How To Use CPT Code 28340

CPT 28340 describes the procedure for reconstructing a toe affected by macrodactyly by resecting soft tissue. 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 28340?

CPT 28340 is used to describe the surgical procedure of reconstructing a toe that is affected by macrodactyly. The procedure involves the resection of soft tissue from the overly large toe to restore it to more normal dimensions.

2. Official Description

The official description of CPT code 28340 is: ‘Reconstruction, toe, macrodactyly; soft tissue resection.’

3. Procedure

1. Under anesthesia, the healthcare provider removes thickened layers of skin and fat from the affected toe.
2. The provider may perform skin grafts from healthy local regions to aid in the reconstruction.
3. All surgical fields are closed, and a sterile dressing is applied.
4. The provider is responsible for preoperative surgical evaluation and post-surgical management.
5. In some cases, the procedure may be performed in stages, with several operative sessions spaced a few months apart.

4. Qualifying circumstances

CPT 28340 is performed on patients with macrodactyly, a congenital condition characterized by overdeveloped and abnormally large bones and soft tissues in the fingers or toes. The procedure is suitable for cases where the macrodactyly is less severe or as part of a series of procedures for more extreme macrodactyly. The provider must evaluate the patient preoperatively and manage their care post-surgery.

5. When to use CPT code 28340

CPT code 28340 should be used when a toe affected by macrodactyly requires reconstruction through the resection of soft tissue. It is important to note that this code is specifically for soft tissue resection and should not be used for procedures involving bone resection or reconstruction of the entire digit.

6. Documentation requirements

To support a claim for CPT 28340, the healthcare provider must document the following:

• The diagnosis of macrodactyly and the need for reconstruction
• Details of the procedure, including the resection of soft tissue and any skin grafts performed
• Date of the surgery
• Preoperative evaluation and post-surgical management

7. Billing guidelines

When billing for CPT 28340, ensure that the procedure involves the resection of soft tissue from a toe affected by macrodactyly. It is important to follow the specific guidelines for reporting this code and not to report it with codes that involve bone resection or reconstruction of the entire digit.

8. Historical information

CPT 28340 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 macrodactyly undergoes a surgical procedure where the provider resects soft tissue from the affected toe to restore it to a more normal size.
2. A healthcare provider performs a reconstruction procedure on a toe affected by macrodactyly, removing excess soft tissue and performing skin grafts to improve the appearance and function of the toe.
3. A child with macrodactyly undergoes a staged procedure where the provider resects soft tissue from the affected toe in multiple operative sessions, spaced several months apart.
4. A patient with severe macrodactyly undergoes a series of procedures, including CPT 28340, to reconstruct the affected toe and improve their overall foot function.
5. A healthcare provider performs a soft tissue resection on a toe affected by macrodactyly, followed by the application of a sterile dressing and post-surgical management.
6. A teenager with macrodactyly undergoes a reconstructive procedure on their toe, involving the removal of excess soft tissue and the use of skin grafts to restore a more normal appearance.
7. A healthcare provider performs a soft tissue resection on a toe affected by macrodactyly, followed by the closure of surgical fields and the application of a sterile dressing.
8. A patient with macrodactyly undergoes a reconstruction procedure on their toe, involving the removal of thickened layers of skin and fat to improve the function and appearance of the toe.
9. A healthcare provider performs a soft tissue resection on a toe affected by macrodactyly, followed by the application of skin grafts harvested from local healthy regions.
10. A child with macrodactyly undergoes a reconstructive procedure on their toe, involving the removal of excess soft tissue and the closure of surgical fields to restore a more normal size and shape.