© Copyright 2025 American Medical Association. All rights reserved.
Macrodactyly of the toe refers to a condition characterized by an abnormal enlargement of one or more toes due to an overgrowth of bone and soft tissue, which includes nerves, fat, and skin. This condition results in a digit that is significantly larger than normal, potentially leading to functional and aesthetic concerns. The surgical procedure coded as CPT® 28340 involves the reconstruction of the toe through soft tissue resection. The primary goal of this surgery is to reduce the size of the enlarged digit by removing excess soft tissue. This is typically achieved through a process known as debulking, which may involve excising thickened layers of skin. In some cases, the procedure may be performed in stages to achieve the desired outcome. During the surgery, skin grafts may be harvested from healthy tissue located in the proximal area of the digit or from the plantar instep to cover the defect created by the resection. These grafts are then carefully configured and secured in place with sutures to promote healing and restore the appearance of the toe.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure coded as CPT® 28340 is indicated for patients presenting with macrodactyly of the toe, which is characterized by an abnormal enlargement of the digit due to excessive growth of bone and soft tissue. This condition may lead to functional impairments, discomfort, or cosmetic concerns, necessitating surgical intervention to restore normal size and function.
The surgical procedure for CPT® 28340 involves several key steps aimed at reducing the size of the enlarged toe through soft tissue resection.
After the procedure, patients are typically monitored for any immediate complications. Post-operative care may include instructions for wound care, pain management, and activity restrictions to ensure proper healing. Follow-up appointments are essential to assess the healing process and the success of the skin graft. Patients may be advised to avoid putting weight on the affected toe for a specified period to facilitate recovery.
| Short Descr | RESECT ENLARGED TOE TISSUE | Medium Descr | RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION | Long Descr | Reconstruction, toe, macrodactyly; soft tissue resection | 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) | 0 - Co-surgeons not permitted for this procedure. | 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) | P3D - Major procedure, orthopedic - other | MUE | 2 | CCS Clinical Classification | 143 - Bunionectomy or repair of toe deformities |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.