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The procedure described by CPT® Code 28003 involves an incision and drainage operation performed below the fascia of the foot, specifically targeting multiple areas that may be affected by infection. This procedure is typically indicated when there is an accumulation of pus or fluid in the bursal spaces, which can lead to significant discomfort and potential complications if not addressed. During the operation, a surgical incision is made through the skin to access the underlying soft tissues. The surgeon carefully dissects these tissues to expose the fascia, which is a connective tissue layer that covers muscles and organs. Once the fascia is incised, the tendon sheath may also be inspected to assess any involvement in the infection. The infected bursal space is then opened using a scalpel, allowing for the drainage of the accumulated fluid. To ensure thorough cleaning of the area, the site is often flushed with saline or an antibiotic solution, which helps to reduce the risk of further infection. Depending on the extent of the drainage and the surgeon's assessment, drains may be placed to facilitate ongoing fluid removal. After the procedure, the incision may be closed in layers to promote healing or packed with gauze and left open to allow for continued drainage. It is important to note that this code is specifically used for cases involving multiple bursal spaces, while CPT® Code 28002 is designated for procedures involving a single bursal space.
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