The physician performed a fusion at the first tarsometatarsal (TMT) joint, followed by open reduction with internal fixation at the second TMT joint. Is it appropriate to report both CPT codes 28740 and 28615 when performed on the same toe during the same operative session? ...
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Article Overview
This article explains a coding scenario involving surgery at the tarsometatarsal joints of the foot and discusses whether more than one CPT code may be reported for the same operative session. It is intended for coders, billers, and clinical documentation staff who need to understand how the procedure is characterized in CPT terms and what to consider when payer requirements may affect reporting.
Why This Topic Matters
Procedures involving adjacent foot joints can create coding uncertainty, especially when multiple surgical components occur in one operative encounter. Understanding the article helps readers recognize the relevant CPT framework and the need to verify payer-specific requirements.
What You Will Learn
- How the article frames a same-session tarsometatarsal joint surgery coding question
- Which broad CPT procedure categories are involved
- Why payer policies may need to be checked for this type of reporting question
- How the article approaches coding for procedures at different TMT joints in one operative session
Who Should Read This
- Medical coders
- Medical billers
- Orthopedic surgery coding staff
- Payer policy reviewers
Codes Discussed
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