28270 Lesser MPJ capsulotendon balancing 3.5 Tendon repair, lengthening, or transfer involving the forefoot (including digital flexor digitorum longus transfer) 3.6 Open management of dislocation (MPJ/tarsometatarsal) 3.7 10180, 11043-44, 20000, 20005, 20103, 28001-3 Incision and drainage/wide debridement of soft tissue infection (including plantar space) 3.8 28060-2 Plantar fasciectomy 3.9 11400-426, 11600-646, 28039-47, 28050-54, 28092 Excision of soft tissue tumor/mass of the foot (without reconstructive surgery) 3.10 Procedure code number no longer used 3.11 14020-21, 14040-41, 14300, 14350, 15050, 15240-41, 15738, 15740, 15750, 20969-73, 28280, 28286, 28313, 28360 Plastic surgery techniques (including skin graft, skin plasty, flaps, syndactylization, desyndactylization, and debulking procedures limited to the forefoot) 3.12 28020-24, 28050, 64727 Microscopic repair (forefoot only) 3.13 soft tissue procedures not listed above (limited to the foot) 3.14 27615-16, 27618-19, 27632, 27634 Excision of soft-tissue tumor/mass of the ankle (without reconstructive surgery) 3.15 28035, 28055, 64702, 64704, 64722, 64726 External neurolysis/decompression (including tarsal tunnel) 3.16 Number of Procedures (minimum 45 per resident) Category 4: Other Osseous Foot Surgery of CPT Codes Description Code Number Number of Procedures 27640-41, 28116, 28118-20, 28122, 28288 Partial ostectomy (distal to and including the talus) 4.1 28052, 28234, 28645 Lesser MPJ arthroplasty 4.2 Bunionectomy of the fifth metatarsal without osteotomy 4.3
28112-14 Metatarsal head resection (single or multiple) 4.4 28899 Lesser MPJ implant 4.5 28308-9 Central metatarsal osteotomy 4.6 28308 Bunionectomy of the fifth metatarsal with osteotomy 4.7 28485 Open management of lesser metatarsal fractures 4.8 20900, 20902 Harvesting of bone distal to the ankle 4.9 28805, 28810 Amputation (lesser ray, transmetatarsal amputation) 4.10 20005, 28005 Management of bone/joint infection distal to the tarsometatarsal joints (with or without bone graft) 4.11 28171, 28173 Management of bone tumor/neoplasm distal to the tarsometatarsal joints (with or without bone graft) 4.12 28615 Open management of tarsometatarsal fracture/dislocation 4.13 28308-9 Multiple osteotomy management of metatarsus adductus 4.14 27840, 28730, 28735 Tarsometatarsal fusion 4.15 Corticotomy/callus distraction of lesser metatarsal 4.16 28322 Revision/repair of surgical outcome in the forefoot 4.17 28130, 28140 Other osseous procedures not listed above (distal to the tarsometatarsal joint) 4.18 28118 Detachment/reattachment of Achilles tendon with partial ostectomy 4.19 Total Number of Procedures (minimum 40 per resident) Category 5: Reconstructive Rearfoot and Ankle Surgery – Elective Soft Tissue Range of CPT Codes Description Code Number Number of Procedures 14020-21, 14040-41, 14300, 14350 Plastic surgery techniques involving the midfoot, rearfoot, or ankle 5.1.1 27690-92 Tendon transfer involving the midfoot, rearfoot, ankle, or leg 5.1.2 27685-87, 28240 Tendon lengthening involving the midfoot, rearfoot, ankle, or leg 5.1.3 28260-4 Soft tissue repair of complex congenital foot/ankle deformity (clubfoot, vertical talus) 5.1.4
On what date will the sponsoring institution obtain a binding commitment from the prospective resident(s)? Supplemental Materials The following items must be submitted on each flash drive (see page 1 of the report). Please refer to the referenced requirements in CPME 320, Standards and Requirements for Approval of Podiatric Medicine and Surgery Residencies, for further information specific to each required document. Sponsorship and Affiliation Agreements: Provide the following information for the sponsoring institution, including the sponsor and co-sponsor (if applicable), and each affiliated training site (e.g., hospital, surgery center, private practice office). For each institution identified below, provide copies of accreditation documents (e.g. Joint Commission and AAAHC) and copies of executed affiliation agreements between the sponsoring institution and the affiliates. Name City, State Accredited By Percentage of Training Date Affiliation Signed/ Effective Date Coordinator Staff? Name