1. 2017 Bunionectomy Code Changes & Other Coding Stuff
Presented by
Larry Santi, DPM, FASPS

2. APMA Coding Resource Center

3. APMA Coding Resource Center www.apmacodingrc.org

4. APMA Coding Resource Center

5. Questions?
Contact The APMA Health Policy and Practice Department or

6. 2017 Bunionectomy Codes

7. CPT Revised
Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint
Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant

8. CPT 28289

9. CPT New
Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant

10. CPT 28291

11. CPT 28290
Correction, hallux valgus (bunion), with or without sesamoidectomy; simple exostectomy (e.g., Silver type procedure)

12. CPT Deleted

13. Proper Named Procedures
Silver, Keller, McBride, Mayo, Joplin, Mitchell, Lapidus

14. Proper Named Procedures - Deleted

15. CPT Revised
Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride, or Mayo type procedure
28292 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method

16. CPT 28292

17. CPT 28292

18. CPT 28293
Correction, hallux valgus (bunion), with or without sesamoidectomy; resection of joint with implant

19. CPT Deleted
See CPT 28291

20. CPT 28294
Correction, hallux valgus (bunion), with or without sesamoidectomy; with tendon transplants (e.g., Joplin type procedure)

21. CPT Deleted

22. CPT Revised
Correction, hallux valgus (bunion), with or without sesamoidectomy; with metatarsal osteotomy (e.g., Mitchell, chevron, or concentric type procedure)
Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method

23. CPT 28296

24. CPT New
Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method

25. CPT 28295

26. CPT Revised
Correction, hallux valgus (bunion), with or without sesamoidectomy; Lapidus type procedure
Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method

27. CPT 28297

28. CPT Revised
Correction, hallux valgus (bunion), with or without sesamoidectomy; by phalangeal osteotomy
Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method

29. CPT 28298

30. CPT 28299
Correction, hallux valgus (bunion), with or without sesamoidectomy; by double osteotomy
Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with double osteotomy, any method

31. CPT 28299

32. CPT 28299

33. CPT 28299

34. Other CPT Revisions, Deletions

35. Other CPT Revisions, Deletions

36. Other CPT Revisions, Deletions

37. Other CPT Revisions, Deletions

38. Other CPT Revisions, Deletions
CPT – Revision – Now an Add-On Code

39. Other CPT Revisions, Deletions
0019T – Deletion

40. QUESTIONS?