Podiatry Coding & Billing Alert
Always Report a Capsulotomy With Care
Question: The podiatrist documented a capsulorrhaphy of the second metatarsophalangeal (MTP) joint, which he performed to reduce the patient’s contracture. He also performed extensor tendon tenolysis of the long and short extensor tendons through the same incisions. Should we report 28222 for the tenolysis and also report a second code for the capsulorrhaphy? Codify Subscriber Answer: No. In this case, you should report 28270 (Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) to describe all of the podiatrist’s work on that patient. There is no need to bill 28222 (Tenolysis, flexor, foot; multiple tendons) because reimbursement for 28270 already includes payment for the tenolysis.
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