CPT Knowledgebase - Apr 25, 2011

The patient was diagnosed with retrocalcaneal bursitis and Haglunds deformity of calcaneus. An inci-sion was made along the lateral aspect of the distal Achilles tendon and the tendon was reflected thereby expos-ing the calcaneus. The retrocalcaneal bursa was excised. Next, an osteotome was used to remove the Haglunds deformity down to the Achilles insertion. A rasp was used to ensure that there were no residual osseous spurs. Debridement of the necrotic area of the Achilles tendon was performed, and the incision was closed in layers with sutures. Is it appropriate to report CPT code 28120, Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus, for this procedure?

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