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28575

  1. #1
    Default 28575
    Medical Coding Books
    Can you charge 28575 twice in same foot?

    I have a talo-navicular dislocation as well as a talo- calcaneal dislocation?

    How can I find out if it can be charged twice in same foot?

    Thanks

  2. #2
    Location
    Columbus, OH
    Posts
    76
    Default
    My guess would be only once as it looks like they are part of the same joint...
    Kathy Daniel, CPC, COSC

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Wouldn't 28545 be reported for the talo-calcaneal dislocation?
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Default
    The 28545 specifically says "other than" talo-tarsal.

    I didn't did not know the talo-navicular and the talo-calcaneal are the same joint????

    Do you know where I can find information stating they are the same joint???

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    It was just a thought based on the plain english description from contexo media: "the physician treats a dislocation of the ankle bone that connects to the large bone of the lower leg and its joint with the ankle bone in front of it. The bones are pushed back into place, and the foot is placed in a cast, brace, or splint. Code 28575 if the patient is given anesthesia."
    I was looking at the "ankle bone in front of it" statement. Since the calceneus is behind the talus i thought perhaps that would work. However, on further research it appears that it is all one joint so if it is dislocated at the navicular it could also be dislocated at the calceneus an that is all one joint. I think you are looking at 28575 once. If it is more extensive and documentation supports, you could add modifier -22.
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Default
    Thank you. I keep "hearing" that it is all the same joint but I just can't seem to find anything saying that.

    But thanks for all your help. It will be 28575 only once.

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