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hammertoe correction (multiple)?

  1. #1
    Default hammertoe correction (multiple)?
    Medical Coding Books
    when coding multiple hammertoe correction would you code 28285 with appropriate modifiers for each toe?
    Example: 28285-TA, 28285-T2, 28285-T3??

    I'm getting an edit. Thanks Much!

  2. #2
    the T modifiers "should" technically be enough however I have carriers that do not recognize them, therefore I have to use the 59 modifier as well.

    Hope this helps,
    Mary, CPC, COSC

  3. #3
    Greeley, Colorado
    I agree with Mary. T modifiers should be adequate. Is your edit from your payer or your coding software?
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Flint, Michigan
    When doing multiple toes we use the T modifiers and the modifier -59.

  5. #5
    When I submit a multiple hammertoe repair I submit the procedure on one line with multiple units with appropriate T-modifiers. When there is more than four hammertoes being done I use the 99 modifier then enter the appropriate T-modifiers on box 19 on the CMS-1500 form. Examples:

    28285 x 3 T2, T3, T4

    28285 x 5 99 Box 19 T2, T3, T4, T6, T7
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  6. #6
    Columbia, MO
    T modifiers are anatomic modifiers and you are allowed only one anatomic modifier per line item. So listing them all on one line with multiple units is not correct. The reason some of you have problems using these is that these are traditionally used for ASC and outpatient facility billing and only in recent years have they been accepted for the physician bill. Therefore you may still have some payers on the physician side that have an issue with these. So chose either the 59 or the T modifiers but not both.
    Debra Mitchell, MSPH, CPC-H

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