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CPT codes 28270 and 28230

S

sguarino

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I'm fairly new to Podiatry billing and recently had a denial of a second level appeal by TriWest for bundling of CPT codes 28270 and 28230. Per CCI edits, these coeds don't bundle, but I can't get TriWest to pay for 28230. Could anyone explain why? Any help would be greatly appreciated.
 
both of those codes are (seperate procedures) if the separte procedure is carried out independently or considered unrelated then a "seperate procedure" can be billed.....;)
 
I think the desription of 28270 includes "with or without tenorrhaphy". Were the procedures done through separtate incisions? Can you truely say these were separate procedures? I can't read the report but I am trying to think likethe payer.
 
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