Subtalar Arthroereisis (Q & A) (September 2011)

Septempber 2011 page 11b Subtalar Arthroereisis Question: What is the correct code to report for a subtalar arthroereisis procedure that includes insertion of a subtalar joint implant? Is it correct to report the procedure as a subtalar arthrodesis procedure (28725), a reduced service subtalar arthrodesis procedure (28725-52), or an open treatment of talotarsal joint dislocation (28585)? Answer: There currently is no CPT code that specifically and accurately describes a subtalar arthroereisis procedure. This procedure typically involves making an incision over the sinus tarsi and inserting an implant to reposition and stabilize the rearfoot, resulting in a decrease in pronatory...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the coding considerations surrounding subtalar arthroereisis, a foot procedure involving a subtalar joint implant, and discusses why commonly considered alternatives are not the same as the procedure being performed. It is useful for coders, billers, and orthopaedic foot/ankle practices that need to understand the general CPT and HCPCS framework for reporting this service. The article also identifies the temporary HCPCS pathway referenced in the discussion and clarifies the broader context in which the procedure is described.

Why This Topic Matters

Subtalar arthroereisis is a niche procedure that may be difficult to place into an existing code family. Knowing the article’s scope helps readers determine whether they need guidance on CPT unlisted reporting and related HCPCS coding considerations for foot surgery.

Article Sections

  1. Septempber 2011 page 11b

    Publication header identifying the issue and page location of the Q&A content.

  2. Subtalar Arthroereisis

    A question-and-answer discussion focused on the reporting of a subtalar arthroereisis procedure and the broader coding framework surrounding this foot surgery.

What You Will Learn

  • How the article frames the coding issue for subtalar arthroereisis
  • Which general coding families are discussed for this type of foot procedure
  • What types of reporting questions are raised for unlisted or temporary code pathways
  • How the article situates subtalar arthroereisis within CPT and HCPCS guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Orthopaedic billing staff
  • Foot and ankle surgery practices
  • Revenue cycle professionals

Codes Discussed

Modifiers Discussed


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