AHA Coding Clinic® for HCPCS - 2010 Issue 3; ASK the EDITOR

Excision of Haglund's Deformity

A patient with right calcific Achilles tendinitis with pump bump deformity presents for debridement and excision of the pump bump (Haglund’s deformity). The patient was given a popliteal block and taken to the operating room. The right leg was prepped and draped in the usual manner and one gram of Ancef was given intravenously. Skin incision was made laterally over the lateral border of the Achilles tendon and dissection was carried posterior to the Achilles tendon. A large posterior calcaneal spur was found and it was excised. Flouroscopy was performed that showed that the spur was completely excised. Dissection was then carried anteriorly to the Achilles tendon. A large retrocalcaneal bursa was found and excised, as well as a large prominence of the posterior aspect of the calcaneus, which was also excised with an osteotome. The wound was then irrigated and dried and closed with 3-0 Vicryl and 4-0 nylon. What are the appropriate CPT code assignments for this procedure? ...

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