Advanced Search

Podiatry Coding & Billing Alert

Reader Questions:

Unlisted Codes Fare Best For Hallux Limitus

Published on Sun Jun 20, 2010

Question: My podiatrist performed a joint replacement for hallux limitus on a patient who does not have a bunion. I think I should use 28293, but my podiatrist thinks otherwise. What is the code to use for this procedure?Kentucky SubscriberAnswer: Your podiatrist is right to disagree. You will not find a CPT for hallux arthroplasty with implant, and your best option is to useunlisted codes.Here's what you should do: report 28899 (Unlisted procedure, foot or toes). When you determine a comparison code for the most accurate reimbursement, compare the unlisted code 28899 to 28289 (Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint) or 28293 (Correction, hallux valgus [bunion], with or without sesamoidectomy; resection of joint with implant) when submitting your claim.
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.

Other Articles in this issue of

Podiatry Coding & Billing Alert

View All