big toe bone spur surgery. A tailor's bunion is also called a bunionette; it is an enlargement of the 5th metatarsal bone at the base of the little toe. In some patients, a partially numb area of the big toe results from the surgery. This bone spur and arthritic area is removed in order to allow increased motion and improvement in symptoms. This procedure is known as a Cheilectomy. Bone spurs. A: You would be correct in reporting CPT code 28485 just once. You should be able to walk on the day of surgery. Is it possible to have a bone spur on the fifth metatarasal bone of the feet? For potential or actual medical emergencies, immediately call 911 or your local emergency service. ICD-10-PCS code structure. May need 59 modifier . Normal walking helps to promote the upward motion, although some patients subconsciously walk temporarily on the outside border of the foot to decrease pressure on the big toe. Your healthcare provider might tell you to stop or adjust some of your medications, like blood thinners or anti-inflammatories, for a few days prior to your surgery. Often, before considering cheilectomy, the pain and inflammation of hallux limitus or hallux rigidus are managed by taking over-the-counter pain medications, applying heat alternating with ice, wearing orthotic shoes, and/or getting corticosteroid injections. CCI . Bones spurs can develop on the top surface of the big toe joint due to arthritis of the big toe, also known as hallux rigidus. Partial ostectomy 85104009. These bone spurs occur as a result of early arthritis of the joint and can cause pain and limited motion of the big toe. 0 Xw 0000014117 00000 n Arthritis symptoms usually resolve about one month after surgery. the appendix with the official CPT code description. She also teaches college courses on a variety of topics. This procedure is indicated in those with painful, limited motion of the big toe that does not respond to non-surgical treatment. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. American Academy of Orthopaedic Surgeons. 28110Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure). 0000003319 00000 n CPT terminology uses synonyms for removal, such as excision and repair. The most common cause of a dropped metatarsal is a contracted ( hammered) toe. 28111Ostectomy, complete excision; first metatarsal head. [Codingline-L] Expert Panelists: Craig M. Gastwirth, DPM; Harry Goldsmith, DPM. This procedure is usually performed to treat issues such as a fractured bone, bone spur, or severe arthritis. Coding professionals should review the patient health record to determine correct CPT coding assignment. f/Z. This helps to relieve pain and create space for the toe joint to move. This growth can cause pain and may limit movement of your big toe, interfering with the way you walk. 2zfO>=|ztPL+;94Q=MC? 0000015680 00000 n In some patients, pain control can be an issue that is best handled prior to going home. Bone spurs: Management and treatment. For a procedure such as a bone spur removal, start with the operative report to gain a better understanding of the treatment provided to the patient. These claims are denied, and reimbursement is not made for the procedure. 0000005074 00000 n "Mosby's Medical, Nursing & Allied Health Dictionary, Sixth Edition;" Douglas Anderson, Chief Lexicographer; 2002. If your bone spurs cause pain, your doctor might recommend over-the-counter pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others). 28298 - Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method (CPT code - 28298 reports a bunion correction that includes a proximal phalanx osteotomy where bone is removed at the base of the big toe. endstream endobj 727 0 obj <>/ExtGState<>/Shading<>>>/TilingType 3/Type/Pattern/XStep 853.814/YStep 853.814>>stream Cleveland Clinic. If not, ask about how best to wash yourself while you are healing.). Preparing for your appointment. 0000003687 00000 n Many surgeons will offer an option of local anesthesia for the procedure. The procedure involves an incision in the skin and removal of excess bone with the aid of orthopedic tools that cut away the bone spurs. (If your dressing is water-resistant, bathing will not be a concern. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. However, it is estimated that after cheilectomy, hallux rigidus recurs approximately 30% of the time. CPT 28122 x __ units . Q: Our foot and ankle surgeons perform surgical procedures for osteochondritis dissecans of the talus in which they excise and drill the defect. 0000012989 00000 n The goal of the procedure is to relieve pain and improve range of motion in the big toe. [/PDF /Text /ImageB /ImageC /ImageI] 723 0 obj <> endobj RT/LT modifiers may be appropriate The codes are presented in numeric order, and each code is followed by an easy-to-understand lay description of the procedure. This is the American ICD-10-CM version of M25.775 - other international versions of ICD-10 M25.775 may differ. 2 For example, the CPT code for bunionectomy on the toe (code 28108: Excision or curettage of bone cyst or benign tumor, phalanges of the foot) includes the procedure of a simple bone spur removal.

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