2025 CPT code 28130
Talectomy (astragalectomy)
Modifiers may be applicable. Modifier 54 is used if the surgeon only performs the surgery and another provider provides post-operative care.
The surgeon prepares the patient and provides anesthesia. They make an incision, remove the joint capsule and ligaments around the talus, and then remove the bone. They then stabilize the heel bone and close the surgical area.
In simple words: The doctor removes the ankle bone (talus) to stabilize the ankle. They make an incision on the side of the ankle, remove the tissue around the bone, and take out the talus. They may stabilize the heel bone by inserting a wire into the shin bone through the heel.
Surgical removal of the talus bone (also known as the astragalus) to stabilize the ankle.
Example 1: A patient sustains a severe ankle injury in a car accident, resulting in a severely fractured and unstable talus. The surgeon performs a talectomy to remove the damaged bone and stabilize the ankle., A patient with avascular necrosis (bone death) of the talus experiences persistent pain and limited mobility despite conservative treatments. The surgeon recommends a talectomy to alleviate pain and improve ankle function., A patient develops a severe infection in the talus that doesn't respond to antibiotics. The surgeon performs a talectomy to remove the infected bone and prevent further complications.
Documentation should include details of the ankle injury or condition, failed conservative treatments, operative report, and post-operative care plan.
** For calcanectomy (removal of the heel bone), use code 28118.
- Specialties:Orthopedic Surgery, Podiatric Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center