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

Article Overview

This short CPT Assistant Q&A explains the coding context for a podiatric musculoskeletal procedure involving a lesser metatarsophalangeal joint implant. It is relevant for professional coders, podiatrists, and billers who work with foot and toe surgery coding and unlisted procedure reporting. The article focuses on CPT terminology, use of an unlisted procedure code, and why a more specific first-toe code is not applicable.

Why This Topic Matters

It helps readers recognize when a procedure must be captured with an unlisted CPT code rather than a more specific musculoskeletal surgery code, supporting accurate claim reporting and documentation review.

What You Will Learn

  • The general CPT coding context for a lesser metatarsophalangeal joint implant procedure.
  • Why an unlisted procedure approach is discussed for this type of foot and toe surgery.
  • How the article frames the distinction between a lesser toe procedure and a first metatarsophalangeal joint code.
  • The documentation context associated with reporting an unlisted CPT procedure.

Who Should Read This

  • Professional coders
  • Podiatry billers
  • Orthopedic surgery coders
  • Revenue cycle staff
  • Compliance reviewers

Codes Discussed


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