CPT code 28735 covers surgical immobilization (arthrodesis) of multiple or transverse midtarsal or tarsometatarsal joints with fixation devices and includes a metatarsal osteotomy to correct flat foot deformity. This procedure addresses pain from end-stage osteoarthritis of the midtarsal or tarsometatarsal joints and is an important reconstructive option in foot and ankle surgery. Nationally, the code is used to document complex joint-sparing or joint-fusing interventions that can impact utilization, payment policy, and surgical quality measurement for foot and ankle care.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and service setting, common billing and coding considerations tied to surgical arthrodesis with osteotomy, and the typical sites where this service is delivered. The publication also summarizes typical modifiers and related billing contexts when available. Where specific payer policy details or benchmark data are unavailable in the input, the report notes that data are not provided.

This summary equips clinicians, coding professionals, and policy analysts with the clinical context and billing definition of CPT code 28735, supporting accurate documentation and payer communication across inpatient and ambulatory surgical settings.