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2025 CPT code 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft.

This code should not be reported if autograft is used (28102). If other procedures are performed on the same bone, those should be coded separately.

Medical necessity must be established by demonstrating the clinical symptoms and diagnostic findings that justify the procedure, such as pain, limited mobility, or risk of fracture.

The surgeon prepares the patient and administers anesthesia. An incision is made to access the cyst or tumor, dissecting through tissue while protecting nerves and blood vessels. The lesion is removed, and the allograft is positioned and secured. The wound is then cleaned and closed.

In simple words: This procedure involves removing a bone cyst or non-cancerous tumor from the ankle or heel bone and replacing the removed bone with donor bone tissue.

This code describes a surgical procedure involving the removal (excision) or scraping (curettage) of a bone cyst or benign tumor from the talus or calcaneus bones in the foot and/or heel. Following the removal, the resulting bone defect is filled with an allograft (bone tissue from a donor).

Example 1: A patient presents with a painful bone cyst in their talus. The surgeon performs a curettage, removing the cyst and filling the void with an allograft to promote healing., A benign tumor is discovered in the calcaneus of a patient. The surgeon excises the tumor and uses an allograft to reconstruct the area and restore bone integrity., A patient has chronic pain and limited mobility due to a bone cyst in the talus. The surgeon removes the cyst and places an allograft to alleviate pain and improve function.

Documentation should include details about the size and location of the lesion, operative technique (excision or curettage), type of allograft used, and any complications encountered.

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