2025 CPT code 28810

Amputation, metatarsal, with toe, single.

This code includes the application and removal of the first cast, splint, or traction device. If a cast is removed by someone other than the physician who applied it, use cast removal codes (29700, 29705, 29710). Subsequent replacement of a cast, splint, or traction device may be reported separately. Modifiers may be applicable in certain situations (e.g., multiple procedures, increased procedural services).

Modifiers are applicable to this code.Commonly used modifiers include 22 (Increased Procedural Services), 51 (Multiple Procedures), 76 (Repeat Procedure by Same Physician), and 77 (Repeat Procedure by Another Physician).

Medical necessity for this procedure must be clearly documented. This typically involves demonstrating that less invasive treatments have failed or are not appropriate, and that amputation is necessary to preserve the patient's health or limb function.

The physician is responsible for the entire surgical procedure, including pre-operative planning, anesthesia, incision, dissection, bone resection, wound closure, and post-operative care.

IMPORTANT For amputation of a toe at the metatarsophalangeal joint, use 28820. For amputation of a toe at an interphalangeal joint, use 28825.

In simple words: This procedure removes one of the long bones in your foot (a metatarsal) along with the attached toe.The surgeon makes a cut, carefully separates the bone and toe from surrounding tissues, and then closes the wound.

This code describes the surgical removal of a single metatarsal bone along with the corresponding toe.The procedure involves incision, dissection, division of tendons and ligaments, ligation of blood vessels, nerve retraction, and resection of the bone at the tarsometatarsal joint. The wound is then irrigated and closed.

Example 1: A patient with severe osteomyelitis of the third metatarsal and toe requires amputation to prevent the spread of infection., A patient with gangrene of the great toe and first metatarsal due to uncontrolled diabetes requires amputation., A patient with a traumatic crush injury to the foot resulting in irreparable damage to the second metatarsal and toe requires amputation.

Documentation should include the diagnosis necessitating amputation (e.g., osteomyelitis, gangrene, trauma), the specific metatarsal and toe amputated, operative details, and any complications encountered.Pre-operative imaging and other diagnostic studies should also be documented.

  • Revenue Code: P3D - Major Procedure, Orthopedic - Other
  • Payment Status: Active
  • Specialties:Orthopedic Surgery, Podiatric Surgery
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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