CPT® Code 28250

The CPT® Code 28250 refers to the surgical procedure known as the division of the plantar fascia and muscle, commonly referred to as Steindler stripping. This procedure is classified as a separate procedure, indicating that it is performed independently and is not part of a more extensive surgical intervention. The primary objective of this procedure is to alleviate conditions related to the plantar fascia, which is a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. The division of the plantar fascia can help relieve tension and pain associated with various foot disorders, particularly those involving the heel and arch of the foot. The procedure can be approached from either the lateral or medial side of the foot, allowing for flexibility based on the specific needs of the patient and the surgeon's preference. The lateral approach involves making an incision from the calcaneal tuberosity to the base of the fifth metatarsal, while the medial approach requires an incision that curves over the medial side of the foot to the base of the first metatarsal. Both approaches necessitate careful dissection to expose the plantar fascia and adjacent muscles, ensuring that neuromuscular structures are identified and protected throughout the procedure. The division of the plantar fascia and associated muscles is performed just distal to their attachment at the calcaneus, and additional ligaments may be released as necessary to achieve optimal results. Following the procedure, a cast may be applied to immobilize the foot, promoting proper healing and recovery.