tci Outpatient Facility Coding Alert - 2013 Issue 8

Coding Strategies: Corral Your Heel Spur Denials With These Tips

Round up these 3 items for a winning claim. You could be forfeiting deserved pay if you’re limiting your heel spur claims to the excision procedure only. Casts and orthotics could pave the way to full reimbursement for your surgeon’s efforts. You report code 28119 (Ostectomy, calcaneus for spur, with or without plantar fascial release) if your surgeon excises a calcaneal spur. You report this code regardless of whether your surgeon makes release incisions on the stressed or irritated plantar fascia. Be sure to check the operative note to confirm any fasciotomy done by your surgeon. If...

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