CPT CODES

CPT Code 28304

CPT code 28304 is a medical billing code used for the incision of midfoot bones in healthcare services.

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What is CPT Code 28304

CPT code 28304 is the procedure for making an incision in the bones of the midfoot. This code is typically used when a healthcare provider performs surgery to access and treat conditions affecting the midfoot area, which may include fractures, deformities, or other issues requiring surgical intervention.

Does CPT 28304 Need a Modifier?

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CPT Code 28304 Medicare Reimbursement

CPT code 28304 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 potential 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 requirements that may apply. Each MAC may have specific guidelines and policies that could impact the reimbursement process for CPT code 28304.

Are You Being Underpaid for 28304 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, including specific codes like 28304. Schedule a demo today to see how RevFind can help you identify discrepancies with individual payers and optimize your revenue.

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