CPT® Code 28295

Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method

The procedure described by CPT® Code 28295 involves the surgical correction of hallux valgus, commonly known as a bunion, through a bunionectomy that includes a proximal metatarsal osteotomy. Hallux valgus is a deformity characterized by the lateral deviation of the big toe, which can lead to pain and discomfort, particularly when wearing shoes. The correction aims to realign the first metatarsal bone to restore normal anatomy and function. In this procedure, a proximal osteotomy is performed, which refers to the surgical cutting of the metatarsal bone closer to the midfoot, as opposed to a distal osteotomy that occurs further down the bone. The surgery may also involve the removal of the sesamoid bones if they are damaged or inflamed, which can contribute to the patient's symptoms. The surgical approach typically includes a medial incision made just above the bunion, allowing access to the metatarsophalangeal joint. This detailed procedure is essential for alleviating pain and improving the alignment of the toe, ultimately enhancing the patient's ability to walk and wear footwear comfortably.