2025 CPT code 28160
(Active) Effective Date: N/A Surgery - Musculoskeletal System Feed
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each.
Modifiers may be applicable. For example, modifier 51 may be used for multiple procedures, modifier 76 for a repeat procedure by the same physician, and modifier T1-TA to specify the affected toe.
Medical necessity must be established by documenting the underlying condition, failed conservative treatments, and the expected benefit of the surgery.
The surgeon prepares the patient, administers anesthesia, makes an incision, carefully retracts nerves and tendons, exposes the bone, removes the bone and/or joint, and closes the wound.
In simple words: This procedure involves the surgical removal of part of a toe bone or a toe joint to treat conditions like trauma, infection, or tumors.
This code describes a surgical procedure involving either a hemiphalangectomy (partial removal of a phalanx bone) or the excision (removal) of an interphalangeal joint of a toe, specifically at the proximal end of the phalanx. The code is reported for each toe on which the procedure is performed.
Example 1: A patient sustains a crush injury to their second toe, resulting in a severely fractured proximal phalanx. The surgeon performs a hemiphalangectomy to remove the damaged portion of the bone and promote healing., A patient with a severe infection in the interphalangeal joint of their great toe requires excision of the infected joint to control the spread of infection., A patient has a benign tumor at the proximal end of the phalanx of their third toe. The surgeon performs an excision to remove the tumor completely.
Documentation should include details about the condition necessitating the procedure (e.g., trauma, infection, tumor), the specific toe involved, whether a hemiphalangectomy or joint excision was performed, operative details, and any complications.
- Specialties:Podiatry, Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient