Find policies, billing codes, payers, states, and providers
CPT 28010: Percutaneous Tenotomy for Toe Deformity
CPT code 28010 covers a percutaneous tenotomy involving incision or division of a single toe tendon to correct deformities such as hammer toe. This minor surgical code is relevant nationally because it represents a commonly performed podiatric procedure for symptomatic digital deformities that can be done in outpatient and office-based settings, affecting utilization, coding consistency, and payment policy across payers. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for how the procedure is described, typical settings where it is furnished, and the national payer landscape that affects coverage and billing practices. The publication outlines benchmarked payment considerations and common billing complexities tied to procedure setting, global periods, and code bundling — where applicable — as well as policy updates that influence prior authorization and site-of-service determinations. The material also highlights coding pitfalls and documentation elements that typically drive payer review. Data not available in the input is noted where specific reimbursement rates, associated taxonomies, and ICD-10 pairings would normally be presented.
Customize your policy alerts
Sign up for cpt 28010 policy alerts
Get alerted when payer policies referencing 28010 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 28010 describes a percutaneous tenotomy of a single tendon in a toe, performed through a small skin incision to correct a toe deformity such as hammer toe. The procedure involves incising or dividing the affected tendon to relieve abnormal tension and restore toe alignment.
-
Service type: Minor outpatient surgical procedure (percutaneous tendon release)
-
Typical site of service: Ambulatory surgical center, hospital outpatient department, or office-based procedure room