Helpful Codes For Osteochondral Allograft Procedures In The Talus And Ankle

The following coverage, coding, and payment information is provided for informational purposes only and should not be construed as legal advice. The information was compiled from various resources and is subject to change.

Providers should exercise independent clinical judgment when selecting codes and submitting claims to accurately reflect the services rendered. Providers are encouraged to contact third-party payers for specific information on their coverage, coding, and payment policies as payment for medical products and services is affected by numerous factors.

Ranges below indicate several options are available for the same procedure (e.g. left, right or bilateral).

Typical ICD-10 Codes

• M24.171-M24.173 – Other articular cartilage disorders, ankle
• M24.871-M24.873 – Joint derangement, ankle
• M87.071-M87.076 – Idiopathic aseptic necrosis of ankle and foot
• M87.171-M87.176 – Osteonecrosis due to drugs, ankle and foot
• M87.271-87.276 – Osteonecrosis due to previous trauma, ankle and foot
• M87.371-M87.376 – Other secondary necrosis, ankle and foot
• M87.871-M87.876 – Other osteonecrosis, ankle and foot
• M93.20 – Osteoarthritis of ankle
• M93.271-M93.272, M93.279 –Osteochondritis dissecans, ankle and joints of foot
• M93.871-M93.872, M93.279 – Other specified osteochondropathies, ankle
• M94.8X7 – Other specified osteochondropathies, ankle

Typical ICD-10 Procedure Code

• 0SUF0KZ-0SUG4KZ – Supplement ankle joint with nonautologous tissue substitute

Typical CPT Codes

• 27700 – Revision of ankle joint
• 27702 – Reconstruction of ankle joint
• 27899 – Unlisted procedure, leg or ankle
• 28103 – Excision of bone cyst or benign tumor, talus or calcaneus; with allograft
• 28107 – Excision of bone cyst or benign tumor, tarsal or metatarsal
• 28120 – Partial talectomy
• 28130 – Talectomy
• 28730-28735 – Tarso-metatarsal arthrodesis
• 28899 – Unlisted procedure, foot or toes
• 29892 – Arthroscopically aided repair of large OCD lesion, talar dome fracture or tibial plafond fracture, with or without internal fixation
• 29999 – Unlisted procedure, arthroscopy

Typical HCPCS Codes

• C1762 – Billing code for allograft

Typical Revenue Codes (for form UB-04)

• 278 – Other implants

CPT Modifiers

Physicians may bill modifiers to indicate that a procedure performed has been altered by some specific circumstances, but not changed in its definition or code.

• 22 –Indicates an unusual procedure where additional may be made if the payer agrees the procedure involved exceptional circumstances. This modifier may be used for patients with multiple defects, and will trigger manual review of the claim.
• 50 – Bilateral
• RT – Right
• LT – Left

Updated on: 18/03/2021