Per the American Academy of Orthopaedic Surgeons (AAOS), the procedure described in code 28308 is not part of the components included in code 28110 ; however, the codes are bundled per the Medicare National Correct Coding Initiative (NCCI) guidelines. Would it be correct to report codes 28308 and 28110 with modifier 59 for Medicare carriers that do not follow the NCCI bundling guidelines? ...

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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 coding guidance article is aimed at orthopaedic and physician coding staff who need to understand a specific CPT billing scenario in the context of Medicare National Correct Coding Initiative edits and AAOS commentary. It explains the general issue of whether two related foot procedures may be reported together and how the article frames the use of modifier 59 in that scenario.

Why This Topic Matters

Articles like this help coding professionals recognize when bundled procedure relationships are being discussed under Medicare and CPT conventions, which can affect claim reporting and compliance review.

Codes Discussed

• CPT: 28308
• CPT: 28110

Modifiers Discussed

• CPT: 59

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