Infection/Debridement/Excision Codes Midfoot fx ORIF/Arthrodesis

Ankle Amputation Open Treatment talotarsal dislocation 28585 11.13

I&D leg/ankle; deep abscess or hematoma 27603 5.23 Amp thru tibia/fibula (BKA) 27880 15.37 Open Treatment TMT dislocation 28615 10.7

I&D leg/ankle; infected bursa 27604 4.59 Guillotine 27882 9.79 Open Treatment MT fx 28485 7.44

incsion, bone cortex, for osteomyelitis or bone use 27640, secondary closure of tib/fib amp or scar
27607 8.62 27884 8.76 Open treatment tarsal bone dislocation 28555 9.65
abscess leg or ankle 27641 revision
Ankle Arthrotomy, Incision, drainage or
27610 9.13 amp thru ankle (syme etc) 27888 10.37 ORIF tarsal bone (other than calc and talus) 28465 8.8
foregin body

Biopsy soft tissue leg/ankle superficial 27613 2.22 use 27618 ankle disartic 27889 10.86 arthodesis midtarsal multiple 28730 10.7
Arthrodesis, midtarsal or tarsometatarsal,
consider
Biopsy soft tissue leg/ankle subfascial 27614 5.8 Amp midtarsal Chopart 28800 8.79 multiple or transverse; with osteotomy (eg, 28735 12.23
27619
flatfoot correction)
consider
Excision tumor/soft tissue leg or ankle <3cm 27618 3.96 Amp Transmet 28805 12.71 arthodesis midtarsal single 28740 9.29
27630

Excision tumor/soft tissue leg or ankle >3cm 27619 6.91 Amp metatarsal single (includes toe) 28810 6.64 use 28122 Bone Graft
Ankle Arthrotomy, biopsy 27620 6.15 Amputation toe MTP 28820 3.51 bone graft (small) 20900 3

excision lesion of tendon/capusle (cyst or

27630 4.94 Amutation toe IP joint 28825 5.37 Bone Graft Major 20902 4.58
ganglion)
excision or curretage bone cyst or exostosis 27635 8.03 sesamoidectomy 28315 5
tibia or fibula Ankle Fracture Codes
partial excision bone tibia for osteomyelitis
(crater/saucer)
27640 12.24 Debridement ORIF Distal Fibula 27792 8.75

partial excision bone fibula for osteomyelitis

27641 9.84 Open Fx debridement skin and sub q 11010 4.19 ORIF Medial Mal 27766 7.89
(crater/saucer)
Open Fx debridement skin and sub q,
Foot muscle/fascia
11011 4.94 Open treatment Bimal 27814 10.62
Open Fx debridement skin and sub q, Open Treatment Trimal without Posteiror Lip
I&D bursa bursa 28001 2.78 11012 6.87 27822 11.21
muscle/fascia, & bone fixation
i&D L foot below fascia, with or without
28002 5.34 Debridement epidermis/dermis, first 20cm 11042 1.01 Open Treatment Trimal with Posteiror Lip fixation 27823 13.16
tendon sheath, foot - single space
add 11044
I&D R foot below fascia, with or without Open treatment of fracture of tibia plafond/pilon
28003 9.06 Debridement skin and sub q, first 20cm 11043 2.7 27826 11.1
tendon sheath, foot - multiple spots - Fibula only
consider
incsion, bone cortex, for osteomyelitis or bone w/ foot add 28002 Open treatment of fracture of tibia plafond/pilon
28005 9.44 28002/2800 Debridement skin and sub q, muscle/fascia 11044 4.1 27827 14.79
abscess foot or 28003 - tibia only
3 with 1104
arthrotomy, drainage, Foreign Body removal Open treatment of fracture of tibia plafond/pilon
28020 5.15 Debridement skin, each addition 20cm (add on) 11045 0.5 use with 11042 27828 18.43
Intertarsal or TMT joint -tibia and fibula
arthrotomy, drainage, Foreign Body removal Debridement skin and subQ, addition 20cm
28022 4.81 11046 1.3 use with 11043 Open Treament Tib Fib Syndesmosis 27829 8.8
MTP (add on)
Debridement skin and sub q, muscle/fascia,
arthrotomy, drainage, Foreign Body removal IP 28024 4.52 11047 1.8 use with 11044 Repair Collateral Ligament primary (deltoid) 27695 6.7
each addition 20cm (add on)
subQ mass excision/tumor of foot or toe <1.5
28043 3.96 Paring Corn/Callus/Keratoic lesion - single 11055 0.35 Open treatment talus fracture 28445 15.76
cm
subQ mass excision/tumor of foot or toe >1.5 closed treatment proximal fibula with
28039 5.43 Paring Corn/Callus/Keratoic lesion - 2-4 11056 0.5 27781 4.59
cm manipulation
subfascial mass excision/tumor of foot or toe
28045 5.45 Paring Corn/Callus/Keratoic lesion - 5 or more 11057 0.65
<1.5 cm
subfascial mass excision/tumor of foot or toe secondary closure of surgical wound or amp
28041 7.13
>1.5 cm dehiscence, extensive or complicated 13160 12.04 sites/fasciotomies

Arthrotomy w/ biopsy intertarsal or TMT joint 28050 4.39 Biopsy

Arthrotomy w/ biopsy MTP joint 28052 4.06 Open biopsy bone superficial (talus to toes) 20240 2.61 includes
debridement so
biopy must be
Arthrotomy w/ biopsy IP joint 28054 3.57 Open biopsy bone deep (tib or fib) 20245 6 separate site
ostectomy, partial excision, 5th MT head
28110 4.22
(bunionette)
complete excision 1st MT head 28111 5.15
complete excision 2nd, 3rd, 4th MT head 28112 4.63 use 28122
complete excision 5th MT head 28113 6.11
ostectomy calcaneus (ex haglunds) 28118 6.13

ostectomy calcaneus for plantars fascia spur 28119 5.56

partial excision bone osteomyelitis or bossing

28120 7.31
talus or calcaneus

partial excision bone osteomyelitis or bossing

28122 6.76
tarsal or metatarsal (not calc or talus)

partial excision bone osteomyelitis or bossing

28124 5
phalanx/toe

Partial or complete resection phalangeal base 28126 3.64 use 28124

talectomy 28130 9.5

If partial
metatarsect
metatarsectomy 28140 7.14
omy, use
28122

phalangectomy 28150 4.23

resection distal ends of phalangeal condyle
28153 3.8 use 28124
(clavus)
hemiphalangectomy or IP joint excsion 28160 3.88
 Ankle Fracture Codes
ORIF Distal Fibula 27792 8.75

ORIF Medial Mal 27766 7.89

Open treatment Bimal 27814 10.62

Open Treatment Trimal without
27822 11.21
Posteiror Lip fixation
Open Treatment Trimal with
27823 13.16
Posteiror Lip fixation
Open treatment of fracture of tibia
27826 11.1
plafond/pilon - Fibula only
Open treatment of fracture of tibia
27827 14.79
plafond/pilon - tibia only
Open treatment of fracture of tibia
27828 18.43
plafond/pilon -tibia and fibula
Open Treament Tib Fib Syndesmosis 27829 8.8
Repair Collateral Ligament primary
27695 6.7
(deltoid)
Open treatment talus fracture 28445 15.76
closed treatment proximal fibula with
27781 4.59
manipulation
 Midfoot fx orif/fusion

Open Treatment talotarsal dislocation 28585 11.13

Open Treatment TMT dislocation 28615 10.7

Open Treatment MT fx 28485 7.44

Open treatment tarsal bone dislocation 28555 9.65

ORIF tarsal bone (other than calc and talus) 28465 8.8

arthodesis midtarsal multiple 28730 10.7

Arthrodesis, midtarsal or tarsometatarsal,
multiple or transverse; with osteotomy (eg, 28735 12.23
flatfoot correction)
arthodesis midtarsal single 28740 9.29

bone graft (small) 20900 3

Bone Graft Major 20902 4.58