|
|
|
|
|
Search
04/18/2003 Dan Greenan, DPM
Query: Coding Questions From: Dan Greenan, DPM
What are the CPT codes for a 1st metatarsal-
cuneiform joint exostectomy and a reverse Austin
tailor's bunionectomy. Thank you.
Dan Greenan, DPM
Seattle, WA
-------------------------------
Codingline Response:
A single CPT 28122 (partial excision
[craterization, saucerization, sequestrectomy, or
diaphysectomy] bone [e.g., osteomyelitis or
bossing]; tarsal or metatarsal, except talus or
calcaneus) is the code one would bill when
performing a 1st metatarsal-cuneiform joint
exostectomy. The procedure involves resection of
a bony prominence, usually dorsally located, abo
but the joint involving contiguous bones.
A "reverse Austin tailor's bunionectomy" is a
distal osteotomy (with or without fixation) of
the 5th metatarsal with remodeling of any
hypertrophied bone present. The procedure is CPT
28308. This is not CPT classified as
a "bunionectomy" or "mini-bunionectomy" or "mini-
Austin" - it is an osteotomy.
There are some who feel that, in addition to the
CPT 28308 procedure, an ostectomy procedure, like
CPT 28122 or CPT 28110, should be added, but, in
fact, the Correct Coding Initiative bundles CPT
28122 (comprehensive) and CPT 28308 (component);
the Correct Coding Initiative bundles CPT 28110
(component) and CPT 28308 (comprehensive); the
American Academy of Orthopaedic Surgeons Complete
Global Service Data for Orthopaedic Surgery
states that CPT 28122 is included in the global
service package for CPT 28308; and the American
Podiatric Medical Association's "Report of the
Task Force on Global Surgical Services" states
that a partial metatarsal ostectomy is an
incidental procedure to CPT 28308.
Codingline Expert Panelist: Harry Goldsmith, DPM
Other messages in this thread:
08/15/2025
PM NEWSS
The Voice of Podiatrists
Serving Over 22,436 Subscribers Daily
August 15, 2025 #8.085  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management® https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2025- No part of PM News can be reproduced without the
written permission of Barry Block
08/15/2025
MEETINGS & WEBINARS
08/15/2025
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PM NEWS CLASSIFIED ADS REACH OVER 22,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details
PRACTICE FOR SALE - ROCKVILLE, MD
Established practice for sale. Member of PRIVIA network. Strong cash flow. Full range of services in office along with local surgical center and hospital privileges. A turnkey opportunity. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - EASTERN OREGON
Located in the largest city in Eastern Oregon this established practice is for sale and the doctor is looking to transition from practice. Strong patient flow with consistent revenue and well trained staff. One location with ancillary services offered in office. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - FREDERICK MD
Established practice for sale. Active patient flow with established referral sources, rapidly growing area. Fully equipped, turnkey. Opportunity to expand or build upon existing practice. Owner willing to help with transition. Priced to sell. Contact: MCrosby518@gmail.com
08/15/2025
CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS
PM NEWS CLASSIFIED ADS REACH OVER 20,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
FACULTY POSITION DEPARTMENT OF SURGERY – NYCPM OF TOURO
NYCPM of Touro University seeks a DPM for the Department of Surgery. Must be board certified, have a NYS license and a current DEA Certificate. This position teaches surgery and podiatric medicine to 3rd and 4th year podiatric medical students. Duties include patient care, student education, live lectures in classrooms and patient settings, including workshops, webinars and seminars. Candidates will participate in scholarly service activities within the College community and work collaboratively with faculty, students, staff and administration. Prior teaching experience strongly recommended. Salary starting at $140,000. Complete application (including proof of board certification) here.
ASSOCIATE POSITION – TUCSON, ARIZONA
Multispecialty mobile group is seeking skilled, compassionate podiatrist with Arizona license to join our growing team in Tucson, AZ. Offering a fulfilling career with autonomy, built-in patient base, competitive compensation, and full administrative and billing staff. Please send CV to Dr. Natalie Shaba at natalie@onesourcemobilehc.com
ASSOCIATE POSITION PART TIME – NEW JERSEY
Well esablished group practice seeking a part-time associate, with potential future partnership opportunity, to practice podiatric medicine in Monmouth County, NJ. Applicant must have a current NJ License, Board Certified/Qualified, and at least 1 year experience as a rendering provider. Please send letter of interest and CV to cherylm@njpodiatrygroup.com
ASSOCIATE POSITION – TAMPA, FL
Thriving Tampa practice seeks 1099 physician for outpatient surgery and wound care surgery. Flexible schedule, no call, competitive pay, part-time. Florida license required; Board Certified. Spanish a plus. Start ASAP, negotiable. Send CV and cover letter to PNHATampa@gmail.com
MOBILE PODIATRIST - SAN DIEGO
Now hiring at www.barefeet-podiatry.com. Offering highly competitive compensation as an independent-contractor, flexible schedule, assistants handling administrative work. Cloud-based EHR, equipment/supplies provided, other benefits. Excellent opportunity for both experienced podiatrists & recent graduates. Email: barefeetpodiatry1@gmail.com
FULL-TIME PODIATRIST – NEW JERSEY
Well-established, multi-location New Jersey podiatry practice seeks a motivated, compassionate full-time Doctor to join our growing team. We offer competitive six-figure compensation ($200,000–$250,000+), a sign-on bonus, end-of-year bonus, health insurance (medical, dental, vision), paid time off, paid malpractice coverage, and a 401(k). Excellent opportunity for both experienced podiatrists and recent graduates to thrive in a high-volume, office-based setting. Expand your clinical skills in a supportive, professional environment. Please send your CV to DPMcareer@PodiatryCenterNJ.com
ASSOCIATE POSITION – WESTCHESTER COUNTY, NY
We are a well-established and rapidly growing podiatry practice with two thriving locations seeking a dedicated, compassionate, and motivated podiatrist to join our dynamic team. Current and active NY podiatry license. Commitment to delivering high-quality care in our modern facilities. Apply Today: Send your CV and cover letter to info@aestheticpodiatry.com
ASSOCIATE POSITION – CHICAGO, IL
Seeking full-time/part-time associate to work in our well-established multi-office podiatry practice in Chicago with on-site accredited office-based surgical facility. Must be reliable, personable, and self-motivated. Board qualified or certified with excellent references preferred. Competitive compensation package with bonus structure and benefits. Spanish speaking a plus. Please forward CV to drbetman@footcaredoctors.com
ASSOCIATE POSITIONS - WARREN AND STERLING MICHIGAN
Cosmetic Foot & Ankle Surgery P.C. is hiring two full-time podiatrists in Warren and Sterling Heights, MI. One role is mobile/homecare, the other in-clinic. Competitive pay, benefits, modern surgical suites, and support staff provided. Email CV to drzefmarkaj@gmail.com. New grads welcome.
PHYSICIAN, PODIATRY - NEW YORK CITY
Join Queens' largest single-specialty practice. We are seeking a skilled podiatric physician for a highly autonomous, collegial environment. Provide comprehensive care, from advanced reconstructive surgery to dermatological treatments. This position offers a competitive compensation package, malpractice coverage, and a full suite of benefits. Contact scdpmjobs@gmail.com
ASSOCIATE POSITION – FLORIDA
PT and FT mobile positions. Jacksonville and other cities. Responsible DPM/NP/PA team players. Home visits, ILF/ALF/Rehab. No call. No ER. Half days or 9-5. Weekends optional. Autonomy. Potential commission up to $230K+/yr based on availability and performance. Serious FL licensed applicants email contact@PodiatristAtHome.com
ASSOCIATE PODIATRIST OPPORTUNITIES – MULTIPLE STATES
US Foot & Ankle Specialists (USFAS), the nation's largest podiatric group, is hiring! We have immediate and future openings in IL, KY, MD, MO, NC, VA, & WV—ideal for doctors ready now or graduating by 2026. Join a team committed to advanced technology, top-tier care, and long-term growth. Must be licensed or in process. Email cover letter and resume to: recruiting@us-fas.com
ASSOCIATE POSITION – MARYLAND
Thriving podiatry practice with 3 office locations seeking a highly motivated and reliable full-time associate. Candidate must be board eligible, residency with RRA preferred. Great work environment with strong support staff. Competitive compensation and benefits package with bonus opportunities offered. Please email CV to: careers@mynewfeet.com
ASSOCIATE POSITION - ATLANTA, GA
Position open for a well-trained, highly motivated podiatrist in beautiful Atlanta, GA. Competitive pay, benefits and a great company culture. Interested? Send your CV to laney@summitmedicalpartners.com.
ASSOCIATE POSITION – CHARLOTTE, NC
Looking to do more than just see patients? Join one of the most respected and fastest-growing podiatry groups in the Charlotte metro area—four thriving locations, seven exceptional doctors, and actively looking to expand. We’re offering a rare opportunity for a driven, team-oriented podiatrist (BC/BQ, eligible for NC/SC licensure) to step into a high-volume, mentorship-focused practice with true potential for growth and leadership. Competitive base salary, production bonuses, full benefits, CME, and a reputation that speaks for itself—this is where your career takes off. Email CV to michelle.wrape@instridefoot.com
ASSOCIATE POSITION - PRICE, UTAH
Position open for a well-trained, highly motivated podiatrist in beautiful Price, Utah. Competitive pay, benefits and a great company culture. Come enjoy Price, Utah, just a short distance from Nine Mile Canyon and the Manti-La Sal National Forest. Gateway to several national parks and only 45 minutes from Utah County. Interested? Send your CV to laney@summitmedicalpartners.com
ASSOCIATE POSITION - RALEIGH, NORTH CAROLINA
Awesome opportunity to join a well-rounded, growing, podiatry practice in Raleigh, NC. We are looking for an associate who is hardworking part time/full time. Working with awesome office staff, EMR, and latest technology. Competitive salary and incentives. NC license is a must. Please send contact info and CV to iiicmstewart@aol.com or call 252-813-3136.
PODIATRIST – SCOTTSDALE, AZ
Aveon Health, a busy family practice, is seeking a driven and experienced podiatrist to take and grow an existing podiatry patient base. Flexible hours, a 60/40 split and no overhead costs. We cover malpractice, 50% of employee-only health insurance, credentialing, CME, billing, staff and fully equipped treatment rooms and supplies. Proven experience with lower extremity biomechanics, wound care, and surgical procedures. For a full description please send resume and photo to Adara@aveonhealth.com
ASSOCIATE POSITION - MANHATTAN
Rare opportunity to practice in thriving Out-of-Network practice in the heart of Manhattan. 200k starting with 35% commission structure. 40 hour week Monday-Friday. Health Benefits, 20 days PTO, no call and great company culture! Board Elig/Cert required with strong surgical skills preferred. Interested and ambitious candidates email your CV to nycfootdoctors@gmail.com
ASSOCIATE POSITION - QUEENS, NY
Looking for an associate podiatrist for a growing practice. Our podiatric clinic is seeking a skilled and compassionate podiatrist to join our dynamic team. Great staff and flexible hours. Recent graduates welcome. Will help participate with most insurance plans. Offices in the heart of both Manhattan and Queens. Email: newyorkfootdoc@gmail.com
ASSOCIATE POSITION – NASSAU COUNTY, NEW YORK
Part-time once a week coverage, Nassau County. Practice available for sale. Contact: Bombbustr7@aol.com
ASSOCIATE POSITION - NEW JERSEY
Part time Podiatrist wanted to join our team. Based out of two offices in Monmouth and Ocean County, you'll help us serve over 20 nursing facilities. Flexible 10-20 hours/week, supportive staff. Ideal for work-life balance or supplementing your current practice. podiatrynj1212@gmail.com
SEEKING A LOCUM PODIATRIST AT OUR WYOMISSING, PA OFFICE
Starting in October/November. As part of the Integrated Foot and Ankle Specialists network, this temporary position offers flexible scheduling, competitive pay, and support from an experienced clinical team. Opportunity to progress to a full-time role. ACTIVE PENNSYLVANIA LICENSE REQUIRED. Questions? Contact HR@IntegratedFootandAnkle.com
ASSOCIATE POSITIONS – AL, CO, IA, IL, KS, LA, MO, MS, NE, OK, SC, TN & UT
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
ASSOCIATE POSITION – LOS ANGELES, CA
Los Angeles podiatry group is looking to hire a part-time podiatrist. Candidate must be board qualified/certified, hold a valid California podiatry license and DEA, and have completed a 3-year surgical residency with expertise in diabetic wound care. Please email your cover letter and CV to: comprehensivemedicalstaff@gmail.com
ASSOCIATE POSITION - FLORIDA
Full scope Florida practice with high hospital census, wound care, innovative office ancillaries for comprehensive patient care in a fast paced atmosphere. Details: www.podiatryinparadise.com
ASSOCIATE POSITION OPEN IN DALLAS/FORT WORTH AREA
Join our dynamic multi-specialty group, spanning 6 locations in DFW, equipped with cutting-edge technology, physical therapy and an established patient base. Our practice also includes a surgery center. We offer a competitive starting salary with bonus and benefits. Send your CV to Cnunez1940@gmail.com
08/15/2025
ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Dr. Roger Beck of Laredo,TX winner of last week's prize of a Dermlite GL dermatoscope (value $395) sponsored by McClain Laboratories. We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in an early 2026 issue of Podiatry Management. It also makes you eligible to win thousands of dollars worth of valuable prizes. Enter by completing this anonymous survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win. To begin survey, click here.
 |
ShoeZap® 15 Minute UV Shoe Sanitizers |
***This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM Podiatry Hall of Fame. To begin survey, click here.
08/15/2025
NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $299 (NOTE: TOKENS EXPIRE 12/31/2027)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, PA, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY*, NC, OK, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/15/2025
08/14/2025
YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous X-Ray of the Day
 |
Beauty knows no pain |
Source: Submitted by Dr. Robert Boudreau
08/14/2025
RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1B
David Secord, DPM
I’ve been using the Panacos graft and the Bleomycin treatments ever since I first started practicing. I list these two together because they attempt to accomplish the exact same thing with somewhat different techniques.
Bleomycin technique: The Bleomycin treatment is my primary treatment for verrucae vulgaris lesions, and I currently have a 99.7% success rate over 28 years and hundreds of cases with the added benefit that if the person has multiple verrucae, treating just the one lesion will allow resolution of all of them in the course of 5-6 weeks. The procedure entails using the body’s own immune system to kill the wart and follows the path of driving some of the warty material into the dermis, where the body will identify it and raise killer T-cells to the...
Editor's note: Dr. Secord's extended-length letter can be read here.
08/14/2025
RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1A
From: Kenneth Meisler, DPM
Before trying Intralesional Cidofovir for refractory warts, I recommend considering pulsed-dye laser treatment which has been found to be a safe effective treatment for recalcitrant warts. My office has treated many thousands of patients with warts using the pulsed-dye laser and receive referrals from dermatologists, podiatrists, and primary care physicians for treatment after they have failed various other treatment modalities. We have been able to resolve more than 95% of all verrucae with the pulsed-dye laser. We actually use pulsed-dye laser as the initial treatment for almost all warts.
Very few podiatrists own a pulsed-dye laser. Many dermatologists do have a pulsed-dye laser; however, my experience is that almost none of them use it for the treatment of warts; it is predominantly used for cosmetic procedures. I think that is because the machine takes about 15 minutes to "warm up" and it is so much easier for them to use liquid nitrogen. Also, it is a very expensive device costing anywhere from $40,000 used to $100,000+ new with high maintenance costs. In addition, there is no additional payment. The appropriate code is the usual CPT 17110 code.
If you have a recalcitrant wart you might want to see if there is a podiatrist or dermatologist in your area who owns a pulsed-dye laser and has experience using it for warts. The laser is very effective with very mild discomfort. Less than 1% of treatments require anesthesia. It can also be used during pregnancy, and most children can tolerate it.
Kenneth Meisler, DPM, NY, NY
08/14/2025
RESPONSES/COMMENTS (PODIATRIC EDUCATION)
From: Rod Tomczak, DPM, MD, EdD
I want to thank Dr. Kesselman for his kind comments, insightful observations, and salient questions concerning the future of podiatric medical education. I don’t think I’ve ever met Dr. Kesselman, but I can unequivocally say, “He gets it!” He is majorly prophetic in his predictions about the future and what we need to do in order to preserve our rich heritage while not losing our essence. It is not unequivocally necessary to retain only the initials DPM after our names to maintain the mandate handed to us through the years to be who we are and continue to be it well. When DSC transitioned to DPM, holders of the former degree did not have to undergo extended periods in sweat lodges to purify themselves of the DSC degree and become DPMs before exiting the ritual cleansing of initials that had become anathema. Some chiropodists preferred to retain the DSC initials but everyone in our profession retained the traits and identity of the chiropodist before signing their name as DPM for the first time. If anything, the initial change spurred us on to become better at what we did rather than distancing us from our roots. We seem to have survived the change quite nicely I might add.
It seems to be time for another major step in our evolution. The next generation to whom we will pass the torch has asked the post-nominal letters be changed to signify an unrestricted license. It is quite obvious from the decline in enrollment at podiatry colleges that the younger generation is not satisfied with a restricted...
Editor's note: Dr Tomczak's extended-length letter can be read here.
|
| |
|
|
|
