This page addresses follow-up questions and additional information pertinent to our webinar
Getting Over the Hump of Bunionectomy Coding.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q. Why does CPT Assistant recommend for a scarf osteotomy, but then has “scarf” listed as an eponym for 28295?
A: The scarf osteotomy refers to the shape so could be reported with either code depending on where the cut is made on the MT.
Q: Is modifier 59 still necessary even if the “separate procedure” does not have an NCCI bundling edit with the other procedure performed?
A: Yes, the CPT guidelines are clear in direction on how to report separate procedures.
Q: Would modifier RT OR T5 be used with CPT 28297 when done on the right great toe?
A: Modifier RT would be correct since the actual toe or phalanx is not being treated, the correction is done on the metatarsal and tarsal.
Looking for additional information on this topic?
Deanna Upston, CPMA, CPC, COSC
Consultant
Deanna is a consultant for The Haugen Consulting Group with over 20 years of health care industry experience. Her introduction was through medical assisting, which she enjoyed for several years. Once she was established at a surgeon’s office, she started coding their surgical cases and discovered that was her favorite part of the day. Deanna has experience working on the professional fee side of coding, audit, education and compliance serving coders and physicians. She has put together multiple education sessions for both provider and coder. She also has experience working as an analyst in which she validated the integrity of editing logic during the implementation of claim scrubbing software.
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