FLEXOR TENOTOMIES CPT CODE 28010
We are need serious need of how to bill our FLEXOR TENOTOMIES CPT code 28010. Our podiatrists does these all of the time on multiple toes.
I was hoping that you could help walk me through what to do next with denials on code 28010 to Medicare. On this particular patient our Podiatrist performed the tenotomy on 3 separate toes. It was coded as: 28010,PRO,T7,T8,T9 on one line item with 3 units. It was split into 3 line items with 3 units each by Medicare and was denied for a frequency issue. After several calls to Medicare I was told that there is a local rule stating that only one tenotomy can be performed per day regardless of how many were performed. I would love any insight you have on this issue.
Thank you so much for your help!