Wiki Billing Incision and Drainage with 5th ray resection

[atraywick@ffhcia.com]

My provider is wanting to know if we can bill for an I&D with 28810 but all my sources say no. Would this be an option to put modifier 22 on the 28810 to account for the I&D or how do you determine how much debridement is included in the allowance for 28810?

 

[Orthocoderpgu]

If the codes hit an edit, then you need to ask yourself does the procedure "qualify" for a modifier. I also see an issue with the dictation. Foot/Ankle dictation really needs to be specific. Did the provider "advance" the incision already made? Or was this a different incision. Dictation is not clear. My reading would be the provider "probably" advanced the incision in order to remove the ray. I'm also curious why the provider did not use "amputation" instead of resection if that what was performed. Most providers indicate that the ray/toe were removed.