CPT® Code 28262

Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)

The CPT® Code 28262 refers to a surgical procedure known as a capsulotomy of the midfoot, which is extensive in nature. This procedure involves making an incision in the fibrous covering, or capsule, of the ankle joint, specifically on the inward side. The primary purpose of this intervention is to address conditions such as resistant clubfoot deformity, where the foot tends to twist inward. By performing a capsulotomy, the physician aims to alleviate the tightness and restriction caused by the fibrous tissue, allowing for better alignment and function of the foot. In addition to the capsulotomy, this procedure may also include the lengthening of tendons that are contributing to the deformity. It is important to note that if the procedure requires incisions on multiple sides of the ankle joint and involves lengthening several tendons, the appropriate code to use is 28262. This code is distinct from CPT® Code 28261, which is used when only the tendons on the inward side of the ankle are lengthened without the extensive capsulotomy. Understanding the specific indications and procedural details associated with CPT® Code 28262 is crucial for accurate medical coding and billing practices.