CPT Code 28420
CPT code 28420 is used to describe the treatment or grafting of a heel fracture in medical billing and coding.
Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.
What is CPT Code 28420
CPT code 28420 is used to describe the treatment or grafting of a heel fracture. This code specifically indicates a surgical procedure where a healthcare provider repairs a fracture in the heel bone, which may involve the use of grafting techniques to promote healing and restore function.
Does CPT 28420 Need a Modifier?
GPT loading... ETA: 2 minutes (03:07 UTC)You can cancel the execution by clearing this cell.
CPT Code 28420 Medicare Reimbursement
The CPT code 28420 is reimbursed by Medicare, but the specifics of reimbursement can vary. To determine if this code is covered and the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered under Medicare Part B.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in processing claims and providing guidance on coverage policies. Providers should consult their respective MAC for any regional variations or specific documentation requirements related to CPT code 28420.
Are You Being Underpaid for 28420 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 codes like 28420, ensuring you receive the full reimbursement you deserve. Schedule a demo today to see how RevFind can streamline your RCM process and improve your bottom line.
Get paid in full by bringing clarity to your revenue cycle
Related CPT Codes
CPT Code 15116
CPT code 15116 is for an additional epidermal autograft on face, neck, hands, or feet.
CPT Code 15320
CPT code 15320 is for applying a skin allograft to the face, neck, hands, or feet.
CPT Code 15341
CPT code 15341 is for applying a cultured skin substitute as an additional procedure.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox