klestes
Guest
patient had crush injury of the left foot. dr. debrided 1st metatarsal fx ,1st metarsarsal phalangeal joint,1st prox phalanx fx 5th metatarsal fx , 5th tarsometatarsal joint and Lt. cuboid fx coded ea 11012 w/59 modifier all but one was denied. He states these were all opened fx and states he debrides to the bone in each. We didnt appeal because it was determined that only 1 incision was made so 4 of the debridements were void. Dr. felt he should have been paid for each since he felt alot of work went in to surgery. Any thoughts ?