How To Use CPT Code 28060

CPT 28060 describes a procedure that involves the removal of part of the plantar fascia to relieve tension or pressure. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 28060?

CPT 28060 is a code used to describe a specific procedure that aims to alleviate tension or pressure by removing a portion of the plantar fascia. This procedure is typically performed when other treatment options have failed to provide relief for the patient.

2. Official Description

The official description of CPT code 28060 is: ‘Fasciectomy, plantar fascia; partial (separate procedure)’. This code specifically refers to the partial removal of the plantar fascia to address tension or pressure-related issues.

3. Procedure

1. During the procedure, the healthcare provider will make an incision into the heel of the foot after the patient has been properly prepped and anesthetized.
2. The provider will then separate the plantar fascia from the heel bone and proceed to remove and smooth the bone surface to promote healing of the plantar fascia.
3. To prevent nerve entrapment, the provider may remove a thin piece of the fascia from the abductor hallucis muscle.
4. Finally, the incision is closed, completing the procedure.

4. Qualifying circumstances

CPT 28060 is typically performed on patients who have exhausted other available treatment options and continue to experience tension or pressure-related symptoms. It is important to note that this procedure should only be performed by a qualified healthcare provider with the necessary expertise in fasciectomy.

5. When to use CPT code 28060

CPT code 28060 should be used when a partial fasciectomy of the plantar fascia is performed to relieve tension or pressure. It is important to ensure that other treatment options have been explored and deemed ineffective before resorting to this procedure.

6. Documentation requirements

To support a claim for CPT 28060, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the procedure
• Details of the procedure performed, including the specific steps taken
• Date of the procedure
• Any complications or unexpected findings during the procedure
• Post-procedure instructions and follow-up plans
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 28060, it is important to ensure that the procedure was performed by a qualified healthcare provider. Additionally, it is crucial to follow the specific guidelines and requirements set forth by the payer. It is also important to note that CPT code 28060 should not be reported with other codes unless a radical fasciectomy of the plantar fascia is performed.

8. Historical information

CPT 28060 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 patient undergoes a partial fasciectomy of the plantar fascia to relieve tension and pressure in their foot.
2. A healthcare provider performs a partial fasciectomy on a patient who has failed to find relief from other treatment options for their plantar fasciitis.
3. A patient with chronic foot pain undergoes a partial fasciectomy to alleviate their symptoms.
4. A healthcare provider performs a partial fasciectomy on a patient with a diagnosed foot deformity that is causing discomfort and limited mobility.
5. A patient with a history of recurrent plantar fasciitis undergoes a partial fasciectomy to address the underlying cause of their condition.
6. A healthcare provider performs a partial fasciectomy on a patient with a severe case of plantar fasciitis that has not responded to conservative treatment measures.
7. A patient with a foot injury undergoes a partial fasciectomy to promote healing and relieve tension in the affected area.
8. A healthcare provider performs a partial fasciectomy on a patient with a congenital foot condition that is causing significant pain and discomfort.
9. A patient with a history of foot trauma undergoes a partial fasciectomy to address the resulting tension and pressure-related symptoms.
10. A healthcare provider performs a partial fasciectomy on a patient with a diagnosed foot tumor that is causing discomfort and limited mobility.