Podiatry Coding & Billing Alert

You Be the Coder:

Casting for Club Feet Correction

Question: When correcting club feet by releasing the Achilles and then applying the cast do we need a 59 modifier to bill both? Would the casting be considered separate treatment since a cast is part of the treatment, not just part of the surgery?

New York Subscriber

Answer: You will not append modifier 59 to report the cast application with the release procedure. The cast is a part of the postoperative dressing and care and is always a part of the Global Service Data Package.