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CPT®
28360

CPT® Code 28360

Official Description

Reconstruction, cleft foot

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Cleft foot is a congenital anomaly characterized by the absence of part or all of one or more toes, resulting in a central V-shaped gap or cleft in the foot. This condition can vary in severity, affecting the function and appearance of the foot. Surgical intervention is typically indicated when the cleft foot significantly impairs the patient's ability to walk or perform daily activities. The surgical approach to cleft foot reconstruction is tailored to the specific nature of the anomaly, which may involve various techniques to restore both function and aesthetics. The procedure generally includes the rearrangement of skin and soft tissue to effectively close the cleft, stabilization or transfer of bones, and correction of any associated toe deformities. A common surgical technique may involve deepening the inter-toe space, utilizing skin from the cleft area, which is carefully transposed with its blood supply to cover the gap. The closure of the cleft is performed in layers to ensure optimal healing and functional recovery.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The surgical reconstruction of a cleft foot is indicated in the following situations:

  • Significant Functional Impairment Surgical intervention is warranted when the cleft foot significantly impairs the patient's ability to walk or perform daily activities.
  • Cosmetic Concerns Patients may seek surgery for aesthetic reasons, particularly if the appearance of the foot affects self-esteem or social interactions.
  • Associated Deformities The presence of deformities in the toes that require correction may also indicate the need for surgical reconstruction.

2. Procedure

The procedure for cleft foot reconstruction involves several critical steps to ensure effective repair and restoration of function:

  • Assessment of the Anomaly The surgical team begins with a thorough assessment of the cleft foot to determine the extent of the anomaly and the specific surgical approach required.
  • Preparation of the Surgical Site The area around the cleft is prepared, which includes cleaning and marking the surgical site to guide the reconstruction process.
  • Rearrangement of Skin and Soft Tissue The surgeon rearranges the skin and soft tissue to close the gap at the cleft site. This step is crucial for restoring the foot's structure and function.
  • Stabilization or Transfer of Bones Any bones that are misaligned or require repositioning are stabilized or transferred to ensure proper alignment and function of the foot.
  • Correction of Toe Deformities If there are any deformities present in the toes, the surgeon will correct these during the procedure to enhance both function and appearance.
  • Transposition of Skin A common technique involves deepening the space between the toes. Skin from the cleft site is transposed with its blood supply to cover the space effectively.
  • Layered Closure of the Cleft Finally, the cleft is closed in layers to promote optimal healing and restore the foot's integrity.

3. Post-Procedure

Post-procedure care for cleft foot reconstruction typically includes monitoring for complications, managing pain, and ensuring proper healing of the surgical site. Patients may be advised to limit weight-bearing activities for a specified period to allow for adequate recovery. Follow-up appointments are essential to assess healing progress and to address any concerns that may arise during the recovery phase. Physical therapy may also be recommended to improve mobility and strengthen the foot as it heals.
Short Descr RECONSTRUCT CLEFT FOOT
Medium Descr RECONSTRUCTION CLEFT FOOT
Long Descr Reconstruction, cleft foot
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) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply 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
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P3D - Major procedure, orthopedic - other
MUE 1
CCS Clinical Classification 160 - Other therapeutic procedures on muscles and tendons
GC This service has been performed in part by a resident under the direction of a teaching physician
RT Right side (used to identify procedures performed on the right side of the body)
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Pre-1990 Added Code added.
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