28112-14 Metatarsal head resection (single or multiple) 4.4 28899 Lesser MPJ implant 4.5 28308-9 Central metatarsal osteotomy 4.6 28308 Bunionectomy of the fifth metatarsal with osteotomy 4.7 28485 Open management of lesser metatarsal fractures 4.8 20900, 20902 Harvesting of bone distal to the ankle 4.9 28805, 28810 Amputation (lesser ray, transmetatarsal amputation) 4.10 20005, 28005 Management of bone/joint infection distal to the 4.11 tarsometatarsal joints (with or without bone graft) 28171, 28173 Management of bone tumor/neoplasm distal to the 4.12 tarsometatarsal joints (with or without bone graft) 28615 Open management of tarsometatarsal 4.13 fracture/dislocation 28308-9 Multiple osteotomy management of metatarsus 4.14 adductus 27840, 28730, 28735 Tarsometatarsal fusion 4.15 Corticotomy/callus distraction of lesser metatarsal 4.16 28322 Revision/repair of surgical outcome in the forefoot 4.17 28130, 28140 Other osseous procedures not listed above (distal to 4.18 the tarsometatarsal joint) 28118 Detachment/reattachment of Achilles tendon with 4.19 partial ostectomy Total Number of Procedures (minimum 40 per resident) Category 5: Reconstructive Rearfoot and Ankle Surgery Elective Soft Tissue – Range of CPT Codes Description Code Number of Number Procedures 14020-21, 14040-41, Plastic surgery techniques involving the midfoot, 5.1.1 14300, 14350 rearfoot, or ankle 27690-92 Tendon transfer involving the midfoot, rearfoot, 5.1.2 ankle, or leg 27685-87, 28240 Tendon lengthening involving the midfoot, rearfoot, 5.1.3 ankle, or leg 28260-4 Soft tissue repair of complex congenital foot/ankle 5.1.4 deformity (clubfoot, vertical talus)
28112-14 Metatarsal head resection (single or multiple) 4.4 28899 Lesser MPJ implant 4.5 28308-9 Central metatarsal osteotomy 4.6 28308 Bunionectomy of the fifth metatarsal with osteotomy 4.7 28485 Open management of lesser metatarsal fractures 4.8 20900, 20902 Harvesting of bone distal to the ankle 4.9 28805, 28810 Amputation (lesser ray, transmetatarsal amputation) 4.10 20005, 28005 Management of bone/joint infection distal to the tarsometatarsal joints (with or without bone graft) 4.11 28171, 28173 Management of bone tumor/neoplasm distal to the tarsometatarsal joints (with or without bone graft) 4.12 28615 Open management of tarsometatarsal fracture/dislocation 4.13 28308-9 Multiple osteotomy management of metatarsus adductus 4.14 27840, 28730, 28735 Tarsometatarsal fusion 4.15 Corticotomy/callus distraction of lesser metatarsal 4.16 28322 Revision/repair of surgical outcome in the forefoot 4.17 28130, 28140 Other osseous procedures not listed above (distal to the tarsometatarsal joint) 4.18 28118 Detachment/reattachment of Achilles tendon with partial ostectomy 4.19 Total Number of Procedures (minimum 40 per resident) Category 5: Reconstructive Rearfoot and Ankle Surgery – Elective Soft Tissue Range of CPT Codes Description Code Number Number of Procedures 14020-21, 14040-41, 14300, 14350 Plastic surgery techniques involving the midfoot, rearfoot, or ankle 5.1.1 27690-92 Tendon transfer involving the midfoot, rearfoot, ankle, or leg 5.1.2 27685-87, 28240 Tendon lengthening involving the midfoot, rearfoot, ankle, or leg 5.1.3 28260-4 Soft tissue repair of complex congenital foot/ankle deformity (clubfoot, vertical talus) 5.1.4
CPME309ApplicationforProvisionalApproval-RevisedAugust2015.docx