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CPT 28810: Amputation of Single Metatarsal and Attached Toe
CPT code 28810 represents the surgical amputation of a single metatarsal bone together with its attached toe. This procedure is a discrete forefoot amputation used in settings where preservation of limb length or removal of diseased tissue necessitates resection of a metatarsal and the corresponding digit. Nationally, reporting accurate procedural coding for such amputations is important for case mix, quality measurement, and appropriate reimbursement for surgical and post-operative care.
Key payers in the national landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical description of the procedure, typical places of service, common payer considerations, and references to related billing elements. The publication addresses coding context, expected sites of service (operating room, ambulatory surgical center, or inpatient surgical setting), and clinical scenarios that commonly lead to metatarsal and toe amputation.
This summary prepares clinicians, coders, and policy analysts to understand where CPT code 28810 fits within surgical foot procedures, what to expect in terms of care setting, and which national payers commonly cover the service. Data not available in the input will be noted where applicable in other sections.
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Billing Code Overview
CPT code 28810 describes the amputation of a single metatarsal bone with its attached toe. The procedure involves surgical removal of one of the five long metatarsal bones of the foot along with the corresponding toe (phalanges).
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Service type: Surgical amputation of a single metatarsal and toe
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Typical site of service: Operating room or ambulatory surgical center; may also occur in an inpatient surgical setting depending on clinical complexity and patient needs