CPT® Code 28313

Reconstruction of an angular deformity of the toe involving only soft tissue is a surgical procedure aimed at correcting deformities such as overlapping second toes, fifth toes, or curly toes. This procedure is specifically indicated when the deformity does not involve any bony abnormalities, focusing solely on the soft tissue structures. The surgical approach begins with a skin incision made over the affected toe, allowing access to the underlying soft tissues. During the procedure, the surgeon carefully dissects the soft tissues to identify the specific structures that are contributing to the angular deformity. Depending on the nature of the deformity, various techniques may be employed, including incising and lengthening the extensor tendon, opening the joint capsule, or releasing the flexor tendon. After the necessary corrections are made to restore the toe's proper alignment, the surgeon meticulously repairs the overlying soft tissue and skin in layers to ensure optimal healing. Finally, the toe is splinted to maintain its corrected position during the healing process, which is crucial for achieving a successful outcome.