CPT CODES

CPT Code 28890

CPT code 28890 is for high-energy extracorporeal shock wave therapy (ESWT) used to treat plantar fasciitis.

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What is CPT Code 28890

CPT code 28890 is used to describe high-energy extracorporeal shock wave therapy (ESWT) specifically for the treatment of plantar fasciitis. This procedure involves the application of shock waves to the heel area to promote healing and reduce pain associated with inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot.

Does CPT 28890 Need a Modifier?

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CPT Code 28890 Medicare Reimbursement

The CPT code 28890 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered by Medicare. Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have different local coverage determinations (LCDs) that affect whether and how a particular CPT code is reimbursed. 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 28890.

Are You Being Underpaid for 28890 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. For instance, with CPT code 28890, RevFind identifies discrepancies that could impact your bottom line. Schedule a demo today to see how our solution can help you maximize your revenue and ensure you are being reimbursed correctly.

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