CPT code 28062 is for the surgical removal of foot fascia, a procedure to treat conditions affecting the foot's connective tissue.
CPT code 28062 is for the surgical removal of foot fascia, which involves excising or cutting away the fibrous tissue that covers the muscles, nerves, and blood vessels in the foot. This procedure is typically performed to address conditions such as plantar fasciitis or other fascial disorders that cause pain or dysfunction in the foot.
When billing for the CPT code 28062, which pertains to the removal of foot fascia, several modifiers may be applicable depending on the specific circumstances of the procedure. Below is a list of potential modifiers that could be used:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both feet.
2. Modifier 51 - Multiple Procedures: This modifier is applicable if multiple procedures are performed during the same session.
3. Modifier 58 - Staged or Related Procedure or Service by the Same Physician: Use this modifier if the procedure is part of a staged treatment plan.
4. Modifier 78 - Unplanned Return to the Operating/Procedure Room: This modifier should be used if the patient requires a return to the operating room for complications related to the initial procedure.
5. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is appropriate if a different procedure is performed during the postoperative period that is unrelated to the initial procedure.
6. Modifier 26 - Professional Component: Use this modifier if billing for the professional component of the procedure separately from the technical component.
7. Modifier TC - Technical Component: This modifier is used when billing for the technical component of the procedure separately from the professional component.
8. Modifier 22 - Increased Procedural Services: This modifier may be used if the procedure required significantly more work than typically required.
9. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: This modifier is applicable if the procedure involves repeat testing or services.
It is essential to evaluate the specific circumstances of the procedure to determine which modifiers are appropriate for accurate billing and compliance with payer requirements.
The CPT code 28062 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides the payment rates for services and procedures covered by Medicare.
Additionally, it is crucial to consult with your local Medicare Administrative Contractor (MAC) to confirm any regional variations or specific guidelines that may affect reimbursement for CPT code 28062. The MACs are responsible for processing Medicare claims and can provide detailed information on coverage and payment policies in your area.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. With the ability to identify discrepancies for specific codes like 28062, you can ensure that your practice is receiving the full reimbursement it deserves. Schedule a demo today to see how RevFind can streamline your revenue recovery process.
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