07/24/2019

Revised Response-Correct Coding for Surgical Removal of Joint MPJ, Resection of Metatarsal Head and Base of Phalanx for Treatment of Non-Healing Plantar Ulcer-Possible Septic Joint

What would be the appropriate cpt for surgical removal of joint MPJ. Resection of Metatarsal head and Base of phalanx for treatment of non healing plantar ulcer possible septic joint?

Without the op report it would be difficult to provide an exact response. If the codes suggested below aren't a match for what is being performed, then a second inquiry with more details would be warranted.

Newly Suggested Codes:

28111-Ostectomy, complete excision; first metatarsal head

28112-Ostectomy, complete excision; other metatarsal head (second, third or fourth)

28124-Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe