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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
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.
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.
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.
The 2022 edition of ICD-10-CM M21. 619 became effective on October 1, 2021. This is the American ICD-10-CM version of M21.
28299—Correction, hallux valgus (bunionectomy), with sesamoidectomy when performed; with double osteotomy, any method.
ICD-10 code M21. 611 for Bunion of right foot is a medical classification as listed by WHO under the range - Arthropathies .
CPT® code 28295 describes bunion correction when a proximal metatarsal osteotomy is necessary and includes sesamoidectomy, when performed.
A Silver's bunionectomy is a procedure which consists of shaving a bunion. It therefore addresses only the prominent bump aspect of the bunion. It is used in cases where only the bump causes discomfort and a quick return to activity is desirable. This is not an ideal bunion correction but a compromise. The aim.
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.
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.
CPT 28292. This code describes the classic Keller bunionectomy as well as the McBride bunionectomy.
A bunion forms when the bones that make up the MTP joint move out of alignment: The long metatarsal bone shifts toward the inside of the foot, and the phalanx bones of the big toe angle toward the second toe. The MTP joint gets larger and protrudes from the inside of the forefoot.
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.
CPT code 28297 completely and accurately describes what is known as a Lapidus bunionectomy.
The description is “bunionectomy with proximal metatarsal osteotomy.” Code CPT 28289 has been modified to specify “hallux rigidus repair without implant.”
A hammertoe repair (CPT code 28285) is not listed as an inclusive procedure to a hallux valgus correction procedure; however, a Medicare CCI edit for CPT code 28296 and CPT code 28285 has been issued. This edit requires that you append the modifier(s) to appropriately override the payer edit (when it exists).
This would be appropriately coded using CPT code 28296 which is defined as: Correction hallux valgus [bunionectomy], with sesamoidectomy, when performed, with distal metatarsal osteotomy, any method. Since it was performed on the right foot, it would be correctly appended by the RT modifier.
CPT 28296 is reported to correct a hallux valgus deformity with a distal metatarsal osteotomy. The procedure includes sesamoid bone removal, when necessary, to help with bone realignment.
CPT® Code 28299 in section: Correction, hallux valgus (bunionectomy), with sesamoidectomy.
Exostectomy. People typically have an exostectomy 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.
CPT 28122, Under Excision Procedures on the Foot and Toes The Current Procedural Terminology (CPT) code 28122 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Foot and Toes.
An exostosis, also known as bone spur, is the formation of new bone on the surface of a bone. Exostoses can cause chronic pain ranging from mild to debilitatingly severe, depending on the shape, size, and location of the lesion. They normally form on the bones of joints, and can grow upwards.
Get to Know the Procedures Here are some tips to be sure you are coding them correctly: Use code 28296 to report an Austin Bunionectomy procedure. This procedure involves a metatarsal osteotomy performed with or without a sesamoidectomy. You may also use this code to report Mitchell and Chevron bunionectomy procedures.
Cheilectomy is an operation to remove a bony lump on the top of the main joint of the big toe. This is almost always caused by arthritis of the great toe (sometimes known as “hallux rigidus”).