Bunion

Description: REGCLR3 measures the improvement in functions of patients with a diagnosis of Bunion Pain . Improvement is measured as a reduction in pain after an intervention. The patient must be treated, it is up to the medical provider to select the medically appropriate treatment. Treatments may include surgical intervention, shoe wear modifications, orthotics, and physical therapy.

Percentage of patients with a who have a hallux valgus (bunion) deformity causing pain that receive an intervention and have clinically significant reduction in pain as a result of that intervention

REGCLR3 Bunion Outcome – Adult and Adolescent

“We have a debate in my group about coding for a combination of bunion procedures. I performed an Akin bunionectomy and a Mcbride bunionectomy on the same foot. Are these procedures to billed separately or should I use CPT 28299?”

“I have recently done bunionectomies on two separate patients with Anthem and received denials. One was a combination of an Austin procedure and an Akin procedure. I billed CPT 28299 -RT. On another patient, I did an Austin procedure and I billed CPT 28296 -RT. Both claims were denied for “inappropriate use of modifier.” I have called the customer service twice and even sent a corrected claim and removed the modifier but claim was still denied. Has something changed with Anthem that I don’t know about?”

“Can someone please clarify the postoperative global period for a percutaneous flexor tenotomy for flexible hammertoes? I thought the postop global for CPT 28010 was ten days. I discovered that it is 90 days! Is it really the same as a bunion correction? I performed an in office flexor tenotomy successfully on one foot and now the patient requests correction for the other foot. I understand how a longer global period would discourage so called “serial surgeries” for higher reimbursements for multiple procedures on one foot. But on the opposite foot as well?”