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CODING & BILLING
2 distinct procedures, and it's not unusual for surgeons to perform both
procedures during the same session. There is no single CPT code that
describes the correction of both conditions, so coders must report the
open capsulotomy with code 28270-59 in addition to the hammertoe repair
code 28285. Don't assign code 28270 for a percutaneous release of a
metatarsophalangeal joint contracture (AMA, September 2011).
Code: 28270, Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)
Medicare ASC Reimbursement:
$892.95
• Subtalar joint
arthroereisis. Use unlisted CPT code 28899 to
report this procedure,
which typically involves
making an incision over
the sinus tarsi and
inserting an implant to
reposition and stabilize
the rear foot, resulting in
a decrease in pronatory
forces to the foot. You
can't code this proceD E C E M B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E
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