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09/16/2009    

CODINGLINE CORNER

Query: Coding for Neurectomy


I am looking for CPT suggested coding for:


1) Baxter's neurectomy, left heel 2) Medial calcaneal neurectomy, left ankle and foot 3) A tarsal tunnel decompression, left ankle (also reported in the op report).


Judy Manley, Office Manager, Itasca, IL


Response: "-ectomy", as I understand it, means excision. Was a piece of nerve actually excised? It sounds like a tarsal tunnel release was performed, CPT 28035. Baxter's nerve and the medial calcaneal branch are both part of the posterior tibial nerve, and would be included in CPT 28035.


Walter Pedowitz, MD, Linden, NJ


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