Kathy Posted Tue 15th of December, 2015 15:13:34 PM
We have a provider who performed this procedure, incising the dorsal medial foot, for access to the talonavicular joint. There was a shelf of spurring on both navicular & bossing of the talus area. This was brought down w/ use of osteotomes,rongeur & rasp.
None of the codes I'm finding, including, but not limited to 28100, 20120 & 27620, appear to fit the above parameters. Please assist in coding this & give your reasons for your selection. Thank you very much. kath
SuperCoder Answered Wed 16th of December, 2015 04:29:25 AM
Thanks for the query,
CPT 27635 looks appropriate for this scenario.
[Look at the CPT section for leg and ankle joints.
Underneath 27640 and 27641, there's a highlighted note under each one of those codes that reads: "For exostosis excision, use 27635."]