2025 CPT code 28060
Effective Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Feed
Partial fasciectomy of the plantar fascia.
Modifiers may be applicable.For example, modifier 54 is used when the surgeon performs only the surgical portion of the procedure, and another provider handles the postoperative care. Modifier 76 may be appended if the same physician performs a repeat procedure.
Medical necessity is established when conservative treatments have failed to alleviate symptoms that interfere with daily activities, and imaging confirms the diagnosis of plantar fasciitis while excluding other potential causes of heel pain.
The surgeon makes an incision in the heel, separates the plantar fascia from the heel bone, may smooth the bone surface, and closes the incision.Additional procedures, such as removing a portion of the fascia from the abductor hallucis muscle to prevent nerve entrapment, may also be performed.
In simple words: This procedure involves partially detaching the tight band of tissue on the bottom of your foot (plantar fascia) from your heel bone to relieve pain and tension.
Surgical detachment of a portion of the plantar fascia from the heel bone to alleviate tension and pain.This procedure, often referred to as a plantar fascia release, aims to lengthen the plantar fascia and reduce inflammation.It differs from a radical fasciectomy (28062) which involves removing a larger portion, or all, of the plantar fascia.
Example 1: A patient with chronic heel pain unresponsive to six months of conservative treatment, including orthotics, physical therapy, and corticosteroid injections, undergoes a partial plantar fasciectomy., A patient with plantar fasciitis and pain interfering with daily activities undergoes partial plantar fasciectomy after conservative treatments like NSAIDs, night splints, and stretching exercises have failed., A patient with confirmed plantar fasciitis, excluding other causes of heel pain through imaging, elects to have a partial plantar fasciectomy after unsuccessful conservative treatment.
Documentation should include evidence of intractable plantar fasciitis, failed conservative treatment for at least six months (including details of specific therapies attempted), imaging results ruling out other pathologies, and the impact of pain on daily activities.
- Specialties:Podiatry, Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Inpatient Hospital (less common)