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CODING & BILLING
dure as an arthrodesis because the intent and result is not fusion of the joint
(AMA, September 2011).
Code: 28899, Unlisted procedure, foot or toes
Medicare ASC Reimbursement:
None
• Haglund's deformity and retrocalcaneal bursa. Assign code 28118 when
you use an osteotome to remove a Haglund's deformity and retrocalcaneal bursa down to the Achilles tendon. The code includes exposure
of the Achilles tendon, but you can assign a separate code if you perform debridement of necrotic tissue (28200) on the Achilles tendon
(AMA, May 2011).
Code: 28118, Ostectomy, calcaneus;
Medicare ASC Reimbursement:
$892.95
Code: 28200, Repair, tendon, flexor, foot; primary or
secondary, without free graft, each tendon
Medicare ASC Reimbursement:
$892.95 OSM
Ms. Jones (lolitamj@aol.com) is an independent consultant
specializing in HOPD and ASC coding, billing, reimbursement and operations based in Fort Washington, Md.
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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 | D E C E M B E R 2012
