CPT® Code 28344

Polydactyly of the foot is a congenital condition characterized by the presence of one or more extra toes. This condition can be classified into three types based on the anatomical structures involved. Type I polydactyly involves only soft tissue, Type II includes bone and/or cartilage, and Type III features a complete duplication of the digit along with the associated metacarpal. Additionally, polydactyly can be categorized based on the location of the extra digit: pre-axial polydactyly refers to an extra great toe, post-axial polydactyly indicates an extra little toe, and central polydactyly involves an additional toe located in the central part of the foot. The procedure denoted by CPT® Code 28344 specifically addresses the reconstruction of the duplicated digit. In cases of pre-axial or post-axial polydactyly, the surgical intervention focuses on reconstructing the duplicated or split great toe or little toe to form a single functional digit. This reconstruction process typically necessitates the excision of bone or cartilage, along with the careful rearrangement of skin, soft tissue, tendons, joints, and ligaments to achieve a cohesive and functional digit. In contrast, central polydactyly often requires a more intricate surgical approach, involving comprehensive reconstruction of both the forefoot and the toes to ensure proper alignment and function.