28261 Tendon revision Medicare reimbursement rates in Arkansas

This code describes surgery to revise a tendon in the foot. It may be performed by an orthopedic foot-and-ankle surgeon or a podiatric surgeon when a previously operated or altered tendon requires further surgical correction. The operative report should identify the tendon and foot site, the reason revision was needed, and the work performed. The code is relevant to procedures performed in a facility operating room or, less commonly, an office setting.

Select the code based on the documented revision of foot tendon tissue, rather than a tendon release or incision alone. Documentation should distinguish revision from the original repair and describe the operative findings and technique. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.