icd-9 code for mayo bunionectomy

by Miss Maida Harber 8 min read

•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

Bunionectomy, or hallux valgus surgery, involves the use of various surgical procedures to alleviate symptoms caused by pathology in the first metatarsal phalangeal joint (the base of the big toe).
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Bunionectomy (or hallux valgus) Surgery.
ICD-9 CodeDescription
755.66Other congenital anomaly of toes
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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 are the new and revised bunionectomy codes?

All of the new and revised bunionectomy codes now read “sesamoidectomy, when performed,” instead of “with or without.” Instead of using the legacy names, the procedures are defined as “any method,” making it more clear that the coding is based on the location on the bone, as well as whether the correction was done using an osteotomy or fusion.

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 double osteotomy for a bunion?

The double osteotomy can be a combination of an osteotomy of the phalanx and the metatarsal (proximal or distal) or a proximal and distal metatarsal osteotomy. Carefully review all the codes in this range before choosing your final code for bunion correction.

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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 bunionectomy?

M21. 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 the CPT code for bunionectomy with osteotomy?

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 is the ICD 10 code for left bunionectomy?

M21. 612 - Bunion of left foot. ICD-10-CM.

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 anesthesia code for bunionectomy left great toe?

Code CPT 28296 was modified to: Bunionectomy with distal metatarsal osteotomy. CPT 28295 is a new code. The description is “bunionectomy with proximal metatarsal osteotomy.”

What is the CPT code for Lapidus Bunionectomy?

CPT 28297. This code describes the Lapidus type bunionectomy, which involves fusion at the first metatarsocuneiform joint. This procedure code also covers soft tissue joint work at the first metatarsophalangeal joint, including resection of the medial eminence.

What is ICD 10 code for hallux valgus?

M20.10Hallux valgus (acquired), unspecified foot M20. 10 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. 10 became effective on October 1, 2021.

What is the CPT code for Akin bunionectomy?

Response: The proper way to code an Austin-Akin-type bunionectomy is with the single code, CPT 28299. In the professional edition of the CPT book, there is an example illustration of a distal 1st metatarsal, proximal hallux phalanx set of osteotomies with 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.

How do you spell Bunionectomy?

n. Excision of a bunion.

What is a bunion on your foot?

A bunion is a bony bump that forms on the joint at the base of your big toe. It occurs when some of the bones in the front part of your foot move out of place. This causes the tip of your big toe to get pulled toward the smaller toes and forces the joint at the base of your big toe to stick out.

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.

What CPT code replaced 28293?

Same Procedures, New Codes While codes 28290, 28293 and 28294 were deleted, the procedures formerly falling under these codes were not. For Silver procedures formerly reported with 28290, now use 28292. For procedures involving implants inserted at the first metatarsophalangeal joint, use code 28291 instead of 28293.

What is the CPT code for Austin Bunionectomy?

Response: The proper way to code an Austin-Akin-type bunionectomy is with the single code, CPT 28299. In the professional edition of the CPT book, there is an example illustration of a distal 1st metatarsal, proximal hallux phalanx set of osteotomies with bunionectomy.

How do you spell Bunionectomy?

n. Excision of a bunion.

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.

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).

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.

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