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excision of metatarsal cuneiform exostosis

Bill Posted Wed 27th of August, 2014 10:13:55 AM

Can you please advise on the following: OP note reads - "Attention was directed to the dorsal aspect of the patient's right foot. A curvilinear incision was made over the dorsal aspect of the center exostosis. The joint capsule was then noted and excised using a periosteal elevator. Directly under the incision is a small dorsal exostosis. This was removed using a rongeur and rasped smooth using a bone rasp." The surgeon gave me proc code "28304", but I'm not sure this is correct. Would it be more appropriate to code "28104" or "28122"? Thank you in advance

SuperCoder Answered Wed 27th of August, 2014 10:25:11 AM

Code 28122 would be most appropriate for excision of exostosis from cuneiform.

Thanks !!

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