CPT Knowledgebase - Mar 2, 2021

A patient had a full-thickness traumatic central talar dome osteochondral dissecans (OCD) lesion that measured 15 mm mediolateral x 8 mm anteroposterior with exposed bone. A 1.6 mm K-wire was utilized to perform drilling of the osteochondral defect, and the drilling was performed approximately 5 mm apart and covered the entire defect. What is the appropriate code to report the drilling of an OCD lesion of the talus? Should code 28005, 28100, 28302, or an unlisted code be reported?

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