05/24/2017

Billing for Multiple Hammertoe Procedures

When doing multiple hammer toes on one foot we billed cpt 28270 three times The insurance denied cpt code 28270 and said it can only be performed once on each foot per day however multiple T codes were performed on same foot How can we bill cpt code 28270 to show it was performed three times

According to the EOB and the OP Report sent, this should be billed as 3 separate line items with modifiers LT and 59. It should not be billed with 3 Units as displayed on the EOB.