tci ED Coding & Reimbursement Alert - 2004 Issue 11

Reader Question: Multiple Toes Call for Modifier -51

Question: If a patient has four fractured metatarsals on the same foot, should I report code 28470 one time, or four times? The code specifies "each." Should I append any modifiers?New Mexico SubscriberAnswer: Because code 28470 (Closed treatment of metatarsal fracture; without manipulation, each) does reference "each," you can report it multiple times using modifier -51 (Multiple procedures). Some payers may also require use of the HCPCS level II codes -TA (Left foot, great toe) and -T9 (Right foot, fifth digit) to identify the specific digits involved. Although reporting each procedure using modifier -51 is correct...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.