How to code Topaz microdebridement ablation procedure, left Achilles tendon lateral insertion, and central band plantar fascia, left foot

INDICATIONS FOR PROCEDURE: This is a 41-year-old female who presents to
the office with pain at the plantar medial aspect of the left heel, as well
as at the lateral insertion site of the Achilles tendon. After all
conservative treatment options were discussed and exhausted with no relief
in symptoms, it was decided that surgical treatment of this condition would
be most appropriate at this time. The patient was explained the procedure
in detail with all risks, benefits, and alternatives explained. A written
and signed informed consent was placed in the chart. No guarantees were
made or implied to the patient at this time. All questions were answered to
the patient's satisfaction.

PROCEDURE IN DETAIL: Under mild sedation, the patient was brought into the
operating room and was placed on the operating table in the prone position.
A timeout was performed, indicating the patient, correct side, and site of
procedure. Next, a member of the anesthesia team induced MAC. A
well-padded pneumatic ankle tourniquet was placed about the left ankle and a
more proximal ankle block was administered using 20 mL of 0.5% Marcaine
plain in the standard fashion. The left foot was then scrubbed, prepped,
and draped in the usual aseptic manner. After exsanguination, attention was
directed over the lateral aspect of the Achilles tendon insertion where a 3
x 3 cm block was marked out using a skin marker with different points drawn
out for Topaz ablation. Another area was blocked out on the central band of
the plantar fascia along the medial longitudinal arch of the left foot,
measuring approximately 3 x 2 cm. After this was marked out, a 0.062"
K-wire was used to make punctures at the previously marked dots along these
marked out regions, measuring approximately 1/2 cm from each other. This
was done at the lateral insertion site of the Achilles tendon, as well as
the plantar medial aspect of plantar fascia along the medial longitudinal
arch. After this was one, the Topaz microdebrider wand was used to ablate
these spots using the manufacture's guidelines. After this was done, the
area was cleansed with a wet and dry 4 x 4 and dressed with Xeroform, dry
sterile dressings, Kerlix, and Ace bandage. The patient was awoken from
anesthesia and transferred to the PACU with all vital signs stable and
neurovascular status intact to all the digits of the left foot. After
postoperative monitoring, the patient was discharged home with a script for
pain medication, as well as instructions to be weightbearing as tolerated
and a Cam walker.