2025 CPT code 28118
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Musculoskeletal System Feed
Ostectomy of the calcaneus bone.
Modifiers may be applicable depending on the circumstances.Examples include modifier 51 (multiple procedures) if performed with other procedures, 76 (repeat procedure by the same physician), or 54 (surgical care only) if performed by a different physician than the one who initiated care.Refer to the complete CPT manual for a detailed explanation.
Medical necessity for ostectomy of the calcaneus is established when conservative management has failed to alleviate pain and functional limitations, or in cases of bone infection, necrosis, or significant deformity.Documentation must support the need for surgical intervention.
The surgeon is responsible for the entire procedure, including pre-operative planning, surgical execution (incision, dissection, excision, bone smoothing, wound closure), and post-operative care instructions. Anesthesiologist may be involved in administering anesthesia.
In simple words: This surgery involves removing a piece of the heel bone. This might be done to treat an infection, damaged bone tissue, or a bone spur. The surgeon will make a cut, remove the needed part of the bone, and then stitch the area closed.
Surgical removal of a portion of the calcaneus (heel bone), often performed to address conditions such as infection, necrosis, or bony spurs.The procedure involves an incision, dissection of surrounding tissues (Achilles tendon, bursa), excision of the affected bone, smoothing of the remaining bone surface, and wound closure.Additional procedures, such as Achilles tendon reattachment or complex repair, may be necessary depending on the extent of the damage.
Example 1: A patient presents with a painful calcaneal spur causing significant plantar fasciitis.The surgeon performs an ostectomy to remove the spur, relieving pressure on the plantar fascia. , A patient sustains a crush injury to the heel, resulting in a comminuted calcaneus fracture.Open reduction and internal fixation (ORIF) is performed along with ostectomy to remove necrotic bone fragments., A patient has chronic heel pain associated with osteomyelitis (bone infection) in the calcaneus. After failed conservative treatment, ostectomy is performed to remove infected bone, followed by antibiotic therapy.
Preoperative imaging (X-rays, CT scans), operative report detailing the extent of bone removed, postoperative imaging to assess healing, pathology report if tissue was sent for analysis, and progress notes documenting the patient's recovery.
** This code represents the surgical removal of a portion of the calcaneus bone. The extent of the removal and the presence of additional procedures will influence billing practices. Consult the complete CPT manual and other relevant resources for complete coding instructions.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Orthopedic surgery, podiatric surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center