How To Use CPT Code 28140

CPT 28140 describes the surgical procedure known as metatarsectomy, which involves the removal of the metatarsal bone or a portion of it to treat disease or deformity. This article will provide an overview of CPT code 28140, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 28140?

CPT 28140 is a code used to describe the surgical removal of the metatarsal bone or a portion of it. This procedure is performed by a healthcare provider to treat diseases or deformities affecting this bone. It is important to note that if the condition cannot be adequately addressed with a partial excision, a complete removal of the bone may be necessary.

2. Official Description

The official description of CPT code 28140 is the “Excision, metatarsal bone; partial or complete.” This code specifically refers to the surgical removal of the metatarsal bone, either partially or in its entirety, to address disease or deformity. It is important to review any additional notes or guidelines associated with this code for accurate reporting.

3. Procedure

1. The healthcare provider begins by preparing and anesthetizing the patient appropriately.
2. An incision is made over the metatarsophalangeal joint, which is the joint formed by the metatarsal bones and the adjacent bones of the toes.
3. The provider carefully retracts the nerves and tendons to gain access to the affected metatarsal bone.
4. Using a bone saw, the provider removes the metatarsal bone either partially or completely, depending on the specific condition and treatment plan.
5. The surgical area is then closed in layers to promote proper healing.

4. Qualifying circumstances

CPT code 28140 is used when a patient requires the surgical removal of the metatarsal bone or a portion of it due to disease or deformity. This procedure is typically performed by a qualified healthcare provider who has determined that this intervention is necessary for the patient’s well-being. It is important to note that the decision to perform a partial or complete excision depends on the severity and nature of the condition.

5. When to use CPT code 28140

CPT code 28140 should be used when a healthcare provider performs the surgical removal of the metatarsal bone or a portion of it. This code is appropriate for cases where the disease or deformity cannot be adequately addressed through other treatment methods. It is important to review the specific documentation requirements and guidelines associated with this code to ensure accurate reporting.

6. Documentation requirements

When reporting CPT code 28140, the healthcare provider must document the following information:

• The patient’s diagnosis and the need for metatarsectomy
• The specific details of the procedure, including whether it was a partial or complete excision
• The date of the surgery
• Any additional relevant information, such as the patient’s response to the procedure or any complications encountered
• The provider’s signature to authenticate the documentation

7. Billing guidelines

When billing for CPT code 28140, it is important to ensure that the procedure performed aligns with the code’s description. The healthcare provider should review the specific billing guidelines and requirements set forth by the relevant coding and billing authorities. It is also essential to understand if there are any restrictions or limitations on reporting this code in conjunction with other codes.

8. Historical information

CPT code 28140 was added to the Current Procedural Terminology system on January 1, 1990. Since its addition, there have been no updates or changes to the code. It is important to consult the most recent coding resources and guidelines to ensure accurate reporting.

9. Examples

1. A patient undergoes metatarsectomy to address a severe bone infection affecting the metatarsal bone.
2. A healthcare provider performs a partial excision of the metatarsal bone to correct a deformity that was causing significant pain and mobility issues for the patient.
3. A complete removal of the metatarsal bone is performed on a patient with a malignant tumor affecting the bone.
4. A patient with a congenital abnormality undergoes metatarsectomy to improve their foot’s overall structure and function.
5. A healthcare provider performs a partial excision of the metatarsal bone to address a chronic condition that was unresponsive to conservative treatment methods.
6. A complete removal of the metatarsal bone is performed on a patient with a severe fracture that cannot be adequately repaired through other means.
7. A patient with a degenerative joint disease undergoes metatarsectomy to alleviate pain and improve joint function.
8. A healthcare provider performs a partial excision of the metatarsal bone to address a non-healing wound that was causing significant complications for the patient.
9. A complete removal of the metatarsal bone is performed on a patient with a severe bone deformity that was affecting their ability to walk and perform daily activities.
10. A patient with a chronic inflammatory condition undergoes metatarsectomy to manage their symptoms and improve their quality of life.