2025 CPT code 28250
(Active) Effective Date: N/A Surgery - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes Feed
Division of plantar fascia and muscle (e.g., Steindler stripping) (separate procedure)
Modifiers may be applicable to this code to indicate specific circumstances such as bilateral procedures (modifier 50), unusual procedural services (modifier 22), or multiple procedures (modifier 51).
Medical necessity for this procedure must be established through documentation of failed conservative therapies such as rest, ice, physical therapy, orthotics, and injections. The patient's symptoms must significantly impact their daily activities and quality of life.
The surgeon prepares the patient, makes incisions, detaches the plantar fascia, removes and smooths bone surface to facilitate healing, removes a thin piece of fascia over the abductor hallucis muscle, irrigates the area, controls bleeding, and closes the incisions.
In simple words: This procedure involves cutting a thick band of tissue on the bottom of the foot (the plantar fascia) and some foot muscles to relieve pain and improve mobility.
This code describes a surgical procedure where the plantar fascia and muscle are divided. This is often referred to as Steindler stripping.It's important to note that this code is for a separate procedure and is not included in other foot surgeries.
Example 1: A patient with chronic plantar fasciitis that hasn't responded to conservative treatment undergoes Steindler stripping to relieve pain and restore function., A patient with a contracted or shortened plantar fascia causing pain and limited mobility undergoes surgical division of the fascia and muscle., Following trauma to the foot, a patient requires surgical division of the plantar fascia and muscle to address resulting pain and dysfunction.
Documentation should include the diagnosis of plantar fasciitis or other relevant condition, prior conservative treatments attempted, patient symptoms and functional limitations, operative report detailing the procedure performed, and post-operative care plan.
- Specialties:Podiatry, Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Physician's Office