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11/29/2004 Jeffrey Petrinitz, DPM
Tarsometatarsal Fusion
Query: Tarsometatarsal Fusion CPT 28740 is described as "arthrodesis, midtarsal or tarsometatarsal, single joint". Is this the appropriate code to be used when fusing a 1st metatarsal-cuneiform joint with painful symptomatic osteoarthritis when not performing a Lapidus-type bunionectomy? Jeffrey Petrinitz, DPM Greensboro, NC jpgroks@yahoo.com
Codingline Response:CPT 28740 would be the appropriate code to bill for a fusion of the 1st metatarsal-cuneiform joint.
If a Lapidus-type bunionectomy procedure was performed, the arthrodesis of the 1st met base and medial cuneiform would be included in the global definition of CPT 28297.
Codingline Expert Panelist: Harry Goldsmith, DPM
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