CPT^® 28315, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28315 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

Additional/Related Information

Tabs

Summary

The provider removes a sesamoid bone from beneath the first toe as a separate stand alone procedure. He performs the procedure to relieve pain.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2026 as well as historical information on code creation and revision.

Crosswalks

Tabs

MODIFIERS
ICD-10-CM

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 28315 ? Start a discussion here

28003/28005 with 28120, 28122, 28222, etc

Hi Tonia! Podiatry surgeon is billing 64450-59 with each of his procedures, and the anesthesiologist is billing 01480. Here is one report in which the following codes were billed -- 28315-RT, 28005... [ Read More ]

Delayed Closure and Sesamoidectomy

My provider took a patient to the OR for I & D of diabetic foot ulcer [10160] and also took a bone bx [20240], leaving the wound open. 6 days later he returned to the OR for delayed wound closure... t... [ Read More ]

14040 denied

I checked 28315 (assuming that's where you're headed) and there's no bundle with 14040. But 14040 isn't very specific so I don't know if that's the reason they don't bundle or if it's true that they r... [ Read More ]

CPT needed pretty quick

[b]planing/resection of hypertrophic sesamoid[/b] 28315 - Sesamoidectomy, first toe (separate procdure) would be bundled with 28288 - Ostectomy, partial, exostectomy or condylectomy, metatarsal head,... [ Read More ]

Planing of Sesamoid

Anyone know how to code this one? I was thinking 28315.52... [ Read More ]

Tibial & Fibular sesamoidectomy

[b]tibial sesamoidectomy[/b] Hope this helps. Found my answer elsewhere. Use CPT code 28315. Patho-Anatomy: - turf toe - sesamoid fractures - hallux valgus - because the sesamoids are eembedded i... [ Read More ]

tibil sesamoidectomy

Checked on this website for coding of tibial sesamoidectomy and found my answer elsewhere and wanted to share as I see other coders also were questioning which code to use for this procedure. Use CPT... [ Read More ]

28315 and 28122 billed together

I just wanted to point out that CCI allows this code combination (CPT 28122 & 28315) & modifier -59 is not required. I couldn't find anything else on this code combination though. Mary Kittredge, CP... [ Read More ]

28315 and 28122 billed together

Below I've pasted an excerpt from 'Podiatry Mangement Online' dated 2003: "Excision of sesamoids would be included in CPT 28122 allowance. CPT 28315 is designated as "separate procedure" which mean... [ Read More ]

28315 and 28122 billed together

Can your report 28315 with 28122 for excision og seasmoids with peartial excision of metatarsal head. they are not global but the 28315 is designated as a (seperate procedure) but the Doctor performs ... [ Read More ]

View All