CPT® Code 28360

Cleft foot is a congenital anomaly characterized by the absence of part or all of one or more toes, resulting in a central V-shaped gap or cleft in the foot. This condition can vary in severity, affecting the function and appearance of the foot. Surgical intervention is typically indicated when the cleft foot significantly impairs the patient's ability to walk or perform daily activities. The surgical approach to cleft foot reconstruction is tailored to the specific nature of the anomaly, which may involve various techniques to restore both function and aesthetics. The procedure generally includes the rearrangement of skin and soft tissue to effectively close the cleft, stabilization or transfer of bones, and correction of any associated toe deformities. A common surgical technique may involve deepening the inter-toe space, utilizing skin from the cleft area, which is carefully transposed with its blood supply to cover the gap. The closure of the cleft is performed in layers to ensure optimal healing and functional recovery.