Pauline Posted Wed 19th of February, 2014 17:51:21 PM
The provider performed a 1st metatarsal-cuneiform arthrodesis (Lapidus, but not for bunion correction), followed by a naviculo-cuneiform arthrodesis, then a ran a screw from the medial cuneiform to the base of the 2nd metatarsal for a Lisfranc arthrodesis. I didn’t do a Miller in the sense that I performed a tendon lengthening, but would you code the Lapidus, and naviculo-cuneiform arthrodesis procedures under 28737 without having done a tendon lengthening? Would 28615 also go with it to cover the Lisfranc portion?
Or would code 28730 be the only code we use if it would serve as covering all of these since it’s for “arthrodesis, midtarsal or tarsometataral, multiple or transverse.” Not sure…
SuperCoder Answered Thu 20th of February, 2014 16:34:30 PM
Your podiatrist may take an alternate approach and select arthrodesis, or bone fusion, to repair the injury.
When this is the treatment plan, report 28730 (Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse) to indicate the procedure to fuse the tarsometatarsal joint or midtarsal joint. Report this procedure as a single unit.
While some studies show arthrodesis as more effective, 28485 and 28615 will be your "go-to" codes to repair Lisfranc joint injuries