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help! Perc pinning little toe

taurus7694

Networker
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33
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:confused::confused:Can anyone tell me which code is the correct code for Percutaneous pinning of the little toe?? There are codes for the great toe ...but not for the phalanx of the little toe?? Thanks
 

peporter

Guru
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106
Location
Columbus, Ohio
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I was looking at 28496, which is percutaneous skeletal fixation of fracture great toe, phalanx OR phalanges. Why can't this be used? Am I missing something? You could use the modifier to indicate which toe, like T4. I guess I'm a little confused on this also. Thanks, Paula
 

cgallimore

Networker
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84
Location
High Point, NC
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You would use CPT 28525, Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each. Per the Podiatry Coding Companion, "This code reports percutaneous skeletal fixation of a toe fracture other than the great toe."

CPT 28496 is for the great toe only -proximal and/or distal phalanx (phalanges) of the great toe.
 

Bella Cullen

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I wouldn't use 28525 if no incision was made. Thats why I think it should be 28515.
If there was an incision then I would go with 28525.
 

bmeech

Networker
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46
Location
Greenville SC
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Thought I would share, per the Coding Companion for Orthopaedics...
on the 28525 in Coding Tips it says "This code reports percutaneous skeletal fixation of the toe fx other than the great toe"

Brenda M. CPC
Northern Orthopedics
Brainerd, MN
 

pammalou

Networker
Messages
59
Location
St. Cloud, MN
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Closed reduction percutaneous pinning of toe, other than great toe

Per first Quarter 2016 coding clinic page 4; assign 28515 for the closed treatment of fracture and the 28899 for the pinning portion.
 
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