tci Part B Insider - 2016 Issue 3

Part B Coding Coach: Heighten Your Chance to Heel Spur Treatment Claim Success With This Advice

Rule out fracture, and check for casts and orthotic devices. If you’re reporting heel spur excision as a lone procedure, you could be leaving money on the table. Your surgeon may be doing more than just an excision and not capturing those services means lost pay. Let the advice that follows guide you to accurate and complete claims. You report code 28119 (Ostectomy, calcaneus for spur, with or without plantar fascial release) if your surgeon excises a calcaneal spur. You report this code regardless of whether your surgeon makes release incisions on the stressed or irritated plantar fascia...

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