august 2017

2017 Changes to Bunion Codes


This code was deleted.  CPT code 28290 represented a Silver bunionectomy or simple exostectomy of the medial eminence.  Parenthetical notes in the CPT manual instruct coders to report 28292 when this type of procedure is performed.


This code was revised and along with the Silver bunionectomy, you would report 28292 for a Modified McBride or with resection of the base of the proximal phalanx (Keller type procedure).


This code was deleted.  When an implant is placed at the first metatarsophalangeal joint you should report CPT code 28291 – Hallux rigidus correction with implant.  This code is only reported for procedures performed on the first MTPJ and you should confirm what types of implants meet medical necessity because there are many types of joint implants that carriers consider experimental or investigational when used.


This code was deleted. This code used to represent a Joplin procedure which involved tendon transfers.  If performed, parenthetical notes instruct the coder to report Unlisted CPT code 28899.

28295 – 28296

CPT code 28295 is a new code which represents a proximal metatarsal osteotomy that is performed at the base of metatarsal whereas CPT code 28296 is a distal metatarsal osteotomy performed at the head of the metatarsal bone.


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