2025 CPT code 28825
(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 interphalangeal joint.
Modifiers may be applicable depending on circumstances, such as multiple procedures (51), reduced services (52), or repeat procedures (76).Consult the CPT manual for specific modifier guidelines.
Medical necessity for a toe amputation at the interphalangeal joint is typically established by the presence of conditions such as severe trauma, gangrene, infection unresponsive to other treatments, or congenital deformities causing significant functional impairment.Documentation must clearly demonstrate these conditions and the lack of less invasive treatment alternatives.
The surgeon performs the amputation, including incision, dissection, separation of bone segments, ligation of vessels, nerve retraction, tendon transection, and wound closure.
In simple words: The doctor removes a toe at a joint within the toe itself. This involves making a cut, separating the bones, controlling bleeding, and closing the wound with stitches.
This procedure involves the surgical removal of a toe at the interphalangeal joint.The surgeon makes an incision over the joint, dissects through subcutaneous tissue, incises the joint capsule, separates the phalanges, ligates blood vessels, retracts nerves, transects tendons, and then resects the toe at the interphalangeal joint.The wound is irrigated with antibiotics, and the flaps are sutured closed with the wound packed with antiseptic gauze.
Example 1: A patient presents with a severely crushed toe after a work-related accident. Amputation at the interphalangeal joint is necessary to prevent infection and further complications., A diabetic patient with gangrene affecting the second toe requires amputation at the interphalangeal joint to control the infection and save the rest of the foot., A patient with a congenital deformity of the toe requiring surgical correction undergoes an amputation at the interphalangeal joint as part of reconstructive surgery.
Preoperative and postoperative photographs, operative report detailing surgical steps, and pathology report if tissue is sent for analysis are required.Documentation must support the medical necessity of the amputation.
** This code is specific to interphalangeal joint amputation.Ensure appropriate documentation to distinguish it from other toe amputations.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Modifier TC rule: Technical component (TC) modifier may apply depending on the service arrangement. Consult local guidelines.
- Specialties:Podiatry, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center