CPT® Code 28234

The procedure described by CPT® Code 28234 refers to an open tenotomy of the extensor tendon in the foot or toe. A tenotomy is a surgical procedure that involves the cutting of a tendon, which is a fibrous connective tissue that attaches muscle to bone. In this specific case, the extensor tendon, which is responsible for extending the toes and lifting the foot, is targeted. The procedure begins with making an incision in the skin directly over the extensor tendon that requires intervention. This incision allows the surgeon to access the underlying soft tissues, which are carefully dissected to expose the tendon. Once the tendon is visible, it is incised, severed, or released as necessary to alleviate tension or correct deformities. To manage any bleeding that may occur during the procedure, electrocautery is utilized, which is a technique that uses electrical current to coagulate blood vessels. After the tendon has been addressed, the surgical site is meticulously closed in layers to promote proper healing. It is important to report CPT® Code 28234 for each extensor tendon that is subjected to this tenotomy procedure in the foot or toe.