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.

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.

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

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

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.

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

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

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.

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.

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

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

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.

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

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.

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

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.

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

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.

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.

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

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

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

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

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.

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

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

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

Radical resection of a tumor arising from a metatarsal bone, removing the lesion along with a margin of surrounding normal tissue to achieve clear margins.

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.

Below-knee amputation through the tibia and fibula with immediate prosthetic fitting technique, including application of the first cast.

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

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.

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.

Surgical amputation of the foot performed by transecting through the metatarsal bones, removing all toes and the distal forefoot in a single procedure.

Decompression fasciotomy of the leg covering anterior and/or lateral compartments plus posterior compartment(s), with removal of nonviable muscle and/or nerve tissue.

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

Radical resection of a soft tissue tumor of the foot or toe, with the tumor and its excised margins measuring less than 3 cm in greatest dimension.

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

Surgical partial removal of the tibia involving craterization, saucerization, or diaphysectomy to excise diseased, infected, or necrotic bone tissue.

Midtarsal or tarsometatarsal fusion of multiple or transverse joints that includes an osteotomy — such as a metatarsal shaft resection — to correct flatfoot deformity.

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

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

Open treatment of ankle dislocation requiring repair, internal fixation, or external fixation, with or without percutaneous skeletal fixation

Surgical fusion of the subtalar joint, eliminating motion between the talus and calcaneus to treat post-traumatic arthritis, degenerative arthritis, or hindfoot deformity.

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.

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

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.

Arthrodesis of the midtarsal or tarsal navicular-cuneiform joint combined with tibialis posterior tendon lengthening and advancement — the Miller-type flatfoot correction procedure.

Excision or curettage of a bone cyst or benign tumor from the tibia or fibula, with allograft used to fill the defect.

Surgical cutting and realignment of the tibia to correct angular deformity or redistribute joint load, performed through an open incision with fixation as indicated.

Surgical removal of the foot by separating it from the lower leg at the ankle joint, preserving the heel pad for a weight-bearing residual limb.