Advanced Search

Orthopedic Coding Alert

Reader Questions:

Let Unlisted Lead the Way for Subtalar Implant

Published on Sat Aug 27, 2005

Question: What are the correct codes to report a subtalar arthroereisis with MBA implant due to posterior tibial tendon dysfunction? The surgeon performed the procedure on an 11-year-old male patient.


Texas Subscriber
Answer: CPT does not yet include a procedure code that describes the placement of a subtalar implant, so you must report unlisted-procedure code 28899 (Unlisted procedure, foot or toes). Be sure to include documentation that clearly explains why you must report an unlisted- procedure code rather than a more specific CPT code.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Orthopedic Coding Alert

View All