03/26/2024

Correct Billing for Plantar Fascial Release

When I perform a Right foot plantar heel spur resection, or a right foot plantar fascial release, what CPT code should I be using?

Please see the code to bill for a plantar fascial release:

28119- Ostectomy, calcaneus; for spur, with or without plantar fascial release

Lay Description Code

The physician applies a tourniquet to the ankle. The medial third of the plantar fascia is incised and, through the incision, the abductor hallucis muscle is elevated and a portion of the deep fascia of the abductor hallucis released, if required. To excise the spur, a key elevator is placed forward and back of the spur and the spur is transected with an osteotome. The cut spur is removed using a rongeur and the bone edges smoothed. Thrombin or bone wax can be packed at the cut edge of the bone. In some cases, part of the flexor digitorum brevis must be removed for a calcaneal spur that is deeply embedded. Once the spur is removed, the margins are smoothed with a bone rasp. The wound is irrigated and a dressing is applied.

You will append the respective site modifier to this code (RT/LT)