How do you code a plantar plate repair?
There is no plantar plate repair CPT code, so it is incumbent upon you to decide what best represents your procedure and if none of the options are pertinent, then you must use CPT 28899. The coding of a plantar plate repair is based on what was actually repaired and documented.
What is plantar plate tear?
A plantar plate tear is a common injury of the forefoot which is caused by repetitive overload. The plantar plate is a ligament that is situated on the underside of the metatarsal phalangeal joints at the ball of the feet. A plantar plate tear is a common injury of the forefoot which is caused by repetitive overload. #
What is the plantar plate?
Your plantar plate is a thick ligament that runs along the ball of your foot, connecting to the joints. The plantar plate is designed to protect the head of the metatarsal (the long bones of the foot) from excess pressure, preventing our toes from spreading too far apart, and prevent the overextension of our toes.
What is a plantar plate repair?
Plantar plate repair surgery is a procedure typically used to correct a cross-over or severe hammertoe deformity of the 2nd toe. To repair the plantar plate, your podiatric surgeon will typically first perform an osteotomy procedure of the 2nd metatarsal bone.
What is CPT code for Weil osteotomy?
28308
CPT coding for a weil osteotomy plus plantar plate repair? For a weil osteotomy: 28308: Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each.
What is procedure code 28308?
osteotomy
The CPT code to bill for an osteotomy with a bunionette is 28308 (Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each). This procedure includes both an osteotomy procedure and the removal of the bunionette.
How is plantar plate tear diagnosed?
A plantar plate injury is usually diagnosed firstly via a physical examination, which can involve the doctor moving or manipulating the affected toe. X-rays and additional imaging tests such as MRI scans can also be used to confirm a plantar plate injury.
Is a plantar plate tear serious?
This is a serious injury to the ball of the foot that often gets confused for other conditions—particularly neuromas. As a result, plantar plate tears can easily become more painful and severe without effective treatment.
What happens if your plantar fascia rupture?
A plantar fascia rupture caused immediate, sharp pain in the heel and the arch of the foot. An injured athlete often feels a ‘pop’ when the injury occurs. Frequently you’ll have bruising around the painful area. The tear can be the result of a chronic overuse of the fascia.
How are plantar plates diagnosed?
What happens after plantar plate repair?
Typically recovery after direct repair of the plantar plate is about 4-8 weeks in healthy people. The plantar plate is strong ligament that takes time to heal, and there is no way dramatically expedite the healing process. Patients need to be off the foot while the repair heals, and crutches are often needed.
What is a torn plantar plate?
A plantar plate tear is a tear in the soft tissue under the ball of the foot. The plantar plate is a thick ligament type structure that holds the toes from spreading or splaying. A tear can cause persistent pain and swelling under the ball of the foot.
What is the CPT code for a plantar plate repair?
There is no specific CPT code for plantar plate repair. If the surgical service is performed, it will need to be billed to the patient’s insurance as CPT code 28899, along with op-reports outlining the procedure in order to get reimbursement from the patient’s insurance. 28899: Unlisted procedure, foot or toes.
What is plantar plate surgery?
The basis for plantar plate tear surgery involves directly repairing the tear by sewing the ligament (plantar plate) back together in the proper position. This is medically called ‘Primary Repair’ of the plantar plate.
