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  #11  
Old 03-18-2009, 11:01 AM
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sounds good you're welcome
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  #12  
Old 03-19-2009, 11:47 AM
Bella Cullen Bella Cullen is offline
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In that case, if he took off the metatarsal and toe then I would code that as 28810 ONLY, because that is for amputation of a metatarsal bone and its attached toe.
28820 is just for an amputation at the metatarsalphalangeal joint level.

I would not use 28113 because that is for excision of the metatarsal head only.
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  #13  
Old 03-19-2009, 11:55 AM
Bella Cullen Bella Cullen is offline
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If in the op note it says anything like incision deep to the metatarsalphalangeal joint, and the proximal phalanx bone was disarticulated from the metatarsal bone, but nothing about the metatarsal being disarticulated then this would be 28820.

Complete removal of just the metatarsal bone would be 28140. Partial excision of just the metatarsal bone would be 28122.
And then what I just wrote previously.

Hope that helps.
Daisy
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  #14  
Old 03-19-2009, 12:31 PM
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Quote:
Originally Posted by DaisyAnn View Post
If in the op note it says anything like incision deep to the metatarsalphalangeal joint, and the proximal phalanx bone was disarticulated from the metatarsal bone, but nothing about the metatarsal being disarticulated then this would be 28820.

Complete removal of just the metatarsal bone would be 28140. Partial excision of just the metatarsal bone would be 28122.
And then what I just wrote previously.

Hope that helps.
Daisy
He removed the toe at the metatarsophalangeal joint, but also did a metatarsal resection. He didn't remove all of the metatarsal.
So, if he removes the toe at the metatarsophalangeal joint and does a metatarsal resection code 28820 and 28122? If her removes all of the metatarsal and toe I will code 28810.
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  #15  
Old 03-19-2009, 10:39 PM
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amitjoshi4 amitjoshi4 is offline
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Hi,

I would rather use two CPT's to describe this procedure. No single CPT covers this entire procedure.

28122 and 28150 are two CPT to be used here.

Please make me correct if you find something else.

Thank You
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  #16  
Old 03-20-2009, 06:31 AM
Bella Cullen Bella Cullen is offline
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Quote:
Originally Posted by madrake View Post
He removed the toe at the metatarsophalangeal joint, but also did a metatarsal resection. He didn't remove all of the metatarsal.
So, if he removes the toe at the metatarsophalangeal joint and does a metatarsal resection code 28820 and 28122? If her removes all of the metatarsal and toe I will code 28810.
Yes, I would definetly code this as 28820, 28122-59.
And yes, if he removes all of the metatarsal and toe it would be 28810.
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  #17  
Old 03-20-2009, 10:18 AM
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Quote:
Originally Posted by DaisyAnn View Post
Yes, I would definetly code this as 28820, 28122-59.
And yes, if he removes all of the metatarsal and toe it would be 28810.
Thank you, I agree.
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  #18  
Old 03-20-2009, 11:45 AM
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how will you justify the use of the modifier 59?
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  #19  
Old 03-20-2009, 12:00 PM
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Can anyone tell what books there to help me prepare for COSC? I am planning on doing the Practicum online as well as. Thanks.
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  #20  
Old 03-24-2009, 07:06 AM
Bella Cullen Bella Cullen is offline
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Quote:
Originally Posted by mbort View Post
how will you justify the use of the modifier 59?
per cci edits that code needs a 59 modifier.
And they are two separate procedures. 28820 is for amp at metatarsalphalangeal level and 28122 is for partial resection of the metatarsal bone itself.
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