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CPT 28200: Open Repair of Flexor Tendon of Foot
CPT code 28200 denotes open surgical repair of a torn or ruptured flexor tendon in the foot, targeting restoration of normal joint motion without use of a tendon graft. Nationally, this operative code is relevant for orthopedic and podiatric surgical services addressing traumatic or degenerative tendon injuries of the toes and hallux. The code captures a discrete reconstructive procedure used in both acute-repair settings (within 24 hours of injury) and delayed repairs.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the procedure is typically performed, the usual sites of service, and common billing considerations tied to surgical foot tendon repair. The publication also provides benchmarking information and policy-related notes that affect coverage and claim adjudication at a national level, as well as coding peers and related procedure groupings for billing workflows.
This summary equips clinicians, coding staff, and payers with a concise reference to the procedure’s clinical scope, expected care settings, and the payers commonly involved in reimbursement and coverage decisions.
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Billing Code Overview
CPT code 28200 describes an open surgical repair of a torn or ruptured flexor tendon of the foot to restore normal joint motion. The procedure may involve repair of the flexor hallucis longus (big toe) or the flexor digitorum longus and its branches (second through fifth toes). The operation explicitly does not include obtaining or placing a tendon graft.
Service Type: Surgical — Tendon Repair (Foot)
Typical Site of Service: Hospital operating room or ambulatory surgical center, performed under appropriate anesthesia. If performed emergently, the procedure may take place within 24 hours of injury; it may also be performed at a later time depending on clinical circumstances.