05/29/2018

Correct Billing for CPT Codes 28124, 28230 and 11750

What is wrong with coding 28230 with Modifier T6,  28214 with Modifiers 51, 59 and T6 and 11750 with Modifier 51, 59 and T5?

The correct coding would be

28124 T6

28230  RT

11750 T5

The T Modifier should not be used for CPT 28230. The procedure should be billed with an RT Modifier for a tendon repair done on the right foot.

Secondly, Modifier 51 should not be billed with 28230 and 11750.  

Lastly, Modifier 59 is being used incorrectly for the second and third procedure. There are no CCI edits in place that would bundle any of the three procedures. All services should be billed with the applicable site or toe modifier for the surgical procedure.