in the military population, at ~3 year follow-up, ~70% patients undergoing ORIF or primary arthrodesis were able to resume occupationally required daily running. Open Reduction and Internal Fixation of Acute Lisfranc Fracture For further assistance with reimbursement questions, contact the Zimmer Biomet Reimbursement Hotline at 866-946-0444 B. In blue, dorsal TMT ligament first cuneiform to second metatarsal (c1-m2). sharing sensitive information, make sure youre on a federal Foot and Ankle Systems Coding Reference Guide Clipboard, Search History, and several other advanced features are temporarily unavailable. In red, plantar TMT ligament; in green, interosseous ligament (ligament of Lisfranc), exclusive between the first cuneiform and the second metatarsal (c1-m2). Unauthorized use of these marks is strictly prohibited. To read the full article, sign in and subscribe to the AHA Coding Clinic for HCPCS. For instance 28615 (Open treatment of tarsometatarsal joint dislocation with or without internal or external fixation) does not refer to "dislocation(s) " as is often the case when CPT means to imply that a code applies to one or more dislocations. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. You can learn more about how we ensure our content is accurate and current by reading our. Adobe PDF Library 15.0 If your payer bundles your claim for multiple tarsometatarsal dislocation repairs and you therefore receive payment for only one dislocation treatment appeal the denial by writing a letter to the insurer with a copy of your operative report. Lisfranc fracture-dislocations: current management - PubMed This article takes a look at some foot exercises for strength, flexibility, and pain relief. If this is your first visit, be sure to check out the. Because many carriers do not publish local medical review policies (LMRPs) for these dislocation treatment codes it's a good idea to write to your carrier and ask for a copy of its billing guidelines for these services. JavaScript is disabled. application/pdf Increased space between the first and second metatarsals, and fracture-avulsion of the Lisfranc ligament (fleck sign). 35 0 obj <>>> endobj 62 0 obj <>stream If you look at code 28730 it has an MUE of "one" and an MAI "2 policy" which means that you cannot bill more than one unit, period. Bookshelf / 7 Lisfranc Injury. It may not display this or other websites correctly. If you are already doing this, I would definitely appeal with the op note showing the different joints highlighted for them.
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