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

Note: These lists of codes may not be all-inclusive.

Updated on: 18/03/2021