AMA CPT® Assistant - 2017 Issue 11 (November)

Surgery: Musculoskeletal System Q&A (November 2017)

November 2017 page 10 Surgery: Musculoskeletal System Question: A podiatrist performed a right second and third metatarsophalangeal joint arthroplasty with insertion of a hinged silicone implant in each toe. How is this reported? Answer:Currently, there is no specific Current Procedural Terminology (CPT®) code to report this procedure. Therefore, an implant of a lesser metatarsophalangeal joint (MTPJ) should be reported with code 28899, Unlisted procedure, foot or toes. When reporting an unlisted code to describe a procedure or service, it will be necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description...

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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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