Podiatry Coding & Billing Alert
Differentiate Between Dislocation and Fracture Repair
Question: My podiatrist performed closed manipulation of a dislocated toe. My colleague thinks we should report 28515, but I don’t think that is the correct code. Can you help me? Wisconsin Subscriber Answer: You are correct. You should not report 28515 (Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each) for a dislocation. Code 28515 is for a closed treatment of a fracture, per the code description. For a dislocation, you can look to 28630 (Closed treatment of metatarsophalangeal joint dislocation; without anesthesia) if the dislocation is at the metatarsophalangeal (MTP) joint. If your podiatrist performed closed treatment of an interphalangeal joint dislocation, you should look to 28660 (Closed treatment of interphalangeal joint dislocation; without anesthesia).
Related Articles
Podiatry Coding & Billing Alert
- CPT® 2022:
Adopt New Principal Care Management E/M Codes Before 2022 Rolls Around
Code 99211 will be revised in 2022. When CPT® 2022 becomes effective on Jan. 1, [...] - CPT® Coding:
Follow These Simple Steps to Keep Your Plantar Fasciitis Claims in Tip-Top Shape
Hint: The code descriptor for 20550 specifies “aponeurosis.” Chances are your podiatrist treats numerous cases [...] - Audits:
4 Tips Perfect Internal Billing Audits in Your Podiatry Practice
Hint: Document every time you touch an open claim. During the 2021 HEALTHCON session “How [...] - You Be the Coder:
Investigate Primary Achilles Tendon Tear Repair Scenario
Question: The patient came in with extreme pain and swelling of her left heel. She [...] - Reader Questions:
Differentiate Between Dislocation and Fracture Repair
Question: My podiatrist performed closed manipulation of a dislocated toe. My colleague thinks we should [...] - Reader Questions:
COVID-19 PHE Extended Even Longer
Question: What is the current status of the PHE for COVID-19, and when can we [...] - Reader Questions:
Focus on Hammertoe Treatment Options
Question: I’m new to podiatry and trying to learn more about hammertoe treatment. Can you [...] - Reader Questions:
Puzzle Out Bimalleolar Fractures
Question: My podiatrist performed closed treatment of a lateral and medial malleoli ankle fracture without [...] - Reader Questions:
Query Providers Carefully
Question: One of our newer podiatrists often creates documentation that’s missing the details we need [...]
