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The procedure described by CPT® Code 28153 involves the surgical resection of the condyle(s) at the distal end of the phalanx for each toe. This procedure is typically indicated for conditions that affect the joint structure of the toes, potentially leading to pain, deformity, or impaired function. The surgery begins with a longitudinal incision made over the affected phalanx, allowing access to the underlying joint capsule. The joint capsule is then incised, and a capsular flap is created to facilitate the exposure of the distal aspect of the phalanx. During the procedure, the medial and/or lateral condyle is excised, which may involve removing any redundant tissue from the joint capsule or plicating it to ensure proper closure. The final steps involve closing the overlying soft tissues in layers to promote healing. It is important to report code 28153 for each toe on which the resection of the condyles is performed, ensuring accurate documentation and billing for the surgical intervention.
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