How To Use CPT Code 28100

CPT 28100 describes the excision or curettage of a bone cyst or benign tumor in the talus or calcaneus. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 28100?

CPT 28100 is used to describe the excision or curettage of a bone cyst or benign tumor in the talus or calcaneus. This procedure is performed to relieve pain and improve range of motion in the affected area. The provider makes an incision on the skin over the cyst or tumor, dissects down through the subcutaneous tissue, and identifies the lesion in the talus or calcaneus bone. The provider then uses a curette to scrape or excise the lesion from the bone. The wound is irrigated with antibiotic solution and closed in layers.

2. Official Description

The official description of CPT code 28100 is: ‘Excision or curettage of bone cyst or benign tumor, talus or calcaneus.’

3. Procedure

1. The provider makes an incision on the skin over the cyst or tumor in the talus or calcaneus.
2. The provider dissects down through the subcutaneous tissue, protecting the nerves and vessels.
3. The provider identifies the bone cyst or benign tumor in the talus or calcaneus.
4. The provider uses a curette to scrape or excise the lesion from the bone.
5. The provider irrigates the wound with antibiotic solution.
6. The provider closes the wound in layers.

4. Qualifying circumstances

CPT 28100 is performed on patients with a bone cyst or benign tumor in the talus or calcaneus. A bone cyst is an abnormal sac usually containing fluid inside the bone, while a benign tumor is a mass of cells that does not spread to other parts of the body. The procedure is performed to relieve pain and improve range of motion in the affected area.

5. When to use CPT code 28100

CPT code 28100 should be used when the provider performs the excision or curettage of a bone cyst or benign tumor in the talus or calcaneus. It is appropriate to use this code when the procedure is performed to relieve pain and improve range of motion in the affected area.

6. Documentation requirements

To support a claim for CPT 28100, the provider must document the following information:

• Patient’s diagnosis of a bone cyst or benign tumor in the talus or calcaneus
• Description of the procedure performed, including the incision, dissection, identification of the lesion, use of curette, irrigation, and wound closure
• Date of the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 28100, ensure that the procedure is performed on a bone cyst or benign tumor in the talus or calcaneus. There are no specific billing guidelines mentioned for this code.

8. Historical information

CPT 28100 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes excision of a bone cyst in the talus to relieve pain and improve range of motion.
2. A provider performs curettage of a benign tumor in the calcaneus to alleviate pain and improve mobility.
3. An individual undergoes excision of a bone cyst in the talus with iliac autograft to repair the affected area.
4. A patient undergoes curettage of a benign tumor in the calcaneus with allograft for reconstruction.
5. A provider performs excision of a bone cyst in the talus with autograft to repair the affected area.