CPT® Code 28270

The CPT® Code 28270 refers to a surgical procedure known as capsulotomy of the metatarsophalangeal joint. This procedure is typically indicated for the release of a joint contracture, which is a condition where the joint becomes stiff and cannot move freely due to the tightening of surrounding soft tissues. During the capsulotomy, a surgical incision is made directly over the affected metatarsophalangeal joint, which is the joint located at the base of the toes. The surgeon then carefully dissects the soft tissues to expose the joint capsule, allowing access to the fibrous tissue that may be causing the contracture. The fibrous tissue is meticulously dissected to release the contracture, thereby restoring normal movement to the joint. It is important to note that this procedure can be performed with or without tenorrhaphy, which is the surgical repair of one or more tendons associated with the joint. For procedures involving the interphalangeal joint, a different code, CPT® 28272, should be used. This distinction is crucial for accurate medical coding and billing.