2025 CPT code 28150
(Active) Effective Date: N/A Revision Date: N/A Surgery - Foot Procedures Musculoskeletal System Feed
Surgical removal of a phalanx (bone) of a toe.
Modifiers may be used to indicate laterality (e.g., RT, LT), multiple procedures (51), or repeat procedures (76).Consult the current CPT guidelines for proper modifier usage.
Medical necessity for a phalangectomy is established by the presence of a significant deformity, intractable pain, functional impairment, or a pathological condition affecting the affected phalanx (e.g., tumor, infection).Non-surgical treatment options should be documented and deemed unsuccessful before considering surgery.
The physician's responsibility includes pre-operative assessment, surgical excision of the affected phalanx, careful retraction of nerves and tendons during the procedure, hemostasis, and layered closure of the surgical site. Post-operative care, including pain management and wound monitoring, is also a part of the clinical responsibility.
In simple words: The doctor removes a bone from one of your toes. This is done to fix problems like a deformed toe, injury, or disease affecting the toe bone.
Phalangectomy, toe, each toe. This procedure involves the surgical excision of one or more phalanges (bones) of a toe. The specific phalanx (proximal, middle, or distal) removed should be documented in the operative report. The procedure is indicated for various conditions such as deformities, trauma, or disease affecting the toe bone. It may involve careful retraction of nerves and tendons before the excision using a bone saw.The surgical site is then closed in layers.
Example 1: A patient presents with a severely deformed toe due to a hammertoe deformity unresponsive to conservative management.A phalangectomy is performed to correct the deformity and alleviate pain., A patient sustains a crush injury to their toe resulting in a comminuted fracture of the distal phalanx.Surgical removal of the severely damaged bone is necessary to prevent infection and promote healing., A patient has a benign tumor located in the proximal phalanx of the second toe. Surgical excision of the phalanx is required to remove the tumor completely.
Preoperative diagnosis, operative report detailing the specific phalanx excised, intraoperative findings, postoperative course, and any complications.Imaging studies (X-rays) before and after surgery should be included.
** Careful consideration must be given to the specific phalanx involved, as this impacts code selection.Thorough documentation is essential for accurate coding and reimbursement.The use of modifiers should be determined based on the specific circumstances of the procedure and the payer's guidelines.
- Revenue Code: P6B (Minor Procedures - Musculoskeletal)
- RVU: This information is not available in the provided text.Consult the most current CPT codebook and relative value unit (RVU) databases for the most up-to-date information, considering geographic location and payer-specific adjustments.
- Global Days: The global period for this procedure is not explicitly defined in the provided text.Refer to the most current CPT codebook for details on the global period and any included postoperative care.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to this code.The service includes both the professional and technical aspects of the procedure.
- Fee Schedule: Fee schedule data is not available in the provided text.Consult relevant fee schedules for historical fee data, bearing in mind that this information is subject to changes over time and geographic area.
- Specialties:Podiatry, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center