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A radical plantar fasciectomy, as described by CPT® Code 28062, is a surgical procedure aimed at addressing conditions affecting the plantar fascia, which is a thick band of tissue that runs across the bottom of the foot. This procedure involves a comprehensive approach to excising the plantar fascia, which may be necessary in cases of severe plantar fasciitis or other related disorders that have not responded to conservative treatments. The surgery is characterized by a Z-shaped or S-shaped incision that allows for complete exposure of the plantar fascia while minimizing damage to the underlying structures. During the procedure, the surgeon carefully separates the fascia from the surrounding fat and muscle tissue, ensuring that neuromuscular structures are protected throughout the process. The excision of the fascia is performed with precision, and any tight vertical and sagittal bands of fascia may also be transected to alleviate tension. This radical approach is considered a separate procedure, indicating that it is distinct from other surgical interventions that may be performed on the foot. The goal of this surgery is to relieve pain and restore function to the foot by removing the problematic fascia and addressing any contributing factors related to the condition.
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The radical plantar fasciectomy (CPT® Code 28062) is indicated for patients experiencing severe symptoms related to the plantar fascia that have not improved with conservative treatment options. The following conditions may warrant this surgical intervention:
The radical plantar fasciectomy procedure involves several critical steps to ensure effective excision of the plantar fascia while preserving surrounding structures. The following outlines the procedural steps:
After the radical plantar fasciectomy, patients can expect a recovery period that may involve pain management and rehabilitation. Post-operative care typically includes keeping the foot elevated to reduce swelling, applying ice, and using prescribed pain medications. Patients may be advised to avoid weight-bearing activities for a specified period to allow for proper healing. Follow-up appointments are essential to monitor the healing process and to assess the need for physical therapy to restore strength and flexibility to the foot. The overall recovery time can vary based on individual factors, but patients should be prepared for a gradual return to normal activities.
| Short Descr | REMOVAL OF FOOT FASCIA | Medium Descr | FASCIECTOMY PLANTAR FASCIA RADICAL SPX | Long Descr | Fasciectomy, plantar fascia; radical (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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| 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. | 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). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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) | SG | Ambulatory surgical center (asc) facility service | 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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| 2022-01-01 | Note | Medium description changed per CPT Errata & Technical Corrections. |
| Pre-1990 | Added | Code added. |
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