CPT® Code 28126

A partial or complete resection of the phalangeal base of the toe involves surgical intervention aimed at addressing various conditions affecting the toe joint. This procedure is performed when there is a need to remove part or all of the base of the proximal phalanx, which is the bone located in the toe that connects to the metatarsal bone of the foot. The surgery typically begins with an incision made over the affected toe joint, which extends from the midshaft of the proximal phalanx to the midshaft of the metatarsal. This incision allows access to the joint capsule, which is then incised to facilitate the resection process. The base of the proximal phalanx is carefully underscored and resected using an oscillating saw, a tool that provides precision in cutting bone. Once the resection is complete, the resected base is grasped and peeled out of the joint capsule, ensuring that the procedure is thorough. It is important to report CPT® Code 28126 for each toe that undergoes this surgical procedure, reflecting the specific nature of the intervention performed.