CPT^® 28270, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28270 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

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Summary

The provider incises the capsule of a metatarsophalangeal joints of the toes to restore range of motion and relieve pain from a contracture. He may suture the tendon to strengthen it.

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need help coding this bunion procedure

Disagree with both coding choices above. My opinion on the CPT: 28299 RT (some payers want T5 Right foot, great toe, but you're technically only supposed to use the T mods on phalanges) (If provider ... [ Read More ]

For hammertoe - Packing PIP with bone auto grafting after fixing with k-wire, also packing MTP with bone auto grafting, 2nd left

I need help. The first part of the procedure was (28750-LT) fusion of hallux MTP joint with screw and plate for hallux rigidus. So the 'was harvest of bone distant'? answer is 'not really'.....from ... [ Read More ]

28285/28270

28285 was performed at the IPJ for hammertoe and 28270 performed at the MPJ for add'l contracture. Can these be reported separately because of the different joints or is the 28270 bundled into the 282... [ Read More ]

Help please!

I need help coding this please! I am not real good with coding feet and if I could get some direction it would be greatly appreciated. I have 28755- T5, 28285 - T6, T7, T7, T9. The doctor has coded ... [ Read More ]

Foot Surgery

I see a repeat Lapid procedure. The patient had a prior Lapid and removing the hardware from the previous surgery was necessary to perform this surgery, so 20680 is not billable. 28297 for the Lapid. ... [ Read More ]

PIPJ arthroplasty with MPJ release and pinning

The 'arthroplasty' is part of a hammertoe procedure; the head of the proximal phalanx was resected. I would code the 28296-LT for the Chevron/Austin, a 28285 - T1 for the second digit left hammertoe ... [ Read More ]

foot surgery

28308 should be paid separately as this is treating the metatarsalgia. The capsulotomy (28270) is bundled. The hammertoe is a repaired at the PIP joint. The metatarsalgia is treated at the MTP joint. ... [ Read More ]

foot surgery

Can someone explain or advise if this is coded correctly. CPT 23808 was denied as a subset to 28285 & 28270. Incision was made at the 2nd toe, and the following procedures were done: a MTP capsuloto... [ Read More ]

27691

Hi, I think you will code it as 28285/28270. 28285 covers the hammartoe correction along with tendon transfer and 28270 will cover the capsulotomy part.Hope it helps...... [ Read More ]

Second metatarsa shortening osteotomy and joint capsulorrhaphy

Hi All I hope someone can help with this. Here is the op-note we billed 28730,TA 28308,T1 28270,T1 and 20900 and only received payment for 28730,TA. We will add modifier 59 on the 28308 that is a ... [ Read More ]

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