AMA CPT® Assistant - 2014 Issue 9 (September)

Surgery: Musculoskeletal System (Q&A) (September 2014)

September 2014 page 13a Surgery: Musculoskeletal System Question: Is it appropriate to report code 28645, Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed, when a surgeon performs a metatarsophalangeal (MTP) capsulotomy, a series of soft tissue releases, and a plantar flexion maneuver to relocate a MTP joint that is dorsally subluxated? Answer: No. It would not be appropriate to report code 28645 for an MTP joint subluxation. CPT code 28270, Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure), may be reported for the subluxation repair. Because a subluxation is not a complete dislocation...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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