CPT® Code 28124

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe

The CPT® Code 28124 refers to a specific surgical procedure known as partial excision of bone, which can also be described using terms such as craterization, saucerization, sequestrectomy, or diaphysectomy. This procedure is primarily performed on the phalanx of the toe and is indicated for conditions such as osteomyelitis or the presence of a bony protuberance, commonly referred to as bossing. Osteomyelitis is a serious infection of the bone that produces pus and can lead to significant complications if not addressed. The term 'bossing' describes a bony protrusion that may develop due to various underlying conditions. During the procedure, the surgeon removes infected and necrotic bone tissue to create a shallow depression in the bone surface, facilitating drainage from the infected area. The techniques involved in this procedure include the excision of necrotic bone that has separated from healthy bone (sequestrectomy) and the removal of infected portions of the bone shaft (diaphysectomy). The goal of the procedure is to eliminate infection and promote healing, ensuring that any devitalized tissue is thoroughly removed to prevent further complications. This surgical intervention is critical in managing infections and abnormalities in the bone structure of the toe, ultimately aiming to restore function and alleviate pain.