How To Use CPT Code 28055

CPT 28055 describes the neurectomy procedure for the intrinsic musculature of the foot. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 28055?

CPT 28055 is used to describe the neurectomy procedure performed on the intrinsic musculature of the foot. This procedure involves the removal of inflamed bursal tissue and the dissection of the nerve, dividing it at the upper point to relieve pain.

2. Official Description

The official description of CPT code 28055 is: ‘Neurectomy, intrinsic musculature of foot.’

3. Procedure

1. When performing CPT 28055, the provider begins by making an incision in the dorsal skin between the intermetatarsal spaces from the metatarsal head through the end of the web space’s skin fold.
2. The provider then proceeds to divide the transverse metatarsal ligament, spread the metatarsal heads, and dissect and divide the nerve at the upper point.
3. After completing the neurectomy, the provider irrigates the wound with antibiotic solution and closes the wound in layers.

4. Qualifying circumstances

CPT 28055 is performed on patients who have inflamed bursal tissue in the intrinsic musculature of the foot, causing pain. This procedure is appropriate for patients who have not responded to conservative treatments and require surgical intervention. The provider must ensure that the patient is appropriately prepped and anesthetized before performing the neurectomy.

5. When to use CPT code 28055

CPT code 28055 should be used when the provider performs a neurectomy on the intrinsic musculature of the foot. It is important to note that this code should only be used when other conservative treatments have failed, and surgical intervention is necessary to relieve the patient’s pain.

6. Documentation requirements

To support a claim for CPT 28055, the provider must document the following information:

• Patient’s diagnosis and the need for neurectomy
• Details of the procedure, including the incision, dissection, and division of the nerve
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 28055, ensure that the procedure performed matches the description of the code. It is important to follow the appropriate coding guidelines and modifiers if necessary. CPT code 28055 should not be reported with other codes unless additional procedures were performed during the same session.

8. Historical information

CPT 28055 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Examples

1. A patient with chronic foot pain undergoes a neurectomy of the intrinsic musculature of the foot to relieve their symptoms.
2. A provider performs a neurectomy on a patient with inflamed bursal tissue in the intrinsic musculature of the foot, which has not responded to conservative treatments.
3. A neurectomy is performed on a patient with persistent foot pain, allowing them to regain mobility and alleviate discomfort.
4. A provider performs a neurectomy on a patient with a history of foot trauma, aiming to relieve their chronic pain.
5. A patient with a neuroma in the intrinsic musculature of the foot undergoes a neurectomy to alleviate their symptoms and improve their quality of life.
6. A provider performs a neurectomy on a patient with a recurring foot condition, providing long-term pain relief and improved functionality.
7. A neurectomy is performed on a patient with a congenital foot abnormality, aiming to alleviate their discomfort and improve their mobility.
8. A provider performs a neurectomy on a patient with a foot injury, allowing them to recover and resume their daily activities without pain.
9. A patient with a chronic foot condition undergoes a neurectomy to relieve their persistent pain and improve their overall well-being.
10. A provider performs a neurectomy on a patient with a foot deformity, aiming to correct the issue and alleviate their discomfort.