Podiatry Coding & Billing Alert

You Be the Coder:

Cuboid Syndrome

Question: How should I code for cuboid syndrome and its treatment through manipulation? Which HCPCS codes should I use for the strapping?

Nevada Subscriber

Answer: There is no specific diagnosis code for cuboid syndrome. You can code for the signs and symptoms presented by the patient: pain (729.5, Other disorders of soft tissues; pain in limb) and tendonitis (726.90, Unspecified enthesopathy; enthesopathy of unspecified site).

There is also no code for manipulation of the foot in a non-fracture situation, so you will have to use an unlisted-procedure code: 28899 (Unlisted procedure, foot or toes). Send the necessary documentation to the carrier to receive payment.

The Lo-dye strapping is typically bundled into the manipulation, and you should not try to receive separate reimbursement for this service.