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Doc did ORIF of 1st, 2nd, 3rd and 4th tarsometatarsal fracture (Lisfranc). Would you choose 28485? If so would you charge it once and then 3 X with modifier 59?
Thanks!
28485 is the correct code--If the patient is MCR..then you will bill RT/LT with modifier 59...but if commercial insurance you will use the modifiers TA-T2 or T5-T7 not modifier 59.
Ex: 28485 TA
28485 T1/51
28485 T2/51
28485 LT
28485 59/LT
28485 59/LT
*I would put in procedure comments stating the specific MTL if MCR
I actually didn't know that--but I did just read a publication, you are correct. I'm sorry...the publication states to use LT or RT. So I would code by line item and use the modifier 59.
The proper use of modifiers is very important. Start with the T modifiers to identify a surgery performed on specific toes. T modifiers only apply to the phalanges distal to the metatarsophalangeal joint. Do not use T codes to identify metatarsal work. For metatarsal and more proximal work, one should also use RT and LT modifiers whenever possible. If those two are not appropriate, use the -59 modifier.