CPT^® 28285, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28285 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 repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.

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Mallet toe vs. Hammertoe

[QUOTE="amyjph, post: 508174, member: 172045"] How was the mallet toe corrected? If it was a soft tissue procedure only (no bony work) check 28313. Agree as above though, if fusion, pins, bony work ph... [ Read More ]

Mallet toe vs. Hammertoe

How was the mallet toe corrected? If it was a soft tissue procedure only (no bony work) check 28313. Agree as above though, if fusion, pins, bony work phalangectomy it is 28285. 28285 covers hammertoe... [ Read More ]

Mallet toe vs. Hammertoe

[QUOTE="podcoder70, post: 508124, member: 584850"] The consensus is that 28285 covers hammer, claw, and mallet. I think it was the diagnosis code you used. The codes that are covered are: ... [ Read More ]

Mallet toe vs. Hammertoe

The consensus is that 28285 covers hammer, claw, and mallet. I think it was the diagnosis code you used. The codes that are covered are: ... [ Read More ]

Mallet toe vs. Hammertoe

I am coding a mallet toe correction. The CPT code I am using is 28285-TA. The diagnosis code I have is M20.5X2 (Other deformities of toe(s) (acquired), left foot. My billing office sent it back to me ... [ Read More ]

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 ]

need help coding this bunion procedure bunion hammertoe platelet

I need some help coding this foot surgery. Procedure was done in 2019 and we are still dealing with it. The provider has chosen the following codes: [U]code ... [ Read More ]

Billing 76000 with orthopedic procedures

So if fluro was used to perform 28285 per the NCCI edits, it would be considered bundled. If fluro was used for something else not related to 28285, then it would be billable. But speaking from realit... [ Read More ]

Billing 76000 with orthopedic procedures

I realize that 76000 is only coded if it is considered a separate procedure as imaging is usually included in the procedure package. If the code description does not specify, that imaging may be incl... [ Read More ]

CPT 11055 Denial

I have never seen a payer cover this when the hammertoe is also treated at the same toe. The corn/callus is caused by the hammertoe rubbing. Exceptions can be diabetics and PVD as you mentioned but st... [ Read More ]

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