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Dasika Posted 1 Year(s) ago
Need help with the following Dx & CPT Codes PREOPERATIVE DIAGNOSIS: 1. painful hardware left foot 2. Painful scar adhesions with joint contracture left #2 toe 3. painful hammertoe #2 toe right foot PROCEDURE: 1. Attempted removal of painful hardware left foot 2. Debridement of scar adhesions and joint contracture left #2 toe 3. Revisional arthroplasty with kwire stabilization left #2 toe {at MPTJ level extending distally to the PIPJ } 3. PIPJ arthroplasty with long flexion tenotomy #2 toe right foot{ Dissection @ the level of PIPJ } Thanks North Carolina Subscriber
SuperCoder Posted 1 Year(s) ago

Please find below the Coding:

Diagnosis Codes:

1. painful hardware left foot = T84.84XA

2. Painful scar adhesions with joint contracture left #2 toe = M24.575

3. painful hammertoe #2 toe right foot = M20.41

 

Procedure Codes:

1. Attempted removal of painful hardware left foot = 20680-LT

2. Debridement of scar adhesions and joint contracture left #2 toe = 28270-T1

3. Revision arthroplasty with kwire stabilization left #2 toe {at MPTJ level extending distally to the PIPJ} = 28899-LT

3. PIPJ arthroplasty with long flexion tenotomy #2 toe right foot { Dissection @ the level of PIPJ} = 28285-T6.

 

Ideally, removal of hardware and debridement of scar adhesion procedure codes should not be billed with revision arthroplasty, as all 3 procedures were performed on 2nd Toe of Left foot. Also, provide the appropriate documents to insurance company along with claim form to support the unlisted CPT code.

Posted by Dasika, 1 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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