Outpatient Facility Coding Alert
Toe the Right Line With Osteotomy and Reconstruction Modifiers
PDF
Question: The surgeon completed Mitchell osteotomy on the left foot first metatarsal, and hammertoe reconstruction on the second and third toes. Is it correct to code 28306-TA, 28285-T1, and 28285-T2 for the second and third hammertoe reconstruction?
Answer: Some of your suggested codes are correct, but one isn’t. Here’s what you should report:
Code 28296 (Correction, hallux valgus [bunion], with or without sesamoidectomy; with metatarsal osteotomy [e.g., Mitchell, Chevron, or concentric type procedures]) with modifier LT (Left foot) is appropriate for Mitchell osteotomy in the left first metatarsal.
Code 28285 (Correction, hammertoe [e.g., interphalangeal fusion, partial or total phalangectomy]) is appropriate for hammertoe reconstruction of the second and third hammertoes. You should append modifiers T1 (Left foot, second digit) and T2 (Left foot, third digit).
Florida Subscriber
Outpatient Facility Coding Alert
- Spinal Procedures:
Follow 3 C's to Capture Radiological Supervision During Vertebroplasty
This detail helps separate vertebroplasty from kyphoplasty. If surgeons in your facility perform vertebroplasties, be [...] - Chemotherapy:
Don't Miss These Key Revisions to 96401-96549 Guidelines
One coding example specifically applies to facilities. CPT® 2013 includes nearly half a page of [...] - Reimbursement:
Know Your Patients' Payers to Capture Legitimate Post-Op Revenue
Don’t automatically skip billing for post-surgical infection care. Wondering whether services associated with a postoperative [...] - ICD-10:
Salivary Gland Denervation Brings Simple ICD-10 Changes
Prepare to replace 527.2 with K code in 2014. When you report code 64611 (Chemodenervation [...] - You Be the Coder:
Choose a Diagnosis for Postoperative Swelling
Question: I cannot locate "post-operative swelling" under the status choices for postoperative diagnoses? Can you [...] - Reader Question:
Look to Category 320 for Diagnostic Radiology
Question: What is the appropriate revenue code (for UB-04 billing) for CPT® codes 73030 and [...] - Reader Question:
Documentation Is Crucial to Reporting Bilateral Injections
Question: One of the pain management specialists submitted the following documentation: "Utilizing fluoroscopic guidance in [...] - Reader Question:
Dig Deeper for Type of Manifestation in Diabetic Neuropathy
Question: The physician’s notes included documentation that a patient has diabetes complicated by peripheral neuropathy. [...] - Reader Question:
Toe the Right Line With Osteotomy and Reconstruction Modifiers
Question: The surgeon completed Mitchell osteotomy on the left foot first metatarsal, and hammertoe reconstruction [...] - Reader Question:
Verify Date of Eligibility for Patients With New Insurance
Question: A patient who is scheduled for surgery says she has new coverage, but hasn’t [...] - Reader Question:
Code 25111 Covers Both Synovectomy and Ganglion Excision
Question: In a patient diagnosed with synovitis with first dorsal compartment tendinitis and ganglion formation [...]