2025 CPT code 28119
(Active) Effective Date: N/A Surgery - Excision/Resection Procedures on the Foot and Toes Musculoskeletal System Feed
Surgical removal of a bone spur from the heel bone (calcaneus), which may include a release of the plantar fascia.
Modifiers such as 50 (Bilateral Procedure), 76 (Repeat Procedure or Service by Same Physician), 77 (Repeat Procedure by Another Physician), and others may be applicable depending on the specific circumstances.
Medical necessity for 28119 must be established by documenting chronic heel pain due to a bone spur and plantar fasciitis, with failed conservative treatment attempts.
The physician applies a tourniquet to the ankle. An incision is made, and the plantar fascia is partially incised. If necessary, the abductor hallucis muscle is elevated, and a part of its deep fascia is released. The bone spur is then carefully detached using surgical instruments. The removed spur and surrounding bone are smoothed, and the wound is irrigated and dressed.
In simple words: This procedure removes a painful bone spur on your heel. The surgeon may also release a tight band of tissue on the bottom of your foot to reduce pain and improve flexibility.
Ostectomy, calcaneus; for spur, with or without plantar fascial release. This procedure involves the surgical removal of a bone spur from the calcaneus (heel bone). It may also include the release of the plantar fascia, a thick band of tissue on the bottom of the foot, to relieve tension and pain.
Example 1: A patient presents with chronic heel pain due to a bone spur and plantar fasciitis. Conservative treatments have failed, so the physician performs a 28119 procedure to remove the spur and release the plantar fascia., A patient with a painful heel spur has the spur surgically removed without plantar fascia release, using code 28119., A patient has a heel spur and plantar fasciitis. During the surgery to remove the spur (28119), the physician also performs a plantar fascial release.28008 (fasciotomy) is not billed separately, as it is a component of 28119.
Documentation should include details of the location and size of the bone spur, the presence of plantar fasciitis, previous conservative treatments tried, operative details including whether plantar fascia release was performed, and any complications.
** Do not bill separately for removal of the plantar fascia when performed in conjunction with this procedure. Ensure accurate documentation supports the medical necessity of the procedure.
- Revenue Code: P3D
- Payment Status: Active
- Specialties:Podiatry, Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Physician's Office