CPT® Code 28341

1. Indications

The procedure coded as CPT® 28341 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. The following conditions may warrant this surgical intervention:

• Macrodactyly A condition where one or more toes are abnormally large, causing functional impairment or cosmetic concerns.
• Functional Limitations Difficulty in wearing shoes or performing daily activities due to the size of the toe.
• Pain or Discomfort Associated pain or discomfort resulting from the enlarged digit.
• Cosmetic Concerns Aesthetic issues that may affect the patient’s self-esteem or psychological well-being.

2. Procedure

The surgical procedure for CPT® 28341 involves several critical steps to effectively reduce the size of the affected toe through bone resection. The following outlines the procedural steps:

• Step 1: Incision The procedure begins with an incision made over the affected toe, specifically at the site of the bone that is to be excised. This incision allows access to the underlying structures.
• Step 2: Dissection Once the incision is made, the surrounding soft tissues are carefully dissected to expose the bone. This step is crucial to ensure that the bone can be accessed without damaging adjacent structures.
• Step 3: Bone Exposure After dissection, the bone is fully exposed. The surgeon assesses the extent of the bone that needs to be removed to achieve the desired reduction in size.
• Step 4: Bone Resection The next step involves detaching the bone from its surrounding structures. Part or all of the bone is excised, depending on the specific requirements of the case. This resection is essential for shortening the toe.
• Step 5: Soft Tissue Management Following the bone resection, any excess soft tissue may be excised or rearranged as necessary. This step is important to ensure a cosmetically acceptable result and to promote proper healing.

3. Post-Procedure

After the completion of the procedure, patients can expect a recovery period that may involve monitoring for any complications such as infection or excessive swelling. Post-operative care typically includes pain management, wound care, and possibly physical therapy to restore function. The surgeon may provide specific instructions regarding activity restrictions and follow-up appointments to assess healing and the overall outcome of the surgery. It is important for patients to adhere to these guidelines to ensure optimal recovery and to achieve the best possible cosmetic and functional results.