1. Sara Tomasulo
   Posted 3 months ago #
   

   28292 & 28306/59 were billed out but still denied as included. Dr believes this should be seperatly reimbursed. Does anyone have any information on these codes being billed together?

2. SuperCoder
   Posted 3 months ago #
   

   You may use 28306 if you are treating a different toe. Some insurers cover the T modifiers better in these cases than modifier 59. A CCI edit does exist on the code based on standards of medical/surgical practice. You would report 28306 only as an exception as in the treatment occurring on a different toe.

   CCI Validation Results:
   Code 28306 is a column 2 code for 28292, but a modifier is allowed in order to differentiate between the services provided.
   *Use modifier with code 28306.

   Jen Godreau, CPC, CPMA, CPEDC

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