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2025 CPT code 28576

Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation.

The application and removal of the first cast, splint, or traction device are included in the code. If a cast or splint is applied solely for comfort before definitive treatment, it's not considered closed treatment. External fixation codes are reported separately only if not included in the procedure description. Modifier 54 is used if the physician performing the procedure will not provide subsequent care. Modifier 76 should be appended if the same physician performs a subsequent re-reduction of the same fracture/dislocation.

Modifiers such as 22 (increased procedural services), 54 (surgical care only), 76 (repeat procedure by same physician), and others may be applicable depending on the specific circumstances.

In simple words: This procedure treats a dislocated talotarsal joint (in your foot) by putting the bones back in place and using pins or screws, inserted through small cuts in your skin, to hold them there.

This code describes a procedure where the physician performs a percutaneous skeletal fixation of a talotarsal joint dislocation. It involves manipulating the dislocated bones back into their proper alignment and then using pins or screws, inserted through the skin, to stabilize the joint.

Example 1: A patient dislocates their talotarsal joint during a basketball game. The physician manipulates the joint back into place and then performs a percutaneous skeletal fixation using pins to stabilize the joint., A patient presents with a chronically unstable talotarsal joint following a previous dislocation. The physician decides to perform a percutaneous skeletal fixation to provide additional stability., A patient sustains a complex talotarsal joint dislocation with associated fractures. Following open reduction of the fractures, the physician performs a percutaneous skeletal fixation to stabilize the joint and allow for healing.

Documentation should include details of the dislocation, the manipulation performed, the type of fixation used (pins or screws), and any associated injuries. Pre- and post-reduction X-rays are crucial.

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