CPT® Code 28118

The procedure described by CPT® Code 28118 refers to an ostectomy of the calcaneus, which involves the surgical excision of bone from the heel bone, known as the calcaneus. This procedure is primarily indicated for the treatment of pain associated with retrocalcaneal bursitis, a condition characterized by inflammation of the bursa located at the back of the heel. Additionally, it may be performed to remove bone spurs that can develop on the calcaneus, contributing to discomfort and pain during movement. The surgical approach typically involves making an incision on the posterior aspect of the heel, allowing the surgeon to access the calcaneus directly. The procedure requires careful dissection of the surrounding soft tissues to expose the bone adequately. Once the calcaneus is accessed, the periosteum, which is the connective tissue covering the bone, is incised, and a periosteal flap is elevated to facilitate the excision of the bone. After the necessary bone removal, the periosteal flap is repositioned and sutured over the remaining calcaneus, followed by the closure of the overlying soft tissue and skin in layers. This meticulous approach aims to alleviate pain and restore function while minimizing complications associated with the surgical site.