Subtalar Joint Implant Denial…
There are three procedure codes to choose from when the procedure is performed and reimbursement is sought:
My suggestion is that the procedure should be billed as CPT 28899 (unlisted procedure, foot or toes). The claim should be submitted hard copy with an operative report to accurately support the code that is being billed. This is not a guarantee for reimbursement, it is after all an unlisted code, but I feel that this is the best way to attempt to achieve payment AND get your “ducks in order” for the appeals process, if necessary.
What you cannot bill is:
These suggested procedure codes are clearly NOT descriptive of what is being performed, a subtalar arthroereisis.
The above is my opinion.
Michael G. Warshaw, DPM, CPC, DABMSP