- Oct 17, 2011
- Reaction score
The "separate procedure" text if fascinating. That I believe is what put an end to billing a 28285 with an MPJ capsulotomy or a flexor tenotomy and a IPJ capsulotomy etc.Look up an “Akin”. It’s CPT code 28310 (CPT 28298 is a bunionectomy with an Akin). If you look up 28310 you will see it’s designated as a “separate” procedure which denotes it should not be billed with another procedure for the same pathology at the same anatomical location.
I don't really believe in Akins though I did see someone the other day who needs one. The cynical negative side of me feels a lot of people just saw them as a way to pick up an extra $400 while doing an Austin. What pays better than one procedure - two procedures!
I know you're seeing lots of unbundling - but I'm now being challenged on every case by Novitas where I do more than 1 hammertoe. I somewhat agree with recent posts about jokingly the future being here's a lump sum of money for whatever you do. I find this somewhat fascinating since what I feel like I see when I watch ACFAS stuff is the number of procedures getting bigger and bigger. Extend the fusion even further and repair and transfer more things. And that may be appropriate and great and what not but I don't think the future is to be paid for your combination Achilles lengthening+ osteotomy + rearfoot and midfoot fusion + PT debridemeent + FDL transfer + spring ligament repair.