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Thread: help! Perc pinning little toe

  1. #1

    Default help! Perc pinning little toe

    AAPC: Back to School
    Can anyone tell me which code is the correct code for Percutaneous pinning of the little toe?? There are codes for the great toe ...but not for the phalanx of the little toe?? Thanks

  2. #2


    If there was no incision I would go with 28510-28515.

  3. #3
    Join Date
    Apr 2007
    Columbus, Ohio


    I was looking at 28496, which is percutaneous skeletal fixation of fracture great toe, phalanx OR phalanges. Why can't this be used? Am I missing something? You could use the modifier to indicate which toe, like T4. I guess I'm a little confused on this also. Thanks, Paula

  4. #4
    Join Date
    Apr 2007
    High Point, NC


    You would use CPT 28525, Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each. Per the Podiatry Coding Companion, "This code reports percutaneous skeletal fixation of a toe fracture other than the great toe."

    CPT 28496 is for the great toe only -proximal and/or distal phalanx (phalanges) of the great toe.
    Cindy Gallimore, CPC, CENTC

  5. #5
    Join Date
    Apr 2007
    Columbus, Ohio


    Cindy, thanks so much for clearing that up...Paula

  6. #6


    I wouldn't use 28525 if no incision was made. Thats why I think it should be 28515.
    If there was an incision then I would go with 28525.

  7. #7
    Join Date
    Apr 2007
    Greenville SC


    Thought I would share, per the Coding Companion for Orthopaedics...
    on the 28525 in Coding Tips it says "This code reports percutaneous skeletal fixation of the toe fx other than the great toe"

    Brenda M. CPC
    Northern Orthopedics
    Brainerd, MN

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