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Tenotomy

Billing for Percutaneous Tenotomies
Coding

Billing for Percutaneous Tenotomies

by Michael Warshaw, DPM, CPC

If our provider does multiple Tenotomy procedures on one visit on different toes what are the appropriate procedure codes and modifiers to bill correctly? We have been billing 28010 with the "T" modifier and no other modifiers per the provider's request. I feel like we should be adding a "51" modifier on all lines except the first. I would love assistance with this.
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Coding Percutaneous Work At The Metatarsophalangeal Joint
Coding

Coding Percutaneous Work At The Metatarsophalangeal Joint

by Michael Warshaw, DPM, CPC

“What is the proper CPT code for percutaneous capsulotomy and tenotomy of metatarsophalangeal joint?”
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Coding

Global for Tenotomy Surgery

by Dr. Michael Warshaw, DPM, CPC

“Can someone please clarify the postoperative global period for a percutaneous flexor tenotomy for flexible hammertoes? I thought the postop global for CPT 28010 was ten days. I discovered that it is 90 days! Is it really the same as a bunion correction? I performed an in office flexor tenotomy successfully on one foot and now the patient requests correction for the other foot. I understand how a longer global period would discourage so called “serial surgeries” for higher reimbursements for multiple procedures on one foot. But on the opposite foot as well?”
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