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You are watching: Excision of sinus tract cpt code

Query: Coding the Excision of a Sinus Tract

My physician performed a partial excision of 5th phalanx bone. He also excised a "sinus tract" in the 4th interspace.

I have the code for the excision of bone, but I have never heard of excising a sinus tract. The patient is not a diabetic. She had an infected corn that would not heal with local care. Can anyone help me with this?

Amy Ellis, Evansville, IN

Response: I would code the ostectomy of phalanx as CPT 28124 (ostectomy, partial, phalanx, toe).

If the excision of sinus tract was a component of the skin incision to expose the bone, it would not be billed separately. If, however, a separate incision was made for the removal of sinus tract skin-to-capsule, consider CPT 28092 (excision of lesion, tendon, capsule, toe) or CPT 28090 (excision of lesion, tendon, capsule, foot), depending on the specifics of the incised tract. I think this would be reasonable for the procedure you"ve described.

Howard Zlotoff, DPM, Camp Hill, PA

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Other messages in this thread:
RE: Removal of Implant and Conversion to Fusion (Jay Berenter, DPM)

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Since - I’m sure it was nothing personal against Dr. Poggio, even though he took it that way, let’s get past that and get to the point. Dr. Poggio, your commitment to our profession is noted and appreciated and wasn’t being questioned.If someone performs a primary fusion, he does just that. If someone has to first remove an implant, it makes that primary fusion harder. I don’t care that it’s done through the same incision. The procedure is altered because the joint has been changed from the implant. This must be recognized when being paid.