Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Podiatry
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 03-07-2011, 02:43 PM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default Hammer toe capsulotomy??

I bill CPT 28272 for PIP capsulotomy for Hammer toe. I've heard that when there is a dx of hammer toe that this should be billed as a hammer toe repair code, 28285? has anyone out there heard of this? I know for a tenotomy, this is true but haven't heard for a capsulotomy code.


thanks
Reply With Quote
  #2  
Old 03-09-2011, 07:19 AM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default hammer toe capsulotomy??

any takers on this one??
Reply With Quote
  #3  
Old 03-10-2011, 01:49 PM
Jamie Dezenzo Jamie Dezenzo is offline
True Blue
 
Join Date: Apr 2007
Posts: 791
Jamie Dezenzo is on a distinguished road
Default

I would only bill 28272 if that is the only thing done...Usually 28285 involves bony work.
Reply With Quote
  #4  
Old 03-11-2011, 09:49 AM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default

that's what I used to think.... but so many different sources are saying that CPT 28285 also involves "soft tissue" work.

Many auditors and other sources such as "podiatrymonline.com" are saying "According to the AMA, when hammertoe is repaired by tenotomy the hammertoe repair code should be reported" but I have yet to see anything directly from the AMA.
Reply With Quote
  #5  
Old 03-17-2011, 06:21 AM
nsteinhauser nsteinhauser is offline
Guru
 
Join Date: Apr 2007
Posts: 228
nsteinhauser is on a distinguished road
Red face

Nothing from the AMA here -

But I have notes (can't remember what class they came from) from a coding class I took that states the 28285 should only be used if there is bony work - like Jamie said above. Parts of the proximal phalanx are removed. I use the 28270 or 28272 (depending on the joint) if the surgeon just does the capsulotomy to correct the hammertoe without bony work.....
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 10:23 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC