CPT® Code 28200

The flexor tendons of the foot are crucial for the movement and function of the toes and foot. These tendons include several important muscles such as the peroneus longus, peroneus brevis, plantaris, popliteus, flexor digitorum longus, flexor hallucis longus, and tibialis posterior. Injuries to these tendons can occur due to various reasons, including lacerations from sharp objects or puncture wounds, which may lead to either partial or complete transection of one or more flexor tendons. Additionally, closed injuries, such as avulsions, can also result in damage to these tendons. The procedure described by CPT® Code 28200 involves making an incision over the site of the tendon or muscle injury to access the affected area. In cases where the tendon has been completely severed, the surgeon locates the ends of the tendon, pulls them together, and repairs them with sutures. If the injury is a partial transection, the surgeon will repair the transected fibers instead. In instances where the muscle itself has sustained a laceration or tear, the muscle tissue is meticulously repaired in layers to ensure proper healing. This code is specifically used to report the primary or secondary suture repair of a single flexor tendon or muscle without the use of a free graft. For cases requiring a tendon graft, CPT® Code 28202 is utilized, which involves harvesting a tendon graft and attaching it to the remnants of the severed tendon, followed by securing it at the distal insertion site. Post-repair, the range of motion is assessed, and adjustments are made to ensure optimal movement in the foot and toes, after which the surgical wound is closed in layers and the lower leg, ankle, and foot are immobilized with a splint or cast to facilitate recovery.