Gross Description: Specimen labeled "sesamoid bone, first metatarsal, right" is received in formalin. Contains three irregular fragments of grey-brown, hard, bony tissue. Multiple fragments of brown-tan, rubbery, fibrocollagenous, soft tissue altogether measuring 2.8 x 1.7 x 0.8 cm. Specimen was decalcified and gross examination showed acute osteomyelitis, with foci of marrow fibrosis.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct codes are 88300 and 88311-51, which represent the gross examination of a specimen and the decalcification of a specimen, respectively. The ICD-10-CM code M86.171 represents acute osteomyelitis of the first metatarsal bone.

Gross Description: Specimen Labeled "Sesamoid Bone, First Metatarsal, Right" Is