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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Related CPT Codes
CPT Code 20555
CPT code 20555 is for placing a needle in muscle or tissue for radiation therapy.
CPT Code 20606
CPT code 20606 is for draining or injecting a joint or bursa with ultrasound guidance.
CPT Code 20610
CPT code 20610 is for draining or injecting a joint or bursa without using ultrasound.
CPT Code 20611
CPT code 20611 is for draining or injecting a joint or bursa with ultrasound guidance.
CPT Code 20700
CPT code 20700 is for the manual preparation and insertion of a drug delivery device.
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