CPT^® 28525, Under Fracture and/or Dislocation Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28525 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 open treatment of a phalanx or phalanges fracture in a toe other than the great toe. He may or may not use internal fixation implants like pins or screws to fix the fracture. Phalanges are bones of the toe. There are three in each toe except the greater toe, which has two phalanges.

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need help with code 28675 and 28525

I have a modifier 59 and lt on both. They are being denied for missing modifier what other modifier do these codes need? please help... [ Read More ]

percutaneous pinning of lesser toe

Take a look at the Coding Tips for CPT 28525 that Encoder supplies: [ATTACH=CONFIG]3659._xfImport[/ATTACH] This CPT includes perc pinning of lesser toes. Also, the lay description of CPT 28496 is sp... [ Read More ]

percutaneous pinning of lesser toe

Hi Physician performed closed reduction of lesser toe with percutaneous pinning. I can only find a CPT code to report this in the great toe. We tried to authorize an unlisted procedure, but the car... [ Read More ]

Code 29825/20670

Is the pin removal (20670) normally included in 28525? I have a few ins paying it and others are saying even though it is removed at a later date it is included in the primary procedure. Cannot find a... [ Read More ]

Attempted ORIF 4th Metatarsal w/ K-wire ??

All, Here is a procedure note from a recent physician and I am torn between 28525 by itself or 28525, 26535, and 28192. 5cm dorsal linear curved incision began at the base of the distal phalanx c... [ Read More ]

28510

My provider billed this below and the 28510 was denied. I know the modifier 57 is for an E&M, so would I replace it with the modifier 51, because this is for Medicare, and I thought for Medicare you d... [ Read More ]

Percutaneous Pinning 5th toe Left Foot

I'm confused about this one; 28496 seems to be only for the great toe. Would 28515-22 be incorrect? I have read it is okay to use 28525, but this is Perc., not Open. Thanks in advance!:confused:... [ Read More ]

help! Perc pinning little toe

Thought I would share, per the Coding Companion for Orthopaedics... on the 28525 in Coding Tips it says "This code reports percutaneous skeletal fixation of the toe fx other than the great toe" Bren... [ Read More ]

help! Perc pinning little toe

I wouldn't use 28525 if [B]no[/B] incision was made. Thats why I think it should be 28515. If there was an incision then I would go with 28525.... [ Read More ]

help! Perc pinning little toe

You would use CPT 28525, Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each. Per the Podiatry Coding Companion, "This code reports... [ Read More ]

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