Revenue Cycle Insider

Orthopedic Coding:

Evaluate Your Options to Report Multiple 28485 Units

Question: I need help with billing multiple units of 28485-LT. We reported the following CPT® codes and ICD-10-CM codes: CPT®: 28485-LT, 28485-XS-76-LT, 28485-XS-76-LT ICD-10-CM: S92.322A, S92.332A, S92.342A The payer reimbursed the first two CPT® codes but denied the third, citing the code as duplicate. How should we correct the claim? Oregon Subscriber Answer: Billing multiple units of 28485 (Open treatment [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

September 2025

View All