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Vicki Posted Mon 14th of November, 2016 12:44:54 PM
Can the ASC bill separately for Evans Wedge, plates and screws along with the surgery codes 28297, 28308,38285,28110 and 28298? If so, what HCPCS codes would you use?
SuperCoder Answered Tue 15th of November, 2016 06:26:35 AM

There is no HCPCS code to report the Evans Wedge System.  Payment for implants used in the procedure is included in the payment for the procedure. 

 

According to AMA-CPT: All of the codes in the 28290- 28299 series include the following procedures when performed at the first MTP joint: capsulotomy, arthrotomy, synovial biopsy, neuroplasty, synovectomy, tendon release, tenotomy, tenolysis, excision of medial eminence, excision of associated osteophytes, placement of internal fixation, scar revision, articular shaving, and removal of bursal tissue. These are integral components of the operation and are not to be reported separately.

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