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CPT 28805: Metatarsal-Level Partial Foot Amputation
CPT code 28805 denotes a surgical partial foot amputation performed by cutting across the metatarsal bones. This procedure is clinically significant for limb preservation strategies, trauma management, severe infection control, and complications of peripheral vascular disease and diabetic foot disease. As a definitive surgical intervention, metatarsal-level amputation affects post-operative rehabilitation needs, prosthetic planning, and downstream costs of care.
Key payers addressed in national analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage policies and reimbursement rates for partial foot amputations influence site-of-service decisions (hospital inpatient, outpatient surgical center) and care pathways for patients with complex comorbidities.
Readers will find a concise overview of the clinical context for CPT code 28805, typical sites of service, and where this procedure fits within surgical and limb-salvage care. The publication also summarizes benchmarks and payment considerations, highlights relevant coding relationships, and flags areas where policy or reimbursement updates commonly arise. Data not provided in the input (for example, specific payer rates, ICD-10 diagnoses, or associated taxonomies) are noted as unavailable in the input.
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Billing Code Overview
CPT code 28805 describes a surgical amputation of the foot performed by transecting across the metatarsal bones. The procedure removes the distal part of the foot at the level of the metatarsals and is a form of partial foot amputation.
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Service type: Surgical procedure — partial foot amputation (metatarsal-level)
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Typical site of service: Operating room or surgical suite in a hospital or ambulatory surgical center