AMA CPT® Assistant - 2010 Issue 9 (September)

Surgery: Musculoskeletal System (Q&A) (September 2010)

September 2010 page 9b Surgery: Musculoskeletal System Question: CPT codes 28285, 28270, and 28234 were all reported for surgery on a single toe. Are the procedures reported by codes 28270 and 28234 included in code 28285? Answer: Code 28234, Tenotomy, open, extensor, foot or toe, each tendon, is included when code 28285, Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy), is reported. Code 28270, Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure), is not included in code 28285 and is reported separately when performed. Surgery: Musculoskeletal System (Q&A) (September 2010). CPT® Assistant. 2010; September...

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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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