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A partial plantar fasciectomy, as described by CPT® Code 28060, is a surgical procedure aimed at addressing issues related to the plantar fascia, a thick band of tissue that runs across the bottom of the foot. This procedure involves making an incision over the plantar fascia while carefully avoiding the weight-bearing area of the foot to minimize postoperative complications. The incision is extended through the subcutaneous fatty tissue to expose the plantar fascia. Once exposed, the surgeon separates the fascia from the surrounding fat and muscle tissue, allowing for the targeted release of a section of the fascia. This step is crucial as it helps alleviate tension and discomfort associated with conditions such as plantar fasciitis. During the procedure, special attention is given to protect the neuromuscular structures in the area to prevent any potential damage. The fascia is then excised using surgical instruments such as a knife or scissors. After the removal of the affected fascia, the remaining vertical and sagittal bands of fascia are inspected, and if any are found to be tight, they are transected to further relieve tension. Finally, the skin is closed, completing the procedure. It is important to note that this code specifically refers to a partial fasciectomy, distinguishing it from more extensive procedures such as the radical plantar fasciectomy described in CPT® Code 28062, which involves a more extensive excision of the plantar fascia.
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The partial plantar fasciectomy (CPT® Code 28060) is indicated for patients experiencing significant pain or dysfunction related to the plantar fascia. This procedure is typically performed in the following situations:
The procedure for a partial plantar fasciectomy involves several key steps, each critical to the successful outcome of the surgery:
Post-procedure care following a partial plantar fasciectomy is crucial for recovery. Patients are typically advised to rest and avoid putting weight on the affected foot for a specified period to allow for healing. Pain management may be necessary, and patients may be prescribed analgesics to manage discomfort. Follow-up appointments are essential to monitor the healing process and to remove sutures if non-absorbable materials were used. Physical therapy may be recommended to restore strength and flexibility to the foot as healing progresses. Patients should also be educated on signs of complications, such as increased pain, swelling, or signs of infection, and instructed to seek medical attention if these occur.
| Short Descr | PARTIAL REMOVAL FOOT FASCIA | Medium Descr | FASCIECTOMY PLANTAR FASCIA PARTIAL SPX | Long Descr | Fasciectomy, plantar fascia; partial (separate procedure) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 81 | Minimum assistant surgeon: minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | F6 | Right hand, second digit | GC | This service has been performed in part by a resident under the direction of a teaching physician | SG | Ambulatory surgical center (asc) facility service | T1 | Left foot, second digit | T5 | Right foot, great toe | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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