Digging Into HIM & Coding Blog

Anyone who has coded or attempted to code for procedures on the foot and toes has no doubt discovered the complexities of the CPT codes. It’s impossible to code for them without a thorough understanding of foot and toe anatomy. Additionally, many providers refer to these procedures by eponyms which can confuse when it comes to code selection.

Continue reading to learn more about these complex cases.

Additional Tips & Expertise

Q: Why does CPT Assistant recommend for a scarf osteotomy, but then has “scarf” listed as an eponym for 28295?

Q: Is modifier 59 still necessary even if the “separate procedure” does not have an NCCI bundling edit with the other procedure performed?

Q: Would modifier RT OR T5 be used with CPT 28297 when done on the right great toe?

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