CPT® Code 28072

The procedure described by CPT® Code 28072 refers to a synovectomy performed specifically on the metatarsophalangeal joint, which is the joint located at the base of the toes where the metatarsal bones meet the proximal phalanges. This surgical intervention is primarily indicated for the treatment of inflammation of the synovial tissue, a condition that can arise from various underlying issues, including rheumatoid arthritis. During the procedure, a surgical incision is made over the affected joint, allowing access to the underlying structures. The soft tissues surrounding the joint are carefully dissected, and the joint capsule is incised to expose the synovial membrane. The inflamed synovial tissue is then meticulously removed, often utilizing a motorized suction shaving device to ensure thorough excision while minimizing damage to surrounding tissues. It is important to note that this code is specifically designated for each metatarsophalangeal joint treated, distinguishing it from similar procedures performed on intertarsal or tarsometatarsal joints, which are coded differently (CPT® Code 28070).