How To Use CPT Code 28262

CPT 28262 describes a surgical procedure performed on a clubfoot that has not responded to previous surgical correction. 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 28262?

CPT 28262 is a code used to describe an extensive repair procedure performed on a clubfoot that has not responded to previous surgical correction. This procedure involves making an incision in the capsule that encloses the talotibial joint in the ankle and lengthening one or more tendons to relieve tension on the foot.

2. Official Description

The official description of CPT code 28262 is: ‘Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)’

3. Procedure

1. The provider begins by making a medial ankle incision after the patient is appropriately prepped and anesthetized.
2. Subcutaneous tissue and fascia are incised, and any adhesions are released.
3. The tendons are reflected, and the talotibial capsule is identified.
4. The provider then performs a posterior incision in the capsule to release tension on the foot.
5. Multiple tenotomies are performed, incising and lengthening the tendons in a Z fashion.
6. If necessary, the bony structures may be stabilized with wire fixation.
7. The area is irrigated, bleeding is checked, instruments are removed, and the incision is closed.
8. An above knee cast is applied with the foot in a slight equinus position, with the toes pointing down.

4. Qualifying circumstances

CPT 28262 is used for patients with a resistant clubfoot deformity, a congenital or acquired condition in which the foot is severely abnormally twisted. The procedure is performed when previous surgical correction attempts have not been successful. The patient must have a documented need for the extensive repair, and the procedure must be performed by a qualified healthcare provider.

5. When to use CPT code 28262

CPT code 28262 should be used when performing an extensive repair on a clubfoot that has not responded to previous surgical correction. It is important to ensure that the patient meets the qualifying circumstances and that the procedure is performed by a qualified healthcare provider.

6. Documentation requirements

To support a claim for CPT code 28262, the healthcare provider must document the following information:

• Patient’s diagnosis of a resistant clubfoot deformity
• Documentation of previous surgical correction attempts and their lack of success
• Description of the procedure performed, including the incisions made, tendons lengthened, and any stabilization techniques used
• Date of the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 28262, ensure that the procedure meets the qualifying circumstances and is performed by a qualified healthcare provider. It is important to follow the specific documentation requirements and guidelines for reporting this code. Additionally, consider any applicable modifiers or additional codes that may need to be reported in conjunction with CPT code 28262.

8. Historical information

CPT code 28262 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 a resistant clubfoot deformity undergoes an extensive repair procedure, including posterior talotibial capsulotomy and tendon lengthening.
2. A healthcare provider performs an extensive repair on a clubfoot that has not responded to previous surgical correction, involving capsulotomy and tendon lengthening.
3. A qualified healthcare provider performs an extensive repair procedure on a patient with a resistant clubfoot deformity, addressing the talotibial joint capsule and lengthening tendons.
4. An extensive repair is performed on a clubfoot, involving capsulotomy and tendon lengthening, to correct a resistant deformity.
5. A patient with a resistant clubfoot deformity undergoes an extensive repair procedure, including posterior talotibial capsulotomy and lengthening of one or more tendons.
6. A healthcare provider performs an extensive repair on a clubfoot that has not responded to previous surgical correction, addressing the talotibial joint capsule and lengthening tendons to relieve tension on the foot.
7. A qualified healthcare provider performs an extensive repair procedure on a patient with a resistant clubfoot deformity, involving capsulotomy and lengthening of one or more tendons.
8. An extensive repair is performed on a clubfoot, involving capsulotomy and tendon lengthening, to correct a resistant deformity and relieve tension on the foot.
9. A patient with a resistant clubfoot deformity undergoes an extensive repair procedure, including posterior talotibial capsulotomy and lengthening of one or more tendons, to improve foot alignment.
10. A healthcare provider performs an extensive repair on a clubfoot that has not responded to previous surgical correction, addressing the talotibial joint capsule and lengthening tendons to improve foot alignment and function.