2025 CPT code 28102
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft).
Medical necessity for this procedure is established by the presence of a symptomatic bone cyst or benign tumor causing pain, instability, or other functional impairment. Imaging studies should support the diagnosis.
The physician is responsible for all aspects of the procedure, including prepping the patient, administering anesthesia, performing the excision and bone graft, and closing the wound.
In simple words: This procedure removes a bone cyst or non-cancerous tumor from the heel or ankle bone.A bone graft from your hip is used to fill the area where the cyst or tumor was removed.
This procedure involves the removal of a bone cyst or benign tumor from the talus or calcaneus bone, followed by the harvesting and implantation of an autograft to repair the site.The surgeon begins by making an incision over the affected area in the ankle or heel. The subcutaneous tissue is dissected, taking care to protect nerves and vessels. The tumor or cyst is identified and removed using a curette. A bone graft is harvested, typically from the iliac bone, and then implanted and secured at the excision site. The wound is irrigated and closed in layers.
Example 1: A patient presents with a painful bone cyst in the calcaneus. The cyst is excised, and an autograft from the iliac crest is used to repair the defect., A benign tumor is discovered in the talus during a routine examination.The tumor is removed via excision, and an autologous bone graft is placed., A patient with a history of ankle pain is diagnosed with a benign bone tumor in the talus. The surgeon performs an excision of the tumor and harvests an autograft from the patient's iliac crest to reconstruct the talus.
Documentation should include details of the lesion, location, size, operative technique, type of bone graft used, and any complications.Confirmation of the diagnosis through imaging studies should be included.
- Specialties:Orthopedic Surgery, Podiatric Surgery
- Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient