Foot & ankle CPT codes

Free osteocutaneous flap harvested from the great toe with web space, transferred to a recipient site using microvascular anastomosis to restore both bone and soft tissue.

Free osteocutaneous flap transfer from a metatarsal donor site, with microvascular anastomosis, to reconstruct a recipient site requiring both bone and skin coverage.

Surgical reattachment of a completely amputated foot, restoring bony, vascular, tendinous, and neural continuity.

Microvascular bone graft harvested from the metatarsal, transferred to a recipient site with microsurgical vascular anastomosis to restore active blood supply.

Tibial osteotomy performed using an intramedullary lengthening device to correct deformity or leg length discrepancy

Radical resection of a tumor from the tibia, including removal of wide margins of normal surrounding bone tissue.

Capsulotomy of a major joint of the foot with extensive release of multiple contractures, performed as a revision or complex corrective procedure.

Radical resection of a tumor from the fibula, including removal of wide margins of surrounding normal bone and soft tissue.

Surgical osteoplasty of both the tibia and fibula to correct leg length discrepancy, either by lengthening or shortening the bones.

Open surgical fixation of a distal tibia (pilon/tibial plafond) fracture involving internal fixation of both the tibia and fibula.

Open surgical repair of a calcaneal fracture using an autogenous bone graft harvested from the iliac crest or another donor site, with internal fixation applied as needed.

Radical resection of a soft tissue tumor of the leg or ankle, where the tumor and surrounding margin of normal tissue measure 5 cm or larger.

Muscle, myocutaneous, or fasciocutaneous flap procedure performed on the lower extremity, involving transfer of vascularized tissue to cover or reconstruct a defect in the leg region.

Open repair of tibial nonunion or malunion using iliac crest or other autograft, including harvest of the graft at the same operative session.

Open surgical repair of an osteochondral defect on the talus using autograft tissue harvested from the patient's own body during the same operative session.

Tibial nonunion or malunion repair by tibiofibular synostosis — surgically fusing the tibia to the fibula to restore structural integrity when the tibia has failed to heal or has healed in poor alignment.

Midfoot capsulotomy combined with tendon lengthening, typically performed to correct clubfoot or midfoot deformity by releasing the joint capsule and surgically lengthening a contracted tendon.

Complete excision of all lesser metatarsal heads (2nd through 5th) with partial proximal phalangectomy, excluding the first metatarsal — the Clayton-type forefoot reconstruction procedure.

Surgical fusion of all four hindfoot and ankle joints — tibiotalar, subtalar, talonavicular, and calcaneocuboid — performed as a single procedure using internal fixation.

Surgical correction of hallux valgus (bunion) via proximal metatarsal osteotomy, involving realignment of the first metatarsal at its base with or without sesamoid removal.

Open surgical fixation of a pilon or tibial plafond fracture involving the weight-bearing articular surface of the distal tibia, with internal fixation of the tibia only.

Surgical cutting and realignment of both the tibia and fibula to correct lower leg deformity, malalignment, or leg-length discrepancy.

Open surgical repair of a calcaneal (heel bone) fracture, with internal fixation applied when needed to stabilize bone fragments.

Surgical arthrodesis of the first metatarsophalangeal joint, fusing the great toe's MTP joint to eliminate motion and relieve pain.

Surgical correction of hallux valgus (bunion) using a double osteotomy technique, with bunionectomy and sesamoidectomy when performed.

Hallux valgus correction with bunionectomy (including sesamoidectomy when performed) and first metatarsocuneiform joint arthrodesis, any method.

Surgical reconstruction of a congenital cleft foot deformity, closing the V-shaped midfoot cleft and restoring functional foot architecture.

Revision of a previously placed total ankle replacement — removal and reimplantation of prosthetic components to address loosening, wear, malalignment, or failure of the primary implant.

Multiple osteotomies of the tibia and/or fibula with bone realignment stabilized on an intramedullary rod — the Sofield-type procedure for severe angular or rotational deformity correction.

Surgical removal of a tumor originating in the tarsal bones of the foot, including the surrounding tissue margin; performed as radical resection when malignancy is confirmed.

Open surgical treatment of a talus fracture, with internal or external fixation performed when indicated.

Surgical release of one or more midtarsal (midfoot) joints by incising the joint capsule and surrounding soft tissues to correct contracture or restore range of motion.

Surgical repair of congenital pseudarthrosis of the tibia — a false joint formed at a congenital bowing site that failed to ossify normally.

Radical resection of a soft tissue tumor of the foot or toe, with the tumor measuring 3 cm or larger in greatest dimension.

Open surgical repair of a talotarsal joint dislocation, with or without internal fixation using pins or screws.

Radical resection of a soft-tissue tumor (e.g., sarcoma) in the leg or ankle region, with the tumor and its margins measuring less than 5 cm.

Open surgical fusion of the tibiotalar (ankle) joint, performed through a direct incision to prepare joint surfaces and achieve bony union.

Open surgical repair of a trimalleolar ankle fracture — all three malleoli (medial, lateral, and posterior) — with internal fixation applied to the posterior lip in addition to the medial and/or lateral malleolus.

Arthroscopic surgical fusion of the ankle's tibiotalar and fibulotalar joints, performed through small portals with internal fixation to permanently eliminate motion at the joint.

Arthrodesis of the interphalangeal joint of the great toe — surgical fusion specifically at the IP joint of the hallux.

Tibial shaft fracture treated by intramedullary nail insertion, with or without interlocking screws and/or cerclage wire, regardless of concurrent fibular fracture.

Radical resection of a tumor arising in the talus or calcaneus, involving wide-margin excision of the lesion and surrounding bone tissue.

Total ankle arthroplasty with implant — surgical replacement of the tibiotalar joint using a prosthetic device to eliminate pain and restore motion.

Open surgical repair of a tarsal bone dislocation (excluding talotarsal joints), with or without internal fixation such as pins or screws.

Surgical fusion of the three hindfoot joints — subtalar, talonavicular, and calcaneocuboid — performed as a single operative procedure.

Surgical correction of hallux valgus (bunion) via distal metatarsal osteotomy, with removal of the bony prominence and optional sesamoidectomy, using any fixation method.

Surgical repair of a fibula fracture that has failed to heal, performed with internal fixation to restore bony union and stability.

Surgical cutting and realignment of tarsal bones in the midfoot, excluding the calcaneus and talus, to correct deformity or relieve pain.

Hallux valgus correction (bunionectomy) with sesamoidectomy when performed, using a proximal phalanx osteotomy by any method — the Akin-type procedure.

Surgical fusion of a single midtarsal or tarsometatarsal (Lisfranc) joint using internal fixation to permanently immobilize that joint.

Surgical osteotomy of the first metatarsal (shaft or base) excluding the metatarsophalangeal joint surface, performed to correct deformity, relieve pain, or address shortening — with or without bone graft.

Osteotomy of multiple metatarsals performed during a single operative session, typically to correct forefoot deformity, transfer metatarsalgia, or address pathologic alignment across more than one ray.

Open repair of tibial nonunion or malunion using a sliding bone graft technique

Open fixation of a tibial shaft fracture using plate and screw constructs, with or without cerclage wires, and with or without an associated fibular fracture.

Open surgical repair of a trimalleolar ankle fracture with internal fixation applied to the medial and/or lateral malleolus, but without fixation of the posterior lip.

Below-knee amputation performed through both the tibia and fibula, with skin flap closure of the residual limb.

Arthroscopic surgical procedure on the subtalar joint that includes fusion (arthrodesis) of the joint surfaces using bone graft and internal fixation.

Surgical repair of a metatarsal nonunion or malunion, with or without bone graft; graft harvest is included when performed.

Open surgical fixation of a weight-bearing articular surface fracture of the distal tibia (pilon/tibial plafond), addressing the fibula only with internal fixation hardware.

Open repair of tibial nonunion or malunion without bone graft, performed to correct improper healing and restore function.