28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Lay Description (Code):

The physician makes an incision over the base of the first metatarsal, and over the second and third metatarsals depending on the extent and type of repair. The physician retracts the tendons and incises the periosteum to expose the tarsal. A sagittal saw is used to remove a wedge of bone. Staples, screws, or Kirschner wires are used for fixation. After the immediate postoperative dressing, immobilization may be applied. Report 28305 when a bone graft is necessary. For this procedure, the physician debrides the intended graft recipient site of the tarsal and a bone graft from the iliac crest or other site is shaped and placed between the prepared surfaces. The physician uses a lamina spreader to place the bone graft. Staples, screws, or wires may be used to secure the bone graft. The tissue and skin are sutured closed. A dressing is applied and the area may be immobilized.

Coding Tips

For ostectomy, calcaneus, see 28300. For ostectomy, talus, see 28302. For radiology services, see 73600-73630.