How To Use CPT Code 28022

CPT 28022 describes the procedure of arthrotomy, which involves the exploration, drainage, or removal of loose or foreign bodies in the metatarsophalangeal joint. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 28022?

CPT 28022 is used to describe a surgical procedure called arthrotomy, specifically performed on the metatarsophalangeal joint. This procedure involves making an incision to access the joint, exploring its contents, draining any abscess fluid, and removing any loose or foreign bodies if necessary. It is typically performed to investigate the causes of infection and to provide relief to the patient.

2. Official Description

The official description of CPT code 28022 is: ‘Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made over the metatarsophalangeal joint.
3. The soft tissues are carefully dissected to expose the joint capsule.
4. The joint capsule is opened, allowing the provider to explore the joint space.
5. If an abscess is present, it is drained.
6. If any loose or foreign bodies are identified, they are removed.
7. The area is irrigated with an antibiotic solution to prevent infection.
8. The wound is closed in layers.

4. Qualifying circumstances

CPT 28022 is performed when there is a need to investigate and address issues related to the metatarsophalangeal joint. This may include infections, abscesses, or the presence of loose or foreign bodies. The procedure is typically carried out by a qualified healthcare professional who has the necessary expertise in performing arthrotomies.

5. When to use CPT code 28022

CPT code 28022 should be used when an arthrotomy is performed on the metatarsophalangeal joint. It is important to ensure that the procedure is specifically focused on this joint and not other joints in the foot or toes. If the procedure involves a different joint, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT code 28022, the healthcare professional must document the following information:

• The reason for performing the arthrotomy on the metatarsophalangeal joint
• Details of the procedure, including the incision, exploration, drainage, and removal of any loose or foreign bodies
• Any complications or unexpected findings during the procedure
• The use of anesthesia and any specific medications or solutions used
• The closure technique and any post-procedure instructions
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT code 28022, it is important to ensure that the procedure was performed specifically on the metatarsophalangeal joint. If the procedure involves a different joint, a different CPT code should be used. It is also important to follow any specific guidelines provided by the payer or coding guidelines to ensure accurate billing and reimbursement.

8. Historical information

CPT code 28022 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A podiatrist performing an arthrotomy on the metatarsophalangeal joint to explore and drain an abscess.
2. An orthopedic surgeon conducting an arthrotomy on the metatarsophalangeal joint to remove a foreign body.
3. A foot and ankle specialist performing an arthrotomy on the metatarsophalangeal joint to investigate the cause of infection.
4. A trauma surgeon conducting an arthrotomy on the metatarsophalangeal joint to explore and remove loose bodies.
5. A sports medicine physician performing an arthrotomy on the metatarsophalangeal joint to address a chronic joint issue.