2025 CPT code 28124
(Active) Effective Date: N/A Surgery - Excision Procedures on the Foot and Toes Surgery/Musculoskeletal System Feed
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) of bone; phalanx of toe.
Modifiers are applicable, including laterality (LT, RT), and toe-specific modifiers (TA-T9). Modifiers 50, 76, 77, 78, 79 may also be applicable as per general modifier rules.
Medical necessity must be established for this procedure. This typically involves documenting the presence of a condition like osteomyelitis, a painful exostosis, or a sequestrum, impacting the patient's function and requiring surgical intervention.
The physician performs the surgical procedure, which includes incision, dissection of soft tissues, identification of the affected bone, partial excision using the appropriate technique, possible bone grafting, and wound closure.
In simple words: This procedure involves removing part of the infected or damaged bone in your toe. The surgeon will make a small cut to access the bone and then carefully remove the affected portion. Several techniques may be used to reshape the bone, ensuring the infection is cleared or the abnormal growth is removed.
This code describes the surgical removal of a part of the bone of a toe phalanx.It encompasses several techniques: craterization (creating a crater-like depression in the bone), saucerization (creating a saucer-like depression), sequestrectomy (removing dead bone tissue), or diaphysectomy (removing part of the shaft of the bone).This procedure is commonly used for conditions like osteomyelitis (bone infection) or bossing (abnormal bone growth).
Example 1: A patient presents with osteomyelitis of the great toe. The surgeon performs a partial excision of the infected bone using saucerization., A patient has a painful bone spur (exostosis) on the proximal phalanx of the second toe. The surgeon removes the spur via craterization., Following a traumatic injury, a patient has a piece of dead bone (sequestrum) in their toe. The surgeon removes the sequestrum via sequestrectomy.
Documentation should include the diagnosis, the specific technique used (craterization, saucerization, sequestrectomy, or diaphysectomy), the location and size of the bone lesion, any bone grafting performed, and the method of wound closure. Pre- and postoperative X-rays may be necessary.
** For complex wound closure requiring significant undermining or other techniques, consider additional codes for complex repair. If significant vessel exploration or neuroplasty is required, these services should be reported separately.
- Revenue Code: P3D (Berenson-Eggers Type of Service: MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- Global Days : 90 days
- Payment Status: Active
- Specialties:Podiatry, Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Inpatient, Hospital Outpatient, Office