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CPT 28202: Delayed Flexor Tendon Repair of Foot with Free Graft
CPT code 28202 represents a delayed surgical repair of a ruptured or torn tendon responsible for flexion of the foot and toes, performed using an autologous free graft obtained from another site on the same patient. This code is reported per tendon repaired and explicitly includes the graft harvest in the procedural definition. The procedure is clinically important for restoring plantar flexion and toe function after tendon injuries that cannot be repaired primarily or present late.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides national-level context for clinical use, billing considerations, and how common payers classify and reimburse this type of reconstructive foot tendon surgery.
Readers will find benchmarks and utilization patterns where available, an explanation of the clinical context for delayed tendon repair with autologous grafting, and a concise overview of common billing modifiers and reporting practices. Data not provided in the input (such as associated taxonomies, specific ICD-10 diagnoses, and payer-specific reimbursement rates) are noted as unavailable. The piece is aimed at clinicians, coding professionals, and policy analysts seeking a clear, concise reference for CPT code 28202 and its role in surgical foot tendon reconstruction.
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Billing Code Overview
CPT code 28202 describes a delayed repair of a ruptured or torn tendon that enables flexion of the foot and toes using a free graft harvested from another part of the patient's body. The code is reported for each tendon repaired and includes obtaining the graft used for the reconstruction.
Service Type: Surgical tendon repair with autologous graft (delayed reconstruction)
Typical Site of Service: Hospital operating room or ambulatory surgery center, reflecting a surgical procedure that involves graft harvest and operative tendon reconstruction under appropriate anesthesia.