CPT® Code 28175

Radical resection of a tumor in the phalanx of the toe is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. This procedure involves a comprehensive approach to ensure complete excision of the tumor along with a significant margin of healthy tissue to minimize the risk of residual cancerous cells. The process begins with a skin incision made directly over the tumor site, or alternatively, a skin flap may be created and elevated to provide access to the underlying structures. The surgeon meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage are removed. The tumor is excised en bloc, meaning it is taken out in one piece along with a wide margin of surrounding healthy tissue. This radical resection encompasses the removal of all involved soft tissues, which may include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that may be affected by the tumor. To confirm that the surgical margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers or may require additional reconstructive procedures that are separately reportable. This procedure is specifically coded as CPT® 28175 for radical resection of a tumor located in the phalanx of the toe.