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.
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