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Thread: Plantar plate repair

  1. #1
    Join Date
    Apr 2007
    Location
    Savannah, GA
    Posts
    3

    Default Plantar plate repair

    Anyone had any experience with Plantar plate repair of the 1st MTPJ ... this is post MVA injury. Any help would be appreciated in locating a cpt code ... I'm pulling my hair out here in GA!

  2. #2
    Join Date
    Apr 2007
    Location
    Memphis
    Posts
    184

    Default

    If you use the search function on this page (search for plantar plate), you will see that there was a thread on this. I never got an answer, so I am wondering if you should use the unlisted code?

  3. #3
    Join Date
    Apr 2007
    Location
    Sarasota
    Posts
    88

    Smile

    I would use 28313 - for plantar plate repair.

    Charla

  4. #4
    Join Date
    Apr 2007
    Location
    Memphis
    Posts
    184

    Default

    Charla, according to the coding companion 28313 is for recontruction of toe issues, and the incision is made on the top of the toe to be operated on. Plantar plate is at the bottom of the foot, so I am not so sure about this?

  5. #5
    Join Date
    Apr 2007
    Location
    Savannah, GA
    Posts
    3

    Default

    Thank you Martn ... I tend to agree with you as a bunion wasn't treated. I went with the Misc. code.

  6. #6

    Default

    Since there is no CPT code for plantar plate repair, my sugestion is to use 28899.
    Corina Petrusan, CPC
    PMCC Instructor

  7. #7

    Default Plantar plate repair

    it will be coded by 28899 as there is no cpt code for it in cpt book

    Dawa, CPC
    Last edited by tser05@yahoo.co.in; 03-28-2012 at 01:25 AM.

  8. #8

    Wink Katie k.

    Just another opinion .... I have coded these before....

    INFO:… PLANTAR PLATE IS ATTACHED FROM THE BASE OF THE PROXIMAL PHALANX TO AN ORIGIN ON THE METATARSAL HEAD, JUST PROXIMAL TO THE PLANTAR ARTIC. CARTILAGE WHEN THE COLLATERAL LIGAMENTS AND PLANTAR PLATE LOSE RESILIENCY / ... Or ARE STRETCHED THROUGH REPETITIVE DORSFLEX.....

    (HTTP//EMEDICINE.MEDSCAPE.COM/ARTICLE/1232559-OVERVIEW).

    IF AN ARTHROPLASTY WAS DONE PIP JOINT, WHICH MAKES IT 28285,..TENDON TRANSFER IS INCLUDED ACCORDING TO AAOS, FOR THERE IS NO CODE FOR A TENDON OF TOE

    Just another opinion....

  9. #9

    Default plantar plate repair

    We code these as 28899. We ask if preauth is needed, if so get it authorized. I always send in the operative report with the claim and invoices for the implant used. So far all my claims have paid this code. I have had to send a couple back through and then they have paid. The plantar plate is a ligament and there is no CPT code for ligament repair in the toe.

  10. #10
    Join Date
    Apr 2007
    Location
    Springfield, Mo
    Posts
    274

    Default

    I too am struggling with Plantar Plate repair. If I use 28899, does anyone know of a code that is comparable so that I can base the fee on that?
    solocoder CPC

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