CPT® Code 28202

The procedure described by CPT® Code 28202 involves the repair of a flexor tendon in the foot using a secondary graft. Flexor tendons are crucial for the movement of the toes and foot, and they include several 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, puncture wounds, or closed injuries like avulsions, which can lead to partial or complete transection of the tendons. During the procedure, an incision is made over the site of the tendon injury to access the affected area. If the tendon is completely severed, the surgeon locates the ends of the tendon, pulls them together, and repairs them with sutures. In cases of partial transection, the surgeon focuses on repairing the damaged fibers. If the muscle itself is involved, it is repaired in layers to restore its function. For cases requiring a graft, a tendon graft is harvested from another site and attached to the remaining tendon tissue. This graft is then secured at the distal insertion point of the tendon to ensure proper function. After the repair, the range of motion is assessed, and adjustments are made to ensure optimal movement of the foot and toes. Finally, the surgical site is closed in layers, and the lower leg, ankle, and foot are immobilized with a splint or cast to promote healing.