CPT^® 28446, Under Fracture and/or Dislocation Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28446 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Foot and Toes.

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Summary

The provider performs osteochondral autograft on a patient's talus to treat a symptomatic osteochondritis dissecans lesion, abbreviated as OCD. The procedure involves moving healthy tissue from one area of the patient’s body to a defective area of the ankle bone through an open incision.

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open osteochondral, talus using BioCartilage/PRP

Is this unlisted, 28899, with comparison code as 28446? I've attached the operative report showing that BioCartilage was prepared using PRP. Thank you,... [ Read More ]

Debridement of talar osteochondral defect w/BioCartilage application

I need help with the above CPT. The description that the physician gave me is :Ankle Arthrotomy with debridement of talar osteochondral defect followed by bone marrow stimulation and application of Bi... [ Read More ]

Arthrotomy with drilling of OCD talus (no grafting done)

Hi, I cannot find a code for the open approach to micro drilling of the OCD of a talus without any grafting done. This seems odd to me because CPT assistant says "Clinical Example (28446) The patient... [ Read More ]

Open Repair of osteochondritis dissecans, left ankle

United Healthcare has denied the cpt 28446 for an open repair of osteochondritis dissecans left ankle. Is there a better cpt code to use?... [ Read More ]

Autograft of the knee

I would suggest you read the code description for 28446. It includes obtaining a graft, it cannot be reported separately.... [ Read More ]

Autograft of the knee

My doctor performed a talus auto-graft (cpt 28446) due to the type of injury he was not able to auto-graft the talus so he did an auto-graft of the knee and inserted it into the talus. He wants separa... [ Read More ]

medial malleolar osteotomy w/osteochondral allograft

Parenthetical notes for 28446 denote not to use in conjunction with 27705... [ Read More ]

OCD Talus

Help! We have two foot and ankle specialists that at times repair an OCD of the talus. They are stating that since the graft utilized is not an "osteochondral graft" the procedure is not an OATS (284... [ Read More ]

OATS talus denial

Billed 28446 and indep. blue cross is dening due to experimental/investigational. Need help any one else getting denied and if so how r u correcting. Any special DX?... [ Read More ]

Coding an ankle oats procedure

[QUOTE="dianespining, post: 39097, member: 18893"]Need help on coding an ankle oats procedure. If it's done artroscopically or done open. We are debating using 29999 for the scope plus coding for the... [ Read More ]

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