AAPC - Back to school
Results 1 to 4 of 4

Thread: Hallux limitus correction w/ implant.

  1. #1
    Join Date
    Apr 2007
    New Port Richey & Gulf to Bay

    Question Hallux limitus correction w/ implant.

    AAPC: Back to School
    Hello Everyone,

    I was wondering if I could get some advice on coding a Hallux limitus correction with osteotomy/ resection with implant (screws/ pinning). I have done some research and seem to come across two possibilities.

    First, is to resort to CPT 28899 which is an unlisted procedure code. My issue with this code, is that according to my encoder, ASCs are not allowed to bill for these services.

    Second, is to use code 28293. My problem with this one is within the code description is states "Hallux Valgus (Bunion). The condition being treated in not a bunion.

    Could someone please offer some guidance on this situation? If there are any resources to utilize, that would be great too! Thank you.

    Respectfully Yours,

    Kevin P. Honig, CPC

  2. #2
    Join Date
    Apr 2007

    Red face

    I agree with your second choice. Even though it is not a bunion, hallux limitus is in the diagnositic range that covers procedure 28293. Dx code 735.8 is an acceptable dx for this procedure.

  3. #3


    Just wanting to make a comment in regards to the Encoder program that ASC's are not allowed to bill for these services for 28899. You have to remember that the Encoder program is based on Medicare guidelines and they do not pay (normally that I know of) unlisted CPT codes that have the 99 at the end of them. That doesn't mean that other carriers will not pay. Most of the time I submit those on paper and send documentation with it to support the reasoning for the unlisted code. Any thoughts from anyone else about this??

    Susan, CPC-H

  4. #4
    Join Date
    Apr 2007
    Wichita, KS


    I agree with pcheshier that 28293 with with dx of 735.8. This is how we would bill the procedure at the office.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

Similar Threads

  1. CHEILECTOMY AND SYNOVECTOMY for hallux limitus
    By Ranjani in forum Podiatry
    Replies: 0
    Last Post: 11-02-2015, 06:18 AM
  2. Hallux varus correction & fusion 5th toe IPJ
    By cricket1 in forum Podiatry
    Replies: 0
    Last Post: 10-13-2015, 01:37 PM
  3. CPT 28293 with Hallux Limitus(735.8)?
    By fredcpc in forum Podiatry
    Replies: 1
    Last Post: 03-06-2014, 08:50 AM
  4. Replies: 0
    Last Post: 10-29-2009, 10:42 AM
  5. hallux limitus
    By Peggy M in forum Orthopaedics
    Replies: 5
    Last Post: 05-11-2009, 09:32 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?


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.