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The CPT® Code 28310 refers to a specific surgical procedure known as a shortening osteotomy, which is performed on the proximal phalanx of the first toe. This procedure is indicated for correcting angular or rotational deformities of the toe, which can lead to functional impairment or discomfort. During the surgery, the affected phalanx is carefully exposed to allow the surgeon to identify the precise locations for the necessary bone cuts. The procedure involves excising a segment of the bone to shorten it, thereby realigning the toe to its proper anatomical position. After the bone segment is removed, the remaining ends of the bone are brought together, and internal fixation methods are employed to stabilize the newly configured bone structure. This procedure is classified as a separate procedure, meaning it is distinct from other surgical interventions that may be performed on the foot or toes. For coding purposes, it is important to use CPT® Code 28310 specifically for the shortening osteotomy of the first toe, while CPT® Code 28312 is designated for similar procedures on the phalanges of the second, third, fourth, or fifth toes.
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