tobieforte
Networker
I need help! I'm trying to find out if there is a NCCI edit for these two codes. The RVU for CPT code 28298 is 7.75 and the RVU for 28289 is 6.90, so the 28298 is the primary code. I do not see that they are mutually exclusive according to CMS.
Per the OP report, I only see 1 incision that was done longitudinally, posterior medially over the hallux metatarsophalangeal joint where the biplanar dorsal cheilectomy was performed. The osteotomy was performed at the proximal phalanx.
I feel like these two procedures were performed in the same anatomical area. The question is: Should I apply a 51 or a 59 modifier to the 28289?? Please help!
Thank you!
Per the OP report, I only see 1 incision that was done longitudinally, posterior medially over the hallux metatarsophalangeal joint where the biplanar dorsal cheilectomy was performed. The osteotomy was performed at the proximal phalanx.
I feel like these two procedures were performed in the same anatomical area. The question is: Should I apply a 51 or a 59 modifier to the 28289?? Please help!
Thank you!