CPT code 28545 is used to describe the treatment of a foot dislocation, detailing the specific procedure performed by healthcare providers.
CPT code 28545 is used to describe the treatment of a dislocation in the foot. This code specifically refers to the surgical procedure involved in realigning the bones in the foot that have been displaced from their normal position due to an injury. The goal of this procedure is to restore proper function and stability to the foot, allowing for improved mobility and reduced pain for the patient.
When billing for the CPT code 28545, which pertains to the treatment of a foot dislocation, the following modifiers may be applicable:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both feet.
2. Modifier 51 - Multiple Procedures: This modifier should be applied if multiple procedures are performed during the same session.
3. Modifier 58 - Staged or Related Procedure: This modifier is appropriate if the treatment is part of a staged procedure or if it is a subsequent procedure related to the initial treatment.
4. Modifier 76 - Repeat Procedure by Same Physician: Use this modifier if the procedure is repeated by the same physician on the same day.
5. Modifier 78 - Unplanned Return to the Operating/Procedure Room: This modifier is applicable if the patient requires a return to the operating room for complications related to the initial procedure.
6. Modifier 79 - Unrelated Procedure or Service by the Same Physician: This modifier should be used if a different procedure is performed by the same physician during the postoperative period that is unrelated to the original procedure.
7. Modifier RT - Right Side: Use this modifier to specify that the procedure was performed on the right foot.
8. Modifier LT - Left Side: This modifier indicates that the procedure was performed on the left foot.
Each of these modifiers serves to provide additional context for the procedure performed, ensuring accurate billing and compliance with payer requirements.
The CPT code 28545 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, along with the corresponding payment rates.
Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have localized policies and fee schedules. Therefore, it is advisable to consult the MPFS and the relevant MAC for the most accurate and up-to-date information regarding the reimbursement of CPT code 28545.
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