CPT® Code 28297

Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method

The procedure described by CPT® Code 28297 involves the surgical correction of hallux valgus, commonly known as a bunion, which is characterized by a lateral deviation of the great toe. This correction is achieved through a bunionectomy, which entails the excision of the medial eminence of the first metatarsal bone. Additionally, the procedure may include a sesamoidectomy, which is the removal of the sesamoid bones if they are fractured or inflamed. A critical component of this procedure is the arthrodesis, or joint fusion, of the first metatarsal and the medial cuneiform joint, which stabilizes the corrected position of the bones. The surgical approach typically involves a dorsal incision over the metatarsophalangeal joint, allowing for the dissection of soft tissues and exposure of the joint capsule. The procedure aims to alleviate pain, restore proper alignment, and improve function of the foot by addressing both the structural deformity and any associated soft tissue issues.