| If you neglect to report multiple fractures, it could cost | | | | RVUs, according to the 2010 Medicare Physician Fee |
| you $500 per metatarsal. | | | | Schedule. That comes down to $501.14 per metatarsal |
| Lisfranc joint injuries can pop up in just about any | | | | based on the updated 2010 national conversion factor |
| patient, right from athletes to the elderly. Scoop up all | | | | of $36.0791. |
| of the multiple repair payments you have earned and | | | | A note of caution: Remember that 28485 represents |
| learn when accurate modifiers can pep up revenue | | | | fractures in separate metatarsals, and not multiple |
| with this inside look at Lisfranc repair coding. | | | | fractures within the same metatarsals. If one |
| Code for each fracture repair | | | | metatarsal contains multiple fractures, go for only one |
| Remember to treat a repair to each fractured | | | | unit of 28485. |
| metatarsal bone as one unit. | | | | For more on this, register yourself for a one-stop |
| When the podiatrist uses the common open reduction | | | | medical coding website. When you sign up for one, |
| internal fixation (ORIF) technique to repair a fracture to | | | | you will get all updates on the molecular diagnostics |
| the Lisfranc area, go for 28485. | | | | prep pay you deserve along with all 2010 CPT codes |
| Do not miss: Code one unit or 28485 for each | | | | online. Such a site will supercharge your ethical |
| metatarsal fracture. Based on the anatomy, you would | | | | reimbursements through codesets, content and |
| normally report three units of 28485. Add modifier 59 | | | | community. So sign up for one medical coding website |
| to 28485 beginning with the second line item. | | | | today and see the difference it brings to your practice. |
| Reimbursement: CPT carries 13.89 physician work | | | | |