CPT® Code 28750

The procedure described by CPT® Code 28750 refers to the surgical technique known as arthrodesis of the great toe, specifically targeting the metatarsophalangeal joint. Arthrodesis is a surgical procedure that involves the fusion of a joint, which is achieved by eliminating the articular cartilage and stabilizing the bones involved. In this case, the procedure focuses on the great toe, which plays a crucial role in balance and mobility. The surgery begins with an incision made on the lateral side of the great toe, ensuring that surrounding nerves and blood vessels are carefully protected during the process. Once the joint is accessed, the articular cartilage is excised, allowing for the preparation of the bone surfaces. The metatarsal head and the proximal phalanx, or alternatively the proximal and distal phalanges, are then prepared using an osteotome to expose cancellous bone. This preparation is essential for achieving a solid fusion. To stabilize the joint during the healing process, internal fixation devices such as pins, screws, staples, or small plates are employed. After the fixation is in place, the incision is closed, and a bulky dressing is applied to protect the surgical site. This procedure is indicated for various conditions affecting the metatarsophalangeal joint, and it is important to use the correct CPT® code, 28750, for billing purposes, distinguishing it from other related procedures such as the fusion of the interphalangeal joint, which is coded as 28755.