CPT CODES

CPT Code 28291

CPT code 28291 is for the surgical correction of hallux rigidus using an implant to improve joint function and relieve pain.

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What is CPT Code 28291

CPT code 28291 is used to describe a surgical procedure for correcting a bunion (hallux rigidus) that involves the implantation of a device. This procedure typically addresses the pain and functional limitations caused by the condition, which affects the big toe's joint. The implantation aims to restore proper alignment and mobility to the toe, enhancing the patient's overall foot function.

Does CPT 28291 Need a Modifier?

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CPT Code 28291 Medicare Reimbursement

The CPT code 28291 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). To determine the exact reimbursement rate and any applicable coverage limitations, healthcare providers should consult the MPFS. Additionally, it is essential to verify with the respective Medicare Administrative Contractor (MAC) for any regional variations or additional guidelines that may impact reimbursement for CPT code 28291.

Are You Being Underpaid for 28291 CPT Code?

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 RevFind, you can identify discrepancies for specific CPT code 28291, ensuring you receive the full reimbursement you deserve. Schedule a demo today to see how RevFind can optimize your revenue recovery process.

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