tci Outpatient Facility Coding Alert - 2013 Issue 4

Reader Question: Turn to Unlisted Code for Contracture Procedure in Toe

Question: Our podiatrist documented the following: Diagnosis: 2nd Metatarsophalangeal stiffness The patient was taken to the operating room where she received left ankle local block anesthetic with approximately 8cc of 1% Lidocaine and 0.5% Marcaine. The 2nd MP right foot which previously had a 10 degree extension contracture was stretched into approximately 30 degrees of plantar flexion. This procedure was done at the same time and the surgeon wants to use 28120 (Partial excision [craterization, saucerization, sequestrectomy, or diaphysectomy] bone [e.g., osteomyelitis or bossing]; talus or calcaneus): Diagnosis: Left calcaneal ununited anterior process fracture An approximately 3...

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