2025 CPT code 28264
Capsulotomy, midtarsal (e.g., Heyman type procedure).
When the patient is prepped and anesthetized, the surgeon makes an incision across the base of the metatarsals. The intermetatarsal space is exposed, and the ligament is dissected. The dorsal capsule of each tarsometatarsal joint at the bases of the metatarsals is divided. Joint motion is then evaluated. The area is irrigated, bleeding is checked, instruments are removed, and the incision is closed. A cast is applied.
In simple words: A surgical procedure where the doctor cuts the capsule of the middle foot joint to improve movement and release tightness. They also cut some soft tissues to treat difficult foot contractures.
The provider incises the capsule of a midtarsal joint in the foot to increase the range of motion and/or release a joint contracture. The soft tissues are also incised to treat resistant contractures of the foot.
Example 1: A 5-year-old patient presents with a resistant clubfoot deformity. After non-surgical treatments fail, a midtarsal capsulotomy (Heyman type procedure) is performed to release the contractures and improve foot alignment., A patient with limited range of motion in the midtarsal joint due to post-traumatic stiffness undergoes a midtarsal capsulotomy to improve flexibility and function., A patient with a congenital foot deformity causing restricted midtarsal joint movement undergoes a Heyman-type capsulotomy to improve foot alignment and mobility.
Documentation should include the diagnosis necessitating the procedure, description of the surgical technique, location and extent of the capsulotomy, associated procedures performed (e.g., tendon lengthening), and postoperative care plan.
- Place of Service:Ambulatory Surgical Center