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Know the difference between a capsulotomy and reanalysis
Ambulatory Surgery Reimbursement Update, October 23, 2007
Per the CPT Assistant of March 2003, a capsulotomy is performed on the joint in an attempt to increase the range of motion of the joint and/or release a contracture.
A tenolysis releases scar tissue that binds a tendon to surrounding structures, allowing for improved motion of the tendon. Capsulotomy and tenolysis are distinct procedures that can be performed independently or together.
A Midtarsal Capsulotomy procedure is coded using CPT code 28264 and can be referred to as a "Heyman" type of procedure. For club foot deformities, use CPT code 28272, which is a Capsulotomy of the Interphalangeal Joint. This is designated as a "Separate Procedure" in the CPT Manual.
A Metatarsophalangeal Joint Capsulotomy procedure (each joint) done with or without Tenorrhaphy is coded with CPT code 28270.
This tip is brought to you by Ellis Medical Consulting, Inc.
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