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Thread: Metatarsal #5 resection

  1. #11
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  2. #12

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    In that case, if he took off the metatarsal and toe then I would code that as 28810 ONLY, because that is for amputation of a metatarsal bone and its attached toe.
    28820 is just for an amputation at the metatarsalphalangeal joint level.

    I would not use 28113 because that is for excision of the metatarsal head only.

  3. #13

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    If in the op note it says anything like incision deep to the metatarsalphalangeal joint, and the proximal phalanx bone was disarticulated from the metatarsal bone, but nothing about the metatarsal being disarticulated then this would be 28820.

    Complete removal of just the metatarsal bone would be 28140. Partial excision of just the metatarsal bone would be 28122.
    And then what I just wrote previously.

    Hope that helps.
    Daisy

  4. #14
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    Quote Originally Posted by DaisyAnn View Post
    If in the op note it says anything like incision deep to the metatarsalphalangeal joint, and the proximal phalanx bone was disarticulated from the metatarsal bone, but nothing about the metatarsal being disarticulated then this would be 28820.

    Complete removal of just the metatarsal bone would be 28140. Partial excision of just the metatarsal bone would be 28122.
    And then what I just wrote previously.

    Hope that helps.
    Daisy
    He removed the toe at the metatarsophalangeal joint, but also did a metatarsal resection. He didn't remove all of the metatarsal.
    So, if he removes the toe at the metatarsophalangeal joint and does a metatarsal resection code 28820 and 28122? If her removes all of the metatarsal and toe I will code 28810.

  5. #15

    Arrow

    Hi,

    I would rather use two CPT's to describe this procedure. No single CPT covers this entire procedure.

    28122 and 28150 are two CPT to be used here.

    Please make me correct if you find something else.

    Thank You
    Amit Joshi MSc,CPC,CPC-H

  6. #16

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    Quote Originally Posted by madrake View Post
    He removed the toe at the metatarsophalangeal joint, but also did a metatarsal resection. He didn't remove all of the metatarsal.
    So, if he removes the toe at the metatarsophalangeal joint and does a metatarsal resection code 28820 and 28122? If her removes all of the metatarsal and toe I will code 28810.
    Yes, I would definetly code this as 28820, 28122-59.
    And yes, if he removes all of the metatarsal and toe it would be 28810.

  7. #17
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    Quote Originally Posted by DaisyAnn View Post
    Yes, I would definetly code this as 28820, 28122-59.
    And yes, if he removes all of the metatarsal and toe it would be 28810.
    Thank you, I agree.

  8. #18
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    how will you justify the use of the modifier 59?

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  10. #20

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    Quote Originally Posted by mbort View Post
    how will you justify the use of the modifier 59?
    per cci edits that code needs a 59 modifier.
    And they are two separate procedures. 28820 is for amp at metatarsalphalangeal level and 28122 is for partial resection of the metatarsal bone itself.

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