How do you get cpt do 28296 28310 28090 paid together?

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1035755

2026-04-11 16:50

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To ensure that CPT codes 28296 (reconstruction of the hallux), 28310 (osteotomy, metatarsal), and 28090 (excision of a bunion) are paid together, you must use appropriate modifiers when submitting your claims. Typically, modifier 59 (distinct procedural service) can be applied to indicate that these procedures are separate and distinct from one another. Additionally, verify that your documentation supports the medical necessity for each procedure performed during the same session. Always check with the specific payer for their guidelines regarding bundling and modifier usage.

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