New to podiatry coding-help needed

Bea024

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Our podiatrist performed a RT great toe amputation and RT second toe amputation as well as RT 1st metatarsal head resection with RT 2nd metatarsal head resection with application of wound vac. I am stuck on whether we are allowed to bill the head resection with the toe amputations and if so, what modifiers to use. This is what I have come up with but I am not entirely sure. This was done in an inpatient hospital setting. Any feedback would be greatly appreciated.

28820-T1
28820-T6
28111-XU, RT
28112-XU, RT
97605-51
 

Orthocoderpgu

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Need to put these codes through the NCCI edits

If you check your edits you will see that the only procedure billable is the amputation of the toes.

The resection of the metatarsal head and the negative pressure are both bundled.

Had the metatarsal head resection been performed on a different toe, and for its own pathology, then it would be billable.

Most major procedures include smaller procedures that may need to be done in order to really treat the pathology.

Always check your edits.
 
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