CPT^® 28272, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28272 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

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Summary

The provider incises the capsule of an interphalangeal joint in the toes to release a contracture and increase range of motion or to treat clubfoot deformity, a congenital condition.

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need help coding this bunion procedure

Disagree with both coding choices above. My opinion on the CPT: 28299 RT (some payers want T5 Right foot, great toe, but you're technically only supposed to use the T mods on phalanges) (If provider ... [ Read More ]

For hammertoe - Packing PIP with bone auto grafting after fixing with k-wire, also packing MTP with bone auto grafting, 2nd left

I need help. The first part of the procedure was (28750-LT) fusion of hallux MTP joint with screw and plate for hallux rigidus. So the 'was harvest of bone distant'? answer is 'not really'.....from ... [ Read More ]

Hammer toe repair code or capsulotomy code?

" A linear incision was made on the plantar aspect of the toes. This incision was deepened and underscored down to the underlying flexor tendon(s).The incision was deepened and a flexor tenotomy and a... [ Read More ]

Help with hammertoe surgery

From an old AAOS bulletin: Hammertoes Hammertoe corrections are reported with CPT code 28285. The AAOS Complete Guide to Global Service Data, (2003 edition) states the following procedures would be c... [ Read More ]

Hammertoe Correction

These aren't column 1/column 2 codes; there isn't a CCI edit for these codes being billed together as the 28285 is done via IPJ and 28270 on MPJ. I would also check with the payer policy. See this sit... [ Read More ]

What if both codes are Separate Procedure ?

In my opinion you can not bill both procedures. Per NCCI edits they are bundled and in order for them to be unbundled with modifier 59 the following must apply.  Different session or patient en... [ Read More ]

What if both codes are Separate Procedure ?

I can't find anywhere that specifically addresses this: what if the only 2 procedures done are both "separate procedure" according to CPT? The example I have is 28272 (capsulotomy interphalangeal join... [ Read More ]

What if both codes are Separate Procedure ?

28285? - "Attention was directed towards

...the 28272 is for soft tissue removal....he used a saw to remove bone .... not a lot of bone, mind you (didn't say the entire head of the proximal phalanx or entire base of the middle phalanx), but... [ Read More ]

28285? - "Attention was directed towards

I'm not seeing that it's a hammer toe deformity which is what 28285 is used for. What I see is 28272; capsulotomy; interphalangeal joint. Hope that helps?... [ Read More ]

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