AMA CPT® Assistant - 2020 Issue 8 (August)

Frequently Asked Questions (August 2020)

August 2020 page 14 Frequently Asked Questions Surgery: Musculoskeletal System Question: How should treatment of a nonunion avulsion fracture at the base of the left fifth metatarsal be reported when the surgery consists of excising the bone fracture fragment? Answer: This procedure is reported with CPT code 28122, Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus. It would not be appropriate to report a fracture repair code when excising a nonunion fragment. It also would not be appropriate to report a repair of nonunion/malunion code when only...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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