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Radical resection of a tumor in the talus or calcaneus is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. This procedure involves a comprehensive approach to ensure complete excision of the tumor along with a significant margin of healthy tissue to minimize the risk of residual cancerous cells. The process begins with a skin incision made directly over the tumor site, or alternatively, a skin flap may be created and elevated to provide better access. Once the overlying tissue is carefully dissected, the tumor is exposed for removal. The surgical technique requires the excision of all bone and cartilage that is involved with the tumor, ensuring that the tumor is removed en bloc, which means it is taken out in one piece along with a wide margin of surrounding healthy tissue. This radical approach also necessitates the excision of all affected soft tissues, which can include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints. To confirm that all cancerous cells have been removed, a frozen section analysis is performed during the procedure. If any margins are found to contain malignancy, additional tissue is excised until clear margins are achieved. Post-surgery, drains may be placed as needed to manage fluid accumulation, and the surgical wound is typically closed in layers. In some cases, separate reconstructive procedures may be performed to restore the area after the radical resection.
© Copyright 2025 Coding Ahead. All rights reserved.
Radical resection of a tumor in the talus or calcaneus is indicated for the following conditions:
The procedure for radical resection of a tumor in the talus or calcaneus involves several critical steps:
After the radical resection procedure, patients can expect a recovery period that may vary based on the extent of the surgery and individual health factors. Post-operative care typically includes monitoring for any signs of infection, managing pain, and ensuring proper wound healing. Patients may require physical therapy to regain strength and mobility in the affected area. Follow-up appointments are essential to assess healing and to conduct any necessary further evaluations, including imaging studies to ensure that the tumor has been completely removed and to monitor for any recurrence. The surgical team will provide specific instructions regarding activity restrictions and care of the surgical site to facilitate optimal recovery.
| Short Descr | RESECT TALUS/CALCANEUS TUM | Medium Descr | RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS | Long Descr | Radical resection of tumor; talus or calcaneus | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 142 - Partial excision bone |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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