*Evaluation and diagnosis of foot conditions to determine need for surgical intervention.

Category A: (Generally encompasses digital surgery of all types)

Nails, partial & complete excision, including matrices

Excision benign lesion of soft tissue, superficial only does not include ganglionic cysts or other of similar magnitude

Bursectomies – digits

Repair simple lacerations of foot and digital trauma except digital fractures

Excisions & repair nerves & lesions of digits

Incision and drainage superficial uncomplicated abscess with insertion of drain

Tenotomies, tendon lengthening & tendon repair digital tendons except extensor hallucis longus

Interphalangeal joint & metatarsal phalangeal joint capsulotomies

Phalangeal arthrotomies

Interphalangeal arthroplasties

Partial and total arthroplasties

Open & closed reduction phalangeal fractures except hallus

Intra or interphalangeal amputations

Category B: (Generally encompasses all forefoot surgery)

Excision soft tissue tumors of forefoot, e.g., intermetatarsal neuroma, ganglion, etc.

Bursectomies, forefoot only

Open & closed reduction of hallux and metatarsal fractures

Partial osteotomies, metatarsals, including dorsal metatarsal cuneiform exostoses

Bursectomies, forefoot only

Incision and drainage deep complicated soft tissue abscess

All digital tendon incisions, excisions, lengthening, shortenings & transpositions, including extensor hallucis longus

Repair uncomplicated soft tissue trauma, forefoot only

Excision of foreign body, forefoot only

Open & closed reduction of halux & metatarsal fractures

Partial osteotomies, metatarsals, including dorsal metatarsl cuneiform exostoses

Excision bones , forefoot only

Arthroplasties metatarsal phalangeal joints

Osteotomies, hallux & metatarsals

Simple bunionectomies

Radial hallux valgus & varus operations and Lapidus-type procedures&implant arthroplasty procedures

Amputation of toes (metatarsal phalangeal joint disarticulation)

Category C: (Generally includes other common but more difficult types of surgery of the forefoot & rear foot).

Excision of deep soft tissue tumors rear foot & ankle, e.g., neuroma, ganglion, lipoma, muscle biopsy, etc.

Repair all soft tissue trauma foot and ankle

Simple plastic surgical procedures of foot and ankle including nonextensive grafting

Decompression of nerve entrapment (neurolysis) foot and ankle

Tendon Achilles lengthening

Peroneal tendon lengthening

Incision, excision, lengthening & shortening of fascia including plantar fibromatosis

Excision of accessory bones, rear foot

All forefoot implant arthroplasties

Partial ostectomy tarsal bones, e.g., Hadlund’s plantar heel spur, navicular tuberosity, tarsal coalitions, etc.

Open & closed reduction midtarsal fractures, does not include talus and calcaneus

Arthrodesis of metatarsal tarsal joints

Total forefoot reconstructive procedures, e.g., Hoffman-Hibbs, Heyman-Herndon-Strong, etc.

Ray amputations

Surgical treatment of osteomylitis of forefoot

Category D: (Generally includes the difficult less common types of surgical reconstruction of the foot & ankle. This includes treatment of extensive trauma of the foot & ankle. This category also includes extensive multiple procedure combinations where the speed and skill required of the surgeon is far greater than when the same procedures are staged on lesser numbers at one surgical interval.)

Complicated plastic surgical procedures of the foot & ankle, including extensive skin grafting

Major tendon surgery of the foot & ankle such as tendon transpositionings, recessions and suspensions

Ankle stabilization procedures

Open & closed reduction fractures of talus, calcaneous, ankle

Arthroplasties, with or without implants, tarsal and ankle joints, e.g.subtalar joint arthrodesis

Arthrodesis tarsal and ankle joints

Osteotomy, multiple, tarsal bones, e.g.tarsal wedge osteotomies

Osteotomy, tibia, fibula

Surgical treatment of osteomyelitis of rear foot & ankle

Amputations – all other with foot