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Thread: Help with 28740

  1. #1

    Default Help with 28740

    AAPC: Back to School
    Hi there! My doctor performed Arthodesis on toes 2 though 5 of the left foot.
    The insurance paid for 2 of the procedures and denied the other 2 stating "multiple surgery addition".
    Im not at all used to coding for toes, feet etc - so I was hoping for some help.
    1. Am I supposed to use 59 LT for the modifiers? Or T1-T4?
    2. Am I suppose to use 28730 versus 28740 x 4?

    If any one can help me with this or atleast point me in the right direction, I would greatly appriciate it!

  2. #2
    Join Date
    Apr 2007


    I would not have used either of those for TOES

    what is the dx? why is doc doing surgery?

    what joint was fused? MPJ , PIPJ, DIP?

  3. #3

    Default hi sara

    hi sara;

    if multiple toes are fused used 28730 once as code states multiple midtarsal and tarsometatarsal. Hope this will help you.

    thanks and regards

  4. #4


    sorry yes, that was my mistake when I was writing the question - It was the tarsometatarsal joints.

    Thank you both for your help!

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