In 2017, podiatry practices and their medical billing and coding companies saw several changes and updates in bunionectomy coding. In addition to new bunion and bunionette ICD-10-CM codes, major changes have been made to some bunion surgery CPT codes to update them depending on current methods of the repairs.
Before we go into the 2017 diagnostic code changes, let’s see how ICD-10 simplified Bunion Coding from ICD-9.
727.0, (Synovitis and tenosynovitis) was used for a bunion without the toes overlapping 727.1 (Other disorders of synovium, tendon, and bursa; bunion) was used for bunions with hallux valgus, where the toes overlapped
M20.10 Hallux valgus (acquired) unspeci¬ed foot M20.11 Hallux valgus (acquired), right foot M20.12 Hallux valgus (acquired), left foot
A sixth character addressing laterality is required (1 = right, 2 = left, and 9 = unspecified). However, though hallux valgus included bunion, there was no indication of bunionette or baby 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. The right codes to use in 2017 are:
The procedural code changes for bunionectomy include 2 new codes, 6 revised codes and 3 deleted codes.
The American Medical Association’s (AMA) CPT® Assistant defines all hallux valgus (bunionectomy) procedures as including the following:
Coders in medical coding companies will carefully review all the codes to choose the right code for bunion correction. Search for:
Before we go into the 2017 diagnostic code changes, let’s see how ICD-10 simplified Bunion Coding from ICD-9.
In 2017, podiatry practices and their medical billing and coding companies saw several changes and updates in bunionectomy coding. In addition to new bunion and bunionette ICD-10-CM codes, major changes have been made to some bunion surgery CPT codes to update them depending on current methods of the repairs.
A sixth character addressing laterality is required (1 = right, 2 = left, and 9 = unspecified). However, though hallux valgus included bunion, there was no indication of bunionette or baby 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.
727.0, (Synovitis and tenosynovitis) was used for a bunion without the toes overlapping 727.1 (Other disorders of synovium, tendon, and bursa; bunion) was used for bunions with hallux valgus, where the toes overlapped
M20.10 Hallux valgus (acquired) unspeci¬ed foot M20.11 Hallux valgus (acquired), right foot M20.12 Hallux valgus (acquired), left foot
CPT 28292. This code describes the classic Keller bunionectomy as well as the McBride bunionectomy.Click to see full answer. Similarly one may ask, what is a Keller Bunionectomy?A Keller Arthroplasty is a surgical procedure designed to eliminate pain and discomfort in this joint. It is typically reserved for cases of severe arthritis, previous failed surgeries, diabetic ulcerations or certain types of bunion deformities.Similarly, what CPT code replaced 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. Also question is, what is a Keller procedure? The Keller procedure (hallucal proximal phalangeal base resection arthroplasty) works as well today as it has in the past and should be considered a staple in the treatment armamentarium for forefoot surgery. It is the alternative to the cosmetically improved result that one may attain with an implant arthroplasty.What is procedure code 28308?CPT 28308, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes. The Current Procedural Terminology (CPT) code 28308 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. Source:
FAQ
What is a Keller bunionectomy?
What is included in CPT 28297?
What CPT code replaced 28290?
What is procedure code 28308?
