CPT Code 28100
CPT code 28100 is for the removal of a lesion from the ankle or heel, detailing the specific procedure for billing and documentation purposes.
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What is CPT Code 28100
CPT code 28100 is for the surgical removal of a lesion located on the ankle or heel. This procedure typically involves excising a growth or abnormal tissue from the specified area, which may be necessary for diagnostic purposes or to alleviate discomfort.
Does CPT 28100 Need a Modifier?
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CPT Code 28100 Medicare Reimbursement
CPT code 28100 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and the corresponding payment rates. To determine the exact reimbursement rate for CPT code 28100, healthcare providers should refer to the MPFS.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in processing claims and providing guidance on Medicare coverage policies. Each MAC may have localized policies that could affect the reimbursement of CPT code 28100. Therefore, it is advisable for healthcare providers to consult their respective MAC for any region-specific guidelines or additional documentation requirements that may impact the reimbursement process.
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