CPT 28296: Arthrodesis, Talonavicular Joint
Surgical arthrodesis (joint fusion) of the talonavicular joint of the foot. Includes articular surface preparation and fixation.
Why CPT 28296 Claims Get Denied
Claims billed under CPT 28296 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Medical necessity documentation insufficient
Conservative treatment not attempted first
Imaging documentation missing
Incorrect procedure code used
Billing Tips for CPT 28296
Document foot pain, deformity, or functional limitation. Include imaging showing joint degeneration or instability. Document conservative treatment attempted. Include operative findings and fixation method.
Documentation Requirements
To support a clean claim for CPT 28296, your clinical documentation should include:
Indication for arthrodesis
Pre-operative imaging results
Physical examination findings
Conservative treatment attempted
Operative findings and technique
Fixation method (screws, plates, etc.)
Post-operative radiographs
Weight-bearing restrictions documented
Common Modifiers for CPT 28296
Reduce CPT 28296 Denials by 60%
RediClaim's pre-submission scrubber catches documentation gaps and coding errors before you submit, while the appeal generator handles denials that slip through.