CPT^® 28400, Under Fracture and/or Dislocation Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28400 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Foot and Toes.

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Summary

In this procedure, the provider performs a closed treatment of a calcaneal fracture, a crack or break in the calcaneus, or the heel bone. Treatment does not include manipulation, or adjustment, of the fractured bone nor does it require open surgery.

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Coding for Risk?

Has anyone heard of the idea of coding a CPT code which was not documented to cover the patient's and doctor's risk? example: our doc saw a gunshot wound victim in the hospital. PT had a calcaneal fr... [ Read More ]

Question on why a 25 modifier wasn't needed for both scenarios

I am new to coding and getting experience working in billing for a trauma surgeons practice. I use the Mckesson Clear Claim Connection through the BCBS website. When I input 99221-57 and 25600-RT b... [ Read More ]

Fracture Care billed by a NP

I bill primarily Work Comp. Recently, as an example, we had a carrier pay only 10% of the billed charges for CPT 28400 because an NP provided the service. Is there a modifier that I should be using to... [ Read More ]

Calcaneal & Talus Fracture

Patient has a talus fracture and calcaneal fracture of same foot. Physician treats both by putting in a cast. Can I bill 28400 and 28430? :confused: Thanks in advance for your response(s)... [ Read More ]

Fracture Care Issues

I have two fracture scenerios that have really stumped me! First, Pt fell on 12/24 and fractured her arm. Was seen in the ED, they reduced the fracture and is now being seen in our Ortho clinic. Th... [ Read More ]

Billing of btk cast with initial treatment of fx

CCI states you cannot bill 29405 with 28400. 29405 is included in 28400. Is it proof she wants? If so pull the CCI for 28400. It is as plain as day in there.... [ Read More ]

Billing of btk cast with initial treatment of fx

Me and a co-worker have been disputing whether or not you can bill a btk cast (29405) with the initial treatment of a calcaneal fracture (28400) I know that you can not, that the cast is bundled intia... [ Read More ]

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