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Podiatry Coding & Billing Alert

READER QUESTIONS:

Report Only One Surgery Type at a Time

Published on Sat Nov 21, 2009

Question: I am new to podiatry and I need help with billing tenotomy cases. How many times can I report 28010 per foot? Also, the provider is reporting 28234 in addition to 28010. Should I report both? Illinois Subscriber Answer: You can report both codes -- 28234 (Tenotomy, open, extensor, foot or toe, each tendon) and 28010 (Tenotomy, percutaneous, toe, single tendon) -- but only if your podiatrist performed the procedures on different tendons. Here's why: Both 28234 and 28010 are tenotomy procedures to correct a hammertoe. During a tenotomy, the tendon is cut entirely or partway through, allowing reduced or lessened tension at the site involved. Podiatrists may perform tenotomy through the skin (percutaneous) or by surgically exposing the tendon (open). In 28234, the physician makes a small incision on the crease of the dorsal toe on the top of the foot and releases the extensor tendon. In 28010, the podiatrist [...]
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