Sep 16, 2008 · After you have narrowed your selection according to ulcer location, you must determine whether the operative note describes ostectomy at the excision site. Surgeons will perform ostectomy (removal of underlying bony structure) when the bone under the ulcer also becomes infected, says Stacey Radick, RHIT, CCS, of Opticode.

Nov 9, 2007 · To report the excision, you should use 15946 (Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure). Per CPT instructions, you may report the muscle flap closure separately using 15734 ( Muscle, myocutaneous, or fasciocutaneous flap; trunk ).

Jan 1, 2013 · There is no mention of ostectomy. Tip: If the ulcer location is not specified by codes 15920-15958 (i.e., any location other than coccygeal, sacral, ischial, or trochanteric), turn to 15999 Unlisted procedure, excision pressure ulcer. Provider documentation must still specify ulcer location, whether ostectomy occurred, and closure method.

Oct 14, 2012 · Identify the Intent of Ostectomy. Your surgeon may do an ostectomy for reasons more than one. "Actually, you are treating the ulcer by relieving the part of the bone that is causing the ulcer and trying to prevent recurrence," says Bill Mallon, MD, former medical director, Triangle Orthopedic Associates, Durham, N.C. The ostectomy may be done ...

Mar 1, 2003 · Answer: For this procedure, you should report 28116 (Ostectomy, excision of tarsal coalition). The National Correct Coding Initiative (NCCI) includes tumor excision (28043-28045), arthrotomy (28050), and synovectomy (28070) in 28116, so you should not report any of these codes separately if your orthopedist performs them in the course of the ...

Oct 9, 2014 · Preoperative Diagnosis: 1. Osteomyelitis, right foot 2. Chronic ulcer of right foot. 3. Foreign body, deep in right foot, sewing needle or straight pin Procedures Performed: 1. Complete ostectomy of the right great metatarsal head 2. Partial ostectomy of …

Jun 2, 2020 · I can't find a code for this. I found ostectomy, fifth metatarsal head. Dr. gave me 28120. Would 28122 be correct? A calcaneal osteotomy (28300) was done also. Description: ...The posterior calcaneus was mobilized iwth an osteotome and subsequently the osteotomy was translated laterally and the...

Nov 3, 2021 · Ostectomy: An ostectomy is defined as surgical removal of all or part of a bone. Code 20551: If your provider gives the patient a corticosteroid injection in his foot that includes both the plantar fascia and the area around the heel spur to reduce inflammation, you should report 20551 ( Injection(s); single tendon origin/insertion ) for the ...

Mar 1, 2001 · If no ostectomy is performed, codes 15940 (excision, ischial pressure ulcer, with primary suture) and 15944 (excision, ischial pressure ulcer, with flap closure), respectively, should be used. Note: Pressure sores excised from other areas (such as the heel) must be coded using unlisted code 15999, regardless of how the wound was closed and ...

fifth metatarsal ostectomy at the base Code 28120 is for removal of bone from the talus or calcaneus so this would not be the proper code for removal of bone from the 5th MT. Code 28122 could be the code your looking for.