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Coding for Exostectomy 1st Metatarsal, Medial Cuneiform, Navicular and Talus

I recently performed an exostectomy on the first metatarsal , medial cuneiform, navicular and talus What is the recommended coding

The recommended coding would be the following three procedure codes for exostectomy:

  • For the first metatarsal, bill with CPT 28288 (Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head)
  • For the medial cuneiform, bill with CPT 28122 (Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus)
  • Last for the navicular and talus, bill with CPT 27635 (Excision or curettage of bone cyst or benign tumor, tibia or fibula)


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