How To Use CPT Code 28108

CPT 28108 describes the excision or curettage of a bone cyst or benign tumor in the phalanges of the foot. 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 28108?

CPT 28108 is used to describe the excision or curettage of a bone cyst or benign tumor in the phalanges of the foot. This procedure involves the removal of the cyst or tumor from the bone using a sharp cutting instrument. It is important to note that this code should not be used for partial excision of bossing or exostosis for the phalanx in the foot, as that would require the use of CPT code 28124.

2. Official Description

The official description of CPT code 28108 is: ‘Excision or curettage of bone cyst or benign tumor, phalanges of foot.’

3. Procedure

1. The provider begins by preparing and anesthetizing the patient appropriately.
2. An incision is made on the skin over the cyst or tumor.
3. The provider then carefully dissects through the subcutaneous tissue, ensuring the protection of nerves and vessels.
4. The cyst or tumor is identified and removed from the bone using a sharp cutting instrument.
5. The wound is irrigated with an antibiotic solution to prevent infection.
6. The provider closes the wound in layers.

4. Qualifying circumstances

CPT 28108 is used for the excision or curettage of bone cysts or benign tumors in the phalanges of the foot. It is important to note that this code should not be used for partial excision of bossing or exostosis for the phalanx in the foot, as that would require the use of CPT code 28124.

5. When to use CPT code 28108

CPT code 28108 should be used when the provider is performing the excision or curettage of a bone cyst or benign tumor in the phalanges of the foot. It is important to accurately document the specific procedure performed to ensure proper coding and billing.

6. Documentation requirements

To support a claim for CPT code 28108, the provider must document the following information:

• Patient’s diagnosis indicating the presence of a bone cyst or benign tumor
• Description of the procedure performed, including the specific bone involved
• Details of the incision, dissection, and removal of the cyst or tumor
• Documentation of wound irrigation and closure
• Any additional relevant information, such as complications or follow-up plans

7. Billing guidelines

When billing for CPT code 28108, ensure that the procedure performed matches the description of the code. It is important to accurately document the specific bone involved and the details of the excision or curettage. Additionally, it is important to follow any specific billing guidelines provided by the payer or coding guidelines.

8. Historical information

CPT code 28108 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 the excision of a bone cyst in the phalanges of their foot.
2. A provider performs the curettage of a benign tumor in the phalanges of a patient’s foot.
3. An individual undergoes the excision of a bone cyst in the phalanges of their foot.
4. A provider performs the curettage of a benign tumor in the phalanges of a patient’s foot.
5. An individual undergoes the excision of a bone cyst in the phalanges of their foot.
6. A provider performs the curettage of a benign tumor in the phalanges of a patient’s foot.
7. An individual undergoes the excision of a bone cyst in the phalanges of their foot.
8. A provider performs the curettage of a benign tumor in the phalanges of a patient’s foot.
9. An individual undergoes the excision of a bone cyst in the phalanges of their foot.
10. A provider performs the curettage of a benign tumor in the phalanges of a patient’s foot.