Coding 28810 for multiple toes

[Mindy46]

What is the appropriate way to code 28810 for five (5) separate toes? The system only allows one (1) unit, or it hits against a duplicate claim. Should it be billed five (5) times, each with a 'T' modifier which identifies the body part? What about modifier '59'?

[tcooper@tupelosurgery.com]

I would use the T modifier on 5 lines. Medicare states that they will know which toe it is by the T modifier. I hope this helps....