Contact The APMA Health Policy and Practice Department [email protected] or 301-581-9200 6 ICD –10 CM: Bunions and HAV •M21.61- Bunion, aquired •M21.62- Bunionette •Q66.89- Bunion, congenital •M21.6X- Other acquired deformities of foot 7 ICD –10 CM: Bunions and HAV
2018 Bunionectomy Code Changes & Other Coding Stuff Presented by Larry Santi, DPM, FASPS 2 APMA Coding Resource Center 3 APMA Coding Resource Center www.apmacodingrc.org 4 APMA Coding Resource Center •www.apmacodingrc.org 5
2018/2019 ICD-10-CM Diagnosis Code M21.619. Bunion of unspecified foot. M21.619 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Exostectomy – Typically, exostectomy is performed in conjunction with other types of surgery, such as soft tissue removal and an osteotomy. Exostectomy involves removing the bony bump from the big toe without performing an alignment. However, the bunion deformity often returns if a physician performs exostectomy without osteotomy.
M21.622ICD-10 code M21. 622 for Bunionette of left foot is a medical classification as listed by WHO under the range - Arthropathies .
ICD-10 code M21. 621 for Bunionette of right foot is a medical classification as listed by WHO under the range - Arthropathies .
Tailor's Bunion Surgery The surgery consists of removing the exostosis, or bony bump and may also involve cutting the 5th metatarsal bone just behind the toe to change the alignment and improve foot function and help prevent reoccurrence.
Tailor's Bunion Correction By Osteotomy osteotomy should be CPT 28308.
Overview. Also called Tailor's bunions, a bunionette is similar to a bunion, but occurs on the outside of the foot. It is a raised portion of skin that often becomes irritated and sore.
Hallux valgusICD-10 code M20. 11 for Hallux valgus (acquired), right foot is a medical classification as listed by WHO under the range - Arthropathies .
Bunionettes, also known as tailor's bunions, are small, bony bumps that occur at the base of the pinky toe joints. Much like regular bunions, bunionettes can be painful, swollen, and red. Finding comfortable shoes that don't rub up against the affected area may be difficult.
“The first step to treating a tailor's bunion doesn't involve surgery,” Dr. Rottman said. “Non-surgical treatment involves wearing shoes that are very wide, wearing supportive shoes and/or inserts, placing padding over the area like moleskin or silicone and calf stretches to release tight muscles.”
A tailor's bunion is a swollen bump on the outside of your little toe. The bump might start out small but grow larger with time. It can also be red and painful. The bunion may get more swollen and painful when it rubs against your shoe.
The description is “bunionectomy with proximal metatarsal osteotomy.” Code CPT 28289 has been modified to specify “hallux rigidus repair without implant.”
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.
CPT® 28300, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes. The Current Procedural Terminology (CPT®) code 28300 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.