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Podiatry Coding:

Code This Fasciotomy Case Correctly

Question: The podiatrist performed a surgical cut on the sole of a patient’s foot, revealing the deep fascia that covers the abductor hallucis muscle and the medial band of the plantar fascia. They detached the plantar fascia from the heel bone and made incisions on either side of the heel to release tension. The podiatrist then sanded the bony surface to reduce irritation to the fascia. Finally, they irrigated the area, checked for bleeding, removed any instruments, and closed the incision. Which CPT® code should I report for this procedure?

AAPC Forum Participant

Answer: You should report 28008 (Fasciotomy, foot and/or toe) on your claim.

Remember: Your podiatrist might opt for a fasciotomy, which involves making an incision in the fascial tissue, to alleviate tension or pressure caused by plantar fasciitis or to address a toe contracture. In simpler terms, your podiatrist may perform a fasciotomy to release tightness or pressure in the plantar fascia or to correct a toe contracture.

Lindsey Bush, BA, MA, CPC, Development Editor, AAPC

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