Share |

Podiatry Coding Education: 28293 For Joint Replacement for Hallux Limitus

Posted on 22. Sep, 2009 by in Coding Challenge, Hot Coding Topics

Question: Our podiatrist performed a joint replacement for hallux limitus and thinks we should report 28293. I disagree because the patient does not have a bunion. How should we code this procedure?

Answer: CPT does not include a code for hallux arthroplasty with implant, so it’s time to turn to unlisted codes.

Your best option is to report 28899 (Unlisted procedure, foot or toes). When you determine a comparison code for the most accurate reimbursement, compare the unlisted code 28899 to 28289 (Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint) or 28293 (Correction, hallux valgus [bunion], with or without sesamoidectomy; resection of joint with implant) when submitting your claim.

Good news! Podiatry Coding Alert is back. Download your 2 FREE sample issues here.

Signup to read articles and receive SuperCoder Bolt Newsletter

Register for Article Access
Access our articles and receive SuperCoder Bolt Newsletter.
You will also receive
  • Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
  • Discounts on 3rd party offers
SuperCoder Bolt
You must have javascript enabled to use this form

If you've already signed in and are still seeing this screen, click here to refresh the page.

Tags: , , , ,