CPT® Code 28289

Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant

Hallux rigidus is a medical condition that affects the first metatarsophalangeal (MTP) joint, which is the joint at the base of the big toe. This condition is characterized by several symptoms, including pain, swelling, stiffness, and a decreased range of motion, particularly in the dorsiflexion of the great toe. The underlying causes of hallux rigidus typically involve degenerative changes and inflammation within the joint, which may be due to arthritis, cartilage erosion, joint space narrowing, and the formation of bone spurs around the MTP joint. The procedure described by CPT® Code 28289 involves a surgical intervention aimed at correcting hallux rigidus through a cheilectomy, which is the removal of bone spurs, along with debridement and capsular release of the affected joint. This surgical approach is performed without the insertion of any implants, focusing instead on alleviating the symptoms and restoring function to the joint by addressing the structural abnormalities present. The surgical technique includes making an incision over the MTP joint, protecting surrounding nerves, and carefully dissecting the soft tissue to access the joint capsule for necessary interventions.