2025 CPT code 28820
(Active) Effective Date: N/A Revision Date: N/A Surgery - Amputation Procedures on the Foot and Toes Musculoskeletal System Feed
Amputation of a toe at the metatarsophalangeal joint.
Modifiers such as 51 (multiple procedures), 52 (reduced services), 76 (repeat procedure), and others may be applicable depending on the circumstances.
Medical necessity is established by the presence of conditions such as severe infection, gangrene, severe trauma, or intractable pain in the affected toe which cannot be adequately managed through other means.
The surgeon performs the amputation, managing soft tissues, tendons, vessels, and wound closure.Preoperative assessment, anesthesia administration, and postoperative care are usually performed by different specialists.
In simple words: The doctor removes a toe at the joint where the toe connects to the foot.
This procedure involves the surgical removal of a toe at the metatarsophalangeal (MTP) joint.The MTP joint is the articulation between the metatarsal bone and the proximal phalanx of the toe.The procedure includes incision, dissection of soft tissues, transection of tendons and vessels, and closure of the wound.The specific technique may vary depending on the anatomical location and condition of the toe.
Example 1: A patient presents with gangrene in the great toe due to diabetes.A toe amputation at the MTP joint is performed to remove the necrotic tissue and prevent further infection., A patient suffers a traumatic injury resulting in severe damage to the second toe, necessitating amputation at the MTP joint for functional and cosmetic reasons., A patient with a severely deformed toe due to rheumatoid arthritis undergoes an amputation at the MTP joint to improve comfort and mobility.
Preoperative diagnosis, operative report detailing surgical approach, tissue specimens if taken, postoperative notes, pathology reports (if applicable), imaging studies (X-rays).
** The selection of this code implies that the amputation is performed at the metatarsophalangeal joint, not including the metatarsal bone.If the metatarsal is involved, code 28810 should be used instead.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Modifier TC rule: The Technical Component (TC) modifier would not typically apply to this code.
- Specialties:Podiatry, Orthopedic Surgery, General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center