CPT Code 28420

CPT code 28420 is used to describe the treatment or grafting of a heel fracture in medical billing and coding.

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What is CPT Code 28420

CPT code 28420 is used to describe the treatment or grafting of a heel fracture. This code specifically indicates a surgical procedure where a healthcare provider repairs a fracture in the heel bone, which may involve the use of grafting techniques to promote healing and restore function.

Does CPT 28420 Need a Modifier?

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CPT Code 28420 Medicare Reimbursement

The CPT code 28420 is reimbursed by Medicare, but the specifics of reimbursement can vary. To determine if this code is covered and the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered under Medicare Part B.

Additionally, Medicare Administrative Contractors (MACs) play a crucial role in processing claims and providing guidance on coverage policies. Providers should consult their respective MAC for any regional variations or specific documentation requirements related to CPT code 28420.

Are You Being Underpaid for 28420 CPT Code?

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. With RevFind, you can identify discrepancies for specific codes like 28420, ensuring you receive the full reimbursement you deserve. Schedule a demo today to see how RevFind can streamline your RCM process and improve your bottom line.

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CPT Code 28420

What is CPT Code 28420

Does CPT 28420 Need a Modifier?

CPT Code 28420 Medicare Reimbursement

Are You Being Underpaid for 28420 CPT Code?

Get paid in full by bringing clarity to your revenue cycle

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