icd 10 code for keller bunionectomy

•28292 Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride, or Mayo type procedure •28292 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method 18 CPT 28292 19 CPT 28292 20 CPT 28293

Full Answer

What is the ICD 10 code for a bunion?

This led the American Podiatric Medical Association (APMA) to point out to CMS that a bunion is a different deformity from hallux valgus and that a bunionette is also a distinctly different deformity. This resulted in the 2017 ICD-10 additions. Reporting a bunion using code M20.1–Hallux valgus (acquired) is no longer correct.

What is the CPT code for bunionectomy with double osteotomy?

28299 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with double osteotomy, any method CPT® code 28299 reports a bunion correction where two osteotomy procedures are done to straighten the toe and the metatarsal.

What is the CPT code for bunion surgery 28297?

CPT® code 28297 reports a bunion correction with a joint fusion between the foot bone located behind the big toe (first metatarsal) and the bone of the middle foot located behind the first metatarsal.

What is a hallux valgus (bunionectomy) procedure?

According to the American Medical Association’s (AMA) CPT® Assistant, all hallux valgus (bunionectomy) procedures include: Articular shaving at the first metatarsophalangeal joint

What is a Keller bunionectomy?

Shortens the Toe - The Keller bunionectomy involves the cutting of one of the cartilage surfaces of the big toe joint. This will shorten the big toe to some degree and will bother younger, more active patients.

What is the CPT code for repair of hallux valgus Keller?

Bunionectomy (or hallux valgus) SurgeryCPT CodeDescription28292Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride, or Mayo type procedure28293Correction, hallux valgus (bunion), with or without sesamoidectomy; resection of joint with implant11 more rows

How do you code bunionectomy?

28299—Correction, hallux valgus (bunionectomy), with sesamoidectomy when performed; with double osteotomy, any method.

What is the ICD 10 code for bunion?

M21.619M21. 619 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M21.

What is ICD 10 code for hallux valgus?

M20.11Hallux valgus (acquired), right foot M20. 11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M20. 11 became effective on October 1, 2021.

What is Keller arthroplasty?

Keller's arthroplasty is usually done under general anaesthetic. Your surgeon will make a small incision (cut) over the joint in your big toe. They will remove a small portion of the bone in the joint which increases the range of motion. They will replace the removed bone with soft tissue to create a “false joint”.

What is the CPT code for Lapidus bunionectomy?

CPT code 28297 completely and accurately describes what is known as a Lapidus bunionectomy.

What is a Lapidus bunionectomy?

The Lapidus Bunionectomy Procedure This procedure is used to correct a bunion, a bony bump at the base of the great toe caused by excess bone growth and misalignment of the bones of the foot and toe. This procedure removes the bump and brings the toe back into proper alignment.

What is the CPT code for silver bunionectomy?

Code CPT 28296 was modified to: Bunionectomy with distal metatarsal osteotomy. CPT 28295 is a new code.

What is the ICD 10 code for Bunionectomy right foot?

ICD-10 code M21. 611 for Bunion of right foot is a medical classification as listed by WHO under the range - Arthropathies .

What is the medical term for a bunion?

A bunion (hallux valgus) is an enlargement of the bone or tissue around a joint at the base of the big toe or at the base of the little toe. This one is called a "bunionette" or "tailor's bunion." Bunions often form when the joint is stressed over a prolonged period.

What is a hallux valgus surgery?

1: Hallux valgus surgery corrects a misalignment of the big toe. Usually the bone in the big toe is corrected in conjunction with the correction of the soft tissue of the joint capsule of the metatarsophalangeal joint.

What is included in CPT 28289?

CPT® 28289, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes. The Current Procedural Terminology (CPT®) code 28289 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

What is included in CPT code 28285?

CPT® Code 28285 in section: Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

What is procedure code 28308?

The CPT code to bill for an osteotomy with a bunionette is 28308 (Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each). This procedure includes both an osteotomy procedure and the removal of the bunionette.

What replaced CPT 28290?

The CPT codes 28290, 28293 and 28294 have been deleted. These no longer exist. Never use them again. Code CPT 28296 was modified to: Bunionectomy with distal metatarsal osteotomy.

What is the descriptor for 28289?

Because a prosthetic implant is placed for arthritis of a joint, the descriptor for 28289 is more consistent with the condition being treated (in this instance, “implant” does not mean a screw, or plate and screw, but a prosthetic implant).

What is code 28291?

28291 Hallux rigidus correction with cheilectomy, debrid ement and capsular release of the first metatarsophalangeal joint ; with implant#N#CPT® code 28291 was added to report hallux rigidus (bunion) correction with implant; and revised code 28289 Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant, which describes the correction of arthritis and deformity of the joint where the head of the metatarsal bone attaches to the first bone of the greater toe, now specifies the procedure was done without an implant. Prior to 2017, code 28293 reported placement of an implant for correction of hallux valgus. Because a prosthetic implant is placed for arthritis of a joint, the descriptor for 28289 is more consistent with the condition being treated (in this instance, “implant” does not mean a screw, or plate and screw, but a prosthetic implant).#N#28295 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method#N#CPT® code 28295 describes bunion correction when a proximal metatarsal osteotomy is necessary and includes sesamoidectomy, when performed. An osteotomy may be performed when there is moderate metatarsus primus varus (deviation of the first metatarsal away from the other metatarsals) and the intermetatarsal angle is greater than 40 degrees. The osteotomy is performed at the base of metatarsal or, for a long continuous osteotomy, it may start in the metatarsal neck and extend through the shaft to the base of the metatarsal.

Is hallux valgus bilateral or bilateral?

Juvenile and adolescent hallux valgus often occurs bilaterally. Often pain is not the primary complaint of this deformity. Patients often also have flexible flat feet.

What is CPT code 28292?

I think you are correct. In my opinion, you have 28292. Although you mentioned it was a Keller, it involved some soft tissue and ligament release, which is similar to a Mayo. Regardless, they are both code 28292. I've underlined the key words I used to determine this. Although a capsulotomy was performed, it is considered a component of the bunionectomy and not reported separately#N#If you look at the Keller diagram below CPT Code 28292 in the Professional Edition of the CPT Manual, you can see where the exostosis of the first metatarsal was removed on the outside of the big toe. You will also see where they used they remove the distal one third of the proximal phalanx.#N#I usually see the phrase “bony prominence” instead of exostosis, but they are the same thing. I hope this is helpful. Anyone else have thoughts on this?

Is 28285 a bunion?

The 28292 is a bunionectomy. The 28285 is a hammertoe release, which most of the time, but not always is on the lesser toes. If I recall my medical terminology, the exostosis is a bony growth. This would be consistent with a bunionectomy .

Is capsulotomy a bunionectomy?

Although a capsulotomy was performed, it is considered a component of the bunionectomy and not reported separately. If you look at the Keller diagram below CPT Code 28292 in the Professional Edition of the CPT Manual, you can see where the exostosis of the first metatarsal was removed on the outside of the big toe.