Katherine Posted Fri 19th of February, 2016 10:48:39 AM
The doctor performed a closed reduction with K wire insertion of the left 2nd and 4th toes, no cpt available for percutaneous tx of lesser toes. In this case can I bill it as 28515 for the closed tx and use the 20650 with a 52 modifier for the wire insertion? No traction applied so will adding the 52 modifier be appropriate?
SuperCoder Answered Mon 22nd of February, 2016 05:10:39 AM
If you want to bill for per cutaneous tx you can bill 28525 (Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each). This code reports percutaneous skeletal fixation of a toe fracture other than the great toe, according to coding experts.