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CPT 28225: Extensor Tendon Adhesion Release, Foot
CPT code 28225 represents the surgical release of adhesions affecting a single extensor tendon in the foot, a targeted procedure to restore tendon movement and relieve pain from tendonitis or scar formation. Nationally, this code matters because it captures a specific foot tendon surgery distinct from broader tendon procedures, which affects coding specificity, utilization tracking, and coverage determinations across commercial and public payers. Key payers in the scope of national coverage and benchmarking include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of the clinical context for the procedure, commonly reported sites of service, and the types of metrics typically analyzed for this code, including utilization frequency, place-of-service distribution, and payer policy alignment. The content also outlines typical billing considerations such as common modifier use (list provided) and areas where coding specificity affects reimbursement and claims adjudication. If specific comparative benchmarks or local policy variations are relevant, those are presented as national-level observations rather than state-specific guidance. Data not provided in the input — including associated taxonomies, ICD-10 diagnosis pairings, and related codes — are noted as unavailable in the input.
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Billing Code Overview
CPT code 28225 describes the surgical removal of adhesions affecting a single extensor tendon in the foot. The procedure is intended to restore tendon gliding, improve range of motion, and reduce pain associated with tendonitis or post-injury scarring.
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Service type: Surgical procedure — tendon adhesion release in the foot
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Typical site of service: Ambulatory surgery center or hospital outpatient operating room