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An elderly female presented with increasing pain in her left dorsal foot. The patient was brought to the operating room and placed under general anesthesia. A curvilinear incision was centered over the lesion itself. Soft tissue dissection was carried through to the ganglion. The ganglion was clearly identified as a gelatinous material. It was excised directly off the bone and sent to pathology. There was noted to be a large bony spur at the level of the head of the 1st metatarsal. Using a double action rongeur, the spur itself was removed and sequestrectomy was performed. A rasp was utilized to smooth the bone surface. The eburnated bony surface was then covered utilizing bone wax. The wound was irrigated and closed in layers. What CPT® codes are reported? a. 28111-LT, 28092-51-LT b. 28100-LT, 28092-51-LT c. 28045-LT, 28090-51-LT d. 28122-LT, 28090-51-LT

Question

An elderly female presented with increasing pain in her left dorsal foot. The patient was brought to the operating room and placed under general anesthesia. A curvilinear incision was centered over the lesion itself. Soft tissue dissection was carried through to the ganglion. The ganglion was clearly identified as a gelatinous material. It was excised directly off the bone and sent to pathology. There was noted to be a large bony spur at the level of the head of the 1st metatarsal. Using a double action rongeur, the spur itself was removed and sequestrectomy was performed. A rasp was utilized to smooth the bone surface. The eburnated bony surface was then covered utilizing bone wax. The wound was irrigated and closed in layers. What CPT® codes are reported? a. 28111-LT, 28092-51-LT b. 28100-LT, 28092-51-LT c. 28045-LT, 28090-51-LT d. 28122-LT, 28090-51-LT

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Solution

The correct CPT® codes to report for this procedure are 28122-LT, 28090-51-LT. Therefore, the answer is d. 28122-LT, 28090-51-LT.

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