Results 1 to 6 of 6

ORIF Tarsometatarsal FX

  1. Default ORIF Tarsometatarsal FX
    Medical Coding Books
    Doc did ORIF of 1st, 2nd, 3rd and 4th tarsometatarsal fracture (Lisfranc). Would you choose 28485? If so would you charge it once and then 3 X with modifier 59?
    Thanks!

  2. #2
    Location
    Indianapolis,IN
    Posts
    21
    Default ORIF Tarsometatarsal FX
    28485 is the correct code--If the patient is MCR..then you will bill RT/LT with modifier 59...but if commercial insurance you will use the modifiers TA-T2 or T5-T7 not modifier 59.
    Ex: 28485 TA
    28485 T1/51
    28485 T2/51

    28485 LT
    28485 59/LT
    28485 59/LT
    *I would put in procedure comments stating the specific MTL if MCR

    Hope this helps!
    Lanie

  3. #3
    Default
    I thought you could only use the T-modifiers on the phalanges and not on TMT's?

  4. #4
    Location
    Indianapolis,IN
    Posts
    21
    Default
    I actually didn't know that--but I did just read a publication, you are correct. I'm sorry...the publication states to use LT or RT. So I would code by line item and use the modifier 59.

    The proper use of modifiers is very important. Start with the T modifiers to identify a surgery performed on specific toes. T modifiers only apply to the phalanges distal to the metatarsophalangeal joint. Do not use T codes to identify metatarsal work. For metatarsal and more proximal work, one should also use RT and LT modifiers whenever possible. If those two are not appropriate, use the -59 modifier.

  5. #5
    Default
    ORIF Tarsometatarsal joint dislocation is 28615 and can be charged for each.

  6. Default
    28615 is for dislocation, not fracture though.

Similar Threads

  1. Tarsometatarsal,arthrodesis
    By cathy56 in forum Orthopaedics
    Replies: 0
    Last Post: 09-23-2015, 12:00 PM
  2. Orif
    By amylis1 in forum Orthopaedics
    Replies: 1
    Last Post: 12-01-2012, 10:24 AM
  3. Orif c1-2
    By ckirkp1 in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 05-09-2012, 02:58 PM
  4. ORIF and Fluroscopy
    By sraines in forum Orthopaedics
    Replies: 1
    Last Post: 06-10-2010, 10:44 AM
  5. ORIF os acromiale
    By emkahu in forum Orthopaedics
    Replies: 2
    Last Post: 12-30-2009, 11:25 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.