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The CPT® Code 28298 refers to a surgical procedure known as correction of hallux valgus with bunionectomy, which includes a sesamoidectomy when performed, and involves a proximal phalanx osteotomy using any method. Hallux valgus, commonly known as a bunion, is a deformity characterized by the lateral deviation of the great toe, often accompanied by the formation of a bony prominence at the base of the toe. This condition can lead to pain, discomfort, and difficulty in wearing shoes. The procedure aims to realign the toe and alleviate symptoms associated with the bunion. During the surgery, a proximal phalanx osteotomy, which may also be referred to as an Akin procedure, is performed to correct the alignment of the toe. The surgical approach typically involves making a medial incision near the bunion site, allowing access to the joint and surrounding structures. The procedure may also include the excision of the medial eminence, which is the bony prominence that forms due to the bunion, and potentially the removal of the sesamoid bones if they are affected. Overall, this surgical intervention is designed to restore proper alignment and function of the great toe, thereby improving the patient's quality of life.
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