Subtalar Athroereisis Billing Questions for Podiatrists Answered

This is a guide for billing Subtalar Athroereisis questions and answers.  We will use links from other websites to explain our statements.  By the way, as a Podiatrist I do not think this works.

But, you did not come to hear from me, you want to know how to bill subtalar arthroeresis

Guide to Subtalar Arthroeresis billing:

When billing private insurances such as Blue Cross, use an unlisted code, or S2117:

https://www.aapc.com/memberarea/forums/showthread.php?t=19425

http://www.hcpro.com/HIM-252487-8160/Coding-strategies-for-commonly-miscoded-procedures.html

Here is anthem Blue Cross’s position on subtalar arthroereisis it says it is investigational and not a medical necessity

But to bill CPT 28899

HCPCS: S2117

ICD 9: 81.18

Here are the ICD 10 codes for the procedure:

ICD-10 ProcedureICD-10-PCS draft codes; effective 10/01/2014:
0SUH0JZSupplement right tarsal joint with synthetic substitute, open approach
0SUH3JZSupplement right tarsal joint with synthetic substitute, percutaneous approach
0SUH4JZSupplement right tarsal joint with synthetic substitute, percutaneous endoscopic approach
0SUJ0JZSupplement left tarsal joint with synthetic substitute, open approach
0SUJ3JZSupplement left tarsal joint with synthetic substitute, percutaneous approach
0SUJ4JZSupplement left tarsal joint with synthetic substitute, percutaneous endoscopic approach


Here is a link to the website:

http://www.anthem.com/medicalpolicies/policies/mp_pw_b094101.htm

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