Results 1 to 5 of 5

Hammer toe capsulotomy??

  1. Default Hammer toe capsulotomy??
    Medical Coding Books
    I bill CPT 28272 for PIP capsulotomy for Hammer toe. I've heard that when there is a dx of hammer toe that this should be billed as a hammer toe repair code, 28285? has anyone out there heard of this? I know for a tenotomy, this is true but haven't heard for a capsulotomy code.


  2. Default hammer toe capsulotomy??
    any takers on this one??

  3. Default
    I would only bill 28272 if that is the only thing done...Usually 28285 involves bony work.

  4. Default
    that's what I used to think.... but so many different sources are saying that CPT 28285 also involves "soft tissue" work.

    Many auditors and other sources such as "" are saying "According to the AMA, when hammertoe is repaired by tenotomy the hammertoe repair code should be reported" but I have yet to see anything directly from the AMA.

  5. Red face
    Nothing from the AMA here -

    But I have notes (can't remember what class they came from) from a coding class I took that states the 28285 should only be used if there is bony work - like Jamie said above. Parts of the proximal phalanx are removed. I use the 28270 or 28272 (depending on the joint) if the surgeon just does the capsulotomy to correct the hammertoe without bony work.....

Similar Threads

  1. Hammer Toe Screw removal
    By CBC in forum Orthopaedics
    Replies: 2
    Last Post: 10-21-2011, 01:51 PM
  2. hammer toe
    By TCARBINO in forum Podiatry
    Replies: 1
    Last Post: 03-11-2011, 10:06 AM
  3. Hammer toe procedures
    By jfleming in forum Orthopaedics
    Replies: 2
    Last Post: 10-03-2009, 09:58 PM
  4. hammer toe surgery
    By bench in forum Outpatient Facilities
    Replies: 1
    Last Post: 08-31-2009, 12:48 PM
  5. Lesser toe implants for hammer toes
    By tincyr in forum Outpatient Facilities
    Replies: 1
    Last Post: 06-01-2009, 02:55 PM

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.