Wiki Metatarsal Bone Excision

[kfrazier]

Patient had a partial excision of the metatarsal bone years ago. Now patient is having the remaining metatarsal excised. I was thinking 28140 since the remainder of the bone is being completely excised. My physician is thinking 28122 since the patient previously had a partial excision of the same bone. Reason for excision of the remaining metatarsal is osteomyelitis of the 1st metatarsal. Any input would be greatly appreciated.

 

[kellz0913]

I would use the 28122 because he isn't technically excising the entire metatarsal during this surgery, only whats left.

 

[Orthocoderpgu]

I read the description of each code several times and came up with the same answer. I would vote 28122 as well.

 

[beth@baysurgicalspecialists.com]

I got denied for 28122 stating the medical record does not support the code billed per the code definition. He states he performed partial metatarsectomy of the distal half.....