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Tip: New 2008 code for the osteochondral autograft ankle procedure
Ambulatory Surgery Reimbursement Update, March 25, 2008
The American Medical Association (AMA) released a new code for osteochondral dessicans (OCD) lesion open treatment for the ankle. The code is a long-awaited and welcome addition to the 2008 CPT Manual.
While coders have been able to report 29892 for an ankle OCD lesion procedure performed arthroscopically, previously there was no code for the open procedure.
Report code 28446 for an open osteochondral autograft of the talus. This code includes harvesting the autograft.
Use this code for the treatment of large osteochondral defects of the talar dome. Bill the code only once, regardless of the number of harvests used in the repair. Coders should not report this code in addition to osteotomy procedures of the tibia and/or fibula (codes 27705 and 27707).
This tip is brought to you by Ellis Medical Consulting, Inc.
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