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2025 CPT code 29893

Endoscopic plantar fasciotomy

This code includes diagnostic endoscopy. Modifier 51 should be appended if performed with open surgery like arthrotomy. If a cast is applied, it's included in the procedure. Subsequent replacements are coded separately.

Modifiers may be applicable, such as 51 (Multiple Procedures), 59 (Distinct Procedural Service), 76 (Repeat Procedure by Same Physician), etc., as per specific circumstances.

Medical necessity is established by documenting chronic plantar fasciitis unresponsive to a documented trial of conservative treatments, impacting the patient's daily activities.

The surgeon prepares the patient, makes small incisions, inserts the endoscope and instruments, releases the plantar fascia, checks for bleeding, removes instruments, and closes the incisions. Anesthesia and post-operative care are also part of their responsibility.

In simple words: The doctor uses a tiny camera and small tools inserted through small incisions to release the tight band of tissue in your heel that's causing pain, allowing for faster healing.

This code describes a minimally invasive surgical procedure to partially release the plantar fascia where it attaches to the heel bone, using an endoscope for visualization and minimizing trauma.

Example 1: A patient with chronic plantar fasciitis unresponsive to months of conservative treatment, including stretching, orthotics, and medication, undergoes endoscopic plantar fasciotomy., A runner experiences persistent heel pain diagnosed as plantar fasciitis. After failing conservative therapies, they opt for endoscopic plantar fasciotomy to return to running., An individual with diabetes develops plantar fasciitis affecting their mobility. Due to concerns about wound healing with open surgery, they choose endoscopic plantar fasciotomy.

Documentation should include diagnosis of plantar fasciitis, failed conservative treatment attempts, operative report detailing the procedure, and post-operative care instructions.

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