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Radical resection of a tumor in the phalanx of the toe is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. This procedure involves a comprehensive approach to ensure complete excision of the tumor along with a significant margin of healthy tissue to minimize the risk of residual cancerous cells. The process begins with a skin incision made directly over the tumor site, or alternatively, a skin flap may be created and elevated to provide access to the underlying structures. The surgeon meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage are removed. The tumor is excised en bloc, meaning it is taken out in one piece along with a wide margin of surrounding healthy tissue. This radical resection encompasses the removal of all involved soft tissues, which may include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that may be affected by the tumor. To confirm that the surgical margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers or may require additional reconstructive procedures that are separately reportable. This procedure is specifically coded as CPT® 28175 for radical resection of a tumor located in the phalanx of the toe.
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Radical resection of a tumor in the phalanx of the toe is indicated for the following conditions:
The procedure for radical resection of a tumor in the phalanx of the toe involves several critical steps:
After the radical resection procedure, patients can expect a recovery period that may vary based on the extent of the surgery and individual healing processes. Post-operative care typically includes monitoring for signs of infection, managing pain, and ensuring proper wound healing. Patients may be advised to limit weight-bearing activities on the affected foot to facilitate recovery. Follow-up appointments will be necessary to assess healing and to review pathology results from the excised tumor. If additional treatment is required based on the pathology findings, such as further surgery or adjuvant therapy, this will be discussed during follow-up visits. It is essential for patients to adhere to their post-operative care instructions to promote optimal recovery and minimize complications.
| Short Descr | RESECT PHALANX OF TOE TUMOR | Medium Descr | RADICAL RESECTION TUMOR PHALANX OR TOE | Long Descr | Radical resection of tumor; phalanx of toe | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 2 | CCS Clinical Classification | 142 - Partial excision bone |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | T1 | Left foot, second digit | T4 | Left foot, fifth digit | T5 | Right foot, great toe | T6 | Right foot, second digit | T9 | Right foot, fifth digit | TA | Left foot, great toe |
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| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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