Wiki Help with 28740

[Sara82]

Hi there! My doctor performed Arthodesis on toes 2 though 5 of the left foot.
The insurance paid for 2 of the procedures and denied the other 2 stating "multiple surgery addition".
Im not at all used to coding for toes, feet etc - so I was hoping for some help.
1. Am I supposed to use 59 LT for the modifiers? Or T1-T4?
2. Am I suppose to use 28730 versus 28740 x 4?

If any one can help me with this or atleast point me in the right direction, I would greatly appriciate it!

 

[PLAIDMAN]

I would not have used either of those for TOES

what is the dx? why is doc doing surgery?

what joint was fused? MPJ , PIPJ, DIP?

 

[kumar_sanjeev02]

hi sara

hi sara;

if multiple toes are fused used 28730 once as code states multiple midtarsal and tarsometatarsal. Hope this will help you.

thanks and regards
sanjeev

 

[Sara82]

sorry yes, that was my mistake when I was writing the question - It was the tarsometatarsal joints.

Thank you both for your help!