How To Use CPT Code 28088

CPT 28088 describes the excision of the inflamed or diseased synovium from the extensor tendon sheath 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 28088?

CPT 28088 is used to describe the excision of the inflamed or diseased synovium from the extensor tendon sheath of the foot. This procedure is performed to relieve pain and improve the patient’s condition. It involves removing the synovium, which is the thin membrane that lines the joint cavity and tendon sheaths, from the extensor tendon sheath of the foot.

2. Official Description

The official description of CPT code 28088 is: ‘Synovectomy, tendon sheath, foot; extensor.’

3. Procedure

1. The provider begins by making an incision on the upper surface of the foot anterior to the ankle joint.
2. They then carefully dissect through the subcutaneous tissue, ensuring the protection of nerves and vessels.
3. The provider identifies the extensor tendon and makes an incision in the tendon sheath.
4. They expose the synovium, which is the target of the excision.
5. The inflamed or diseased synovium is then carefully removed from the extensor tendon sheath.
6. The provider repairs the tendon sheath to ensure proper healing.
7. The wound is irrigated with an antibiotic solution to prevent infection.
8. Finally, the provider closes the wound in layers to promote healing.

4. Qualifying circumstances

CPT 28088 is performed on patients who have inflamed or diseased synovium in the extensor tendon sheath of the foot. This condition causes pain and discomfort, and the synovectomy procedure aims to alleviate these symptoms. The procedure is typically performed by a qualified healthcare professional who has the necessary expertise in foot surgery.

5. When to use CPT code 28088

CPT code 28088 should be used when a provider performs a synovectomy on the extensor tendon sheath of the foot. It is important to ensure that the procedure is medically necessary and meets the criteria for reimbursement. This code should not be used for other types of synovectomy procedures or for conditions affecting different areas of the body.

6. Documentation requirements

To support a claim for CPT code 28088, the provider must document the following information:

• Patient’s diagnosis and the need for synovectomy
• Details of the procedure, including the incision site, dissection, identification of the extensor tendon, and removal of the synovium
• Any additional procedures performed during the same session
• Any complications or unexpected findings
• Post-operative care instructions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 28088, ensure that the procedure performed matches the description of the code. It is important to use the appropriate code for the specific procedure performed and to follow any additional guidelines provided by the payer. It is also important to accurately document the procedure and any necessary supporting documentation to ensure proper reimbursement.

8. Historical information

CPT code 28088 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 with chronic foot pain undergoes a synovectomy of the extensor tendon sheath to alleviate their symptoms.
2. A professional athlete with an inflamed synovium in the extensor tendon sheath of the foot undergoes a synovectomy to improve their performance.
3. A patient with a history of foot trauma develops an infection in the extensor tendon sheath and requires a synovectomy to treat the condition.
4. A patient with a chronic inflammatory condition affecting the foot undergoes a synovectomy to manage their symptoms and improve their quality of life.
5. A patient with a tumor in the extensor tendon sheath of the foot undergoes a synovectomy as part of their treatment plan.
6. A patient with a congenital foot deformity undergoes a synovectomy to correct the condition and improve their mobility.
7. A patient with a history of rheumatoid arthritis develops synovitis in the extensor tendon sheath and requires a synovectomy to alleviate their symptoms.
8. A patient with a chronic foot infection undergoes a synovectomy to remove the infected synovium and promote healing.
9. A patient with a history of repetitive strain injury in the foot undergoes a synovectomy to relieve pain and improve function.
10. A patient with a chronic foot condition that has not responded to conservative treatments undergoes a synovectomy to explore other treatment options.