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CPT® 28289, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes

The Current Procedural Terminology (CPT®) code 28289 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

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Summary

In this procedure, the provider surgically corrects a hallux rigidus deformity without the need for an implant. Hallux rigidus is pain and stiffness due to arthritis, or inflammation in the metatarsophalangeal joint of the big toe, or the joint where the head of the metatarsal bone attaches to the first bone of the greater toe. The condition causes pain, stiffness, and restriction of movement. The provider also performs a cheilectomy, or the removal of bone spurs from the joint, along with debridement and capsular release of the metatarsophalangeal joint to free tightened connective tissue and loosen the ball and socket joint.

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Have a question about CPT Code 28289 ? Start a discussion here
Biocartilage
The provider performs a procedure to treat hallux rigidus (28289). He uses BioCartilage with PRP. Is there a HCPCS code for the BioCartilage?... [ Read More ]
Coding
Hello, Could someone let me know please if the following CPT codes would be appropriate to use for this procedure? 28289, 28114 Left 1st Metatarsal Cheilectomy and proximal phalanx ostectomy with app... [ Read More ]
28298 with 28289
Its not uncommon for the bundled procedure to have a higher RVU. In this case the one with the lower RVU will pay and the one higher is mutually exclusive. [TABLE="width: 675"] [TR] [TD]Column 1[/TD]... [ Read More ]
28298 with 28289
Thanks for your reply. I'm confused. Where are you looking that the 28298 is the column 2 code?? I am coding for the physician and it has a higher RVU that the 28289.... [ Read More ]
28298 with 28289
28298 is a column 2 code to 28289 and listed as mutually exclusive. It does allow modifier if appropriate.... [ Read More ]
28298 with 28289
I need help! I'm trying to find out if there is a NCCI edit for these two codes. The RVU for CPT code 28298 is 7.75 and the RVU for 28289 is 6.90, so the 28298 is the primary code. I do not see tha... [ Read More ]
new ortho CPT codes
27197 Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) a... [ Read More ]
CHEILECTOMY AND SYNOVECTOMY for hallux limitus
Hi , I Got one Hallux limitus correction case, Im not sure about cpt. can we use 28289 here? however the description for 28289 says hallux rigidus correction. Copy of report is given below. please ... [ Read More ]
28289 & 28293? Tia :)
I wouldn't bill the 28289 separately since it involved the same joint. Just the 28293 -RT. From an old - but still useful - August 2002 orthopedic bulletin: 28293 - ; resection of joint with implan... [ Read More ]
28289 & 28293? Tia :)
PREOPERATIVE DIAGNOSES: 1. Right hallux limitus 2. Degenerative joint disease of the 1st MTPJ POSTOPERATIVE DIAGNOSES: 1. Right hallux limitus 2. Degenerative joint disease of the 1st MTPJ ... [ Read More ]
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