28270 Lesser MPJ capsulotendon balancing 3.5 Tendon repair, lengthening, or transfer involving the 3.6 forefoot (including digital flexor digitorum longus transfer) Open management of dislocation 3.7 (MPJ/tarsometatarsal) 10180, 11043-44, Incision and drainage/wide debridement of soft tissue 3.8 20000, 20005, 20103, infection (including plantar space) 28001-3 28060-2 Plantar fasciectomy 3.9 11400-426, 11600-646, Excision of soft tissue tumor/mass of the foot (without 3.10 28039-47, 28050-54, reconstructive surgery) 28092 3.11 Procedure code number no longer used 14020-21, 14040-41, Plastic surgery techniques (including skin graft, skin 3.12 14300, 14350, 15050, plasty, flaps, syndactylization, desyndactylization, and 15240-41, 15738, debulking procedures limited to the forefoot) 15740, 15750, 20969-73, 28280, 28286, 28313, 28360 28020-24, 28050, 64727 Microscopic repair (forefoot only) 3.13 soft tissue procedures not listed above (limited to 3.14 the foot) 27615-16, 27618-19, Excision of soft-tissue tumor/mass of the ankle 3.15 27632, 27634 (without reconstructive surgery) 28035, 28055, 64702, External neurolysis/decompression (including tarsal 3.16 64704, 64722, 64726 tunnel) Number of Procedures (minimum 45 per resident) Category 4: Other Osseous Foot Surgery of CPT Codes Description Code Number of Number Procedures 27640-41, 28116, Partial ostectomy (distal to and including the talus) 4.1 28118-20, 28122, 28288 28052, 28234, 28645 Lesser MPJ arthroplasty 4.2 Bunionectomy of the fifth metatarsal without 4.3 osteotomy
28270 Lesser MPJ capsulotendon balancing 3.5 Tendon repair, lengthening, or transfer involving the forefoot (including digital flexor digitorum longus transfer) 3.6 Open management of dislocation (MPJ/tarsometatarsal) 3.7 10180, 11043-44, 20000, 20005, 20103, 28001-3 Incision and drainage/wide debridement of soft tissue infection (including plantar space) 3.8 28060-2 Plantar fasciectomy 3.9 11400-426, 11600-646, 28039-47, 28050-54, 28092 Excision of soft tissue tumor/mass of the foot (without reconstructive surgery) 3.10 Procedure code number no longer used 3.11 14020-21, 14040-41, 14300, 14350, 15050, 15240-41, 15738, 15740, 15750, 20969-73, 28280, 28286, 28313, 28360 Plastic surgery techniques (including skin graft, skin plasty, flaps, syndactylization, desyndactylization, and debulking procedures limited to the forefoot) 3.12 28020-24, 28050, 64727 Microscopic repair (forefoot only) 3.13 soft tissue procedures not listed above (limited to the foot) 3.14 27615-16, 27618-19, 27632, 27634 Excision of soft-tissue tumor/mass of the ankle (without reconstructive surgery) 3.15 28035, 28055, 64702, 64704, 64722, 64726 External neurolysis/decompression (including tarsal tunnel) 3.16 Number of Procedures (minimum 45 per resident) Category 4: Other Osseous Foot Surgery of CPT Codes Description Code Number Number of Procedures 27640-41, 28116, 28118-20, 28122, 28288 Partial ostectomy (distal to and including the talus) 4.1 28052, 28234, 28645 Lesser MPJ arthroplasty 4.2 Bunionectomy of the fifth metatarsal without osteotomy 4.3
CPME309ApplicationforProvisionalApproval-RevisedAugust2015.docx