Podiatry CPT Codes in the ASC and Outpatient Setting
Podiatric foot and ankle surgery fits the ambulatory surgery center well. Many forefoot, nail, and soft-tissue procedures are short and predictable, with no inpatient stay.
This hub maps the podiatry CPT codes in our dataset to the ASC network. The 28000-28899 range covers foot and toe surgery, such as 28296 for a distal first metatarsal osteotomy for hallux valgus, a common bunion procedure. The 11719-11765 range covers nail care, such as 11750 for excision of the nail and nail matrix. Whether a code is payable in an ASC depends on its CMS Addendum status: Addendum AA is the ASC Covered Procedures List, meaning Medicare pays it in an ASC, while Addendum EE codes are excluded. DataLily's procedure library tracks the CPT-specific prior-authorization and documentation requirements that drive denials in this specialty.
Podiatry codes(1–60 of 186)
- 28285Repair of hammertoe
- 28296Cor hlx vlgs dstl mtar osteo
- 11750Excision nail&nail matrix
- 11730Avulsion nail plate simple 1
- 11719Trim nail(s) any number
- 11720Debride nail 1-5
- 11721Debride nail 6 or more
- 11732Avlsn nail plate simple each
- 11740Evacuation subungual hmtma
- 11755Biopsy nail unit
- 11760Repair of nail bed
- 11762Reconstruction of nail bed
- 11765Wedge excision skn nail fold
- 28001Drainage of bursa of foot
- 28002Treatment of foot infection
- 28003Treatment of foot infection
- 28005Treat foot bone lesion
- 28008Incision of foot fascia
- 28010Incision of toe tendon
- 28011Incision of toe tendons
- 28020Exploration of foot joint
- 28022Exploration of foot joint
- 28024Exploration of toe joint
- 28035Decompression of tibia nerve
- 28039Exc foot/toe tum sc 1.5 cm/>
- 28041Exc foot/toe tum dep 1.5cm/>
- 28043Exc foot/toe tum sc < 1.5 cm
- 28045Exc foot/toe tum deep <1.5cm
- 28046Resect foot/toe tumor < 3 cm
- 28047Resect foot/toe tumor 3 cm/>
- 28050Biopsy of foot joint lining
- 28052Biopsy of foot joint lining
- 28054Biopsy of toe joint lining
- 28055Neurectomy foot
- 28060Partial removal foot fascia
- 28062Removal of foot fascia
- 28070Removal of foot joint lining
- 28072Removal of foot joint lining
- 28080Removal of foot lesion
- 28086Excise foot tendon sheath
- 28088Excise foot tendon sheath
- 28090Removal of foot lesion
- 28092Removal of toe lesions
- 28100Removal of ankle/heel lesion
- 28102Remove/graft foot lesion
- 28103Remove/graft foot lesion
- 28104Removal of foot lesion
- 28106Remove/graft foot lesion
- 28107Remove/graft foot lesion
- 28108Removal of toe lesions
- 28110Part removal of metatarsal
- 28111Part removal of metatarsal
- 28112Part removal of metatarsal
- 28113Part removal of metatarsal
- 28114Removal of metatarsal heads
- 28116Revision of foot
- 28118Removal of heel bone
- 28119Removal of heel spur
- 28120Part removal of ankle/heel
- 28122Partial removal of foot bone
Are podiatry procedures done in an ambulatory surgery center?
Yes. Many podiatric foot surgeries are short outpatient procedures that fit the ASC model, which is why they are commonly billed under place of service 24. Whether Medicare pays a given code in an ASC depends on its CMS Addendum status. Codes on Addendum AA are on the ASC Covered Procedures List, while Addendum EE codes are excluded from ASC payment. Some nail and minor procedures are also performed in the office under place of service 11.
What CPT codes does podiatry use?
Podiatry surgical coding draws heavily on two CPT families. The 28000-28899 range covers foot and toe surgery, such as 28285 for hammertoe repair and 28296 for a distal first metatarsal osteotomy used in bunion correction. The 11719-11765 range covers nail procedures, such as 11750 for excision of the nail and nail matrix and 11730 for a simple nail plate avulsion. Our dataset maps 186 ASC-relevant codes to this specialty.
What is the difference between a bunion code and a hammertoe code?
They describe different forefoot corrections. A hammertoe repair, reported with 28285, addresses a contracted toe. Bunion correction for hallux valgus is often reported with a metatarsal osteotomy such as 28296, which describes a distal first metatarsal osteotomy. The correct code depends on the specific procedure performed and the operative documentation, so review the descriptor and operative note before selecting a code.