Look to an Unlisted Code For Plantar Fascia Fenestration
Question: I have a report for a procedure performed at our podiatry clinic. The patient presented for plantar fasciitis treatment. The podiatrist performed plantar fascia needle fenestration with ultrasound (US) guidance. What procedure codes should I assign for the procedures? Washington Subscriber Answer: Right now, your best option is to use an unlisted code like 28899 (Unlisted procedure, foot or toes) to report the US-guided needle fenestration of the plantar fascia. According to the August 2025 issue of CPT® Assistant, “there is no existing code that specifically and accurately describes this procedure.” This is why unlisted code 28899 is the most appropriate choice. What is tissue fenestration? Tissue fenestration is a procedure where the physician punctures the injured body tissue multiple times with a needle to help stimulate blood flow to the area. Blood flow to the damaged tissue delivers growth factors that help the tissue heal. Mike Shaughnessy, BA, CPC, Production Editor, AAPC
