2025 CPT code 28485

Open treatment of metatarsal fracture, with or without internal or external fixation, each.

Modifiers may be applicable to this code. For example, modifier 54 (Surgical Care Only) would be used if the surgeon only performs the surgical procedure and does not provide post-operative care.Modifier 76 (Repeat Procedure or Service by Same Physician) is used if the same surgeon performs the procedure again. Modifier 59 (Distinct Procedural Service) may be used to indicate that the procedure is distinct from other services performed on the same day.

Medical necessity for this procedure is established when the metatarsal fracture is unstable, significantly displaced, open, or involves multiple metatarsals.Conservative treatment options like casting or splinting may be insufficient in these cases, and surgical intervention is required to restore anatomical alignment, stability, and function.

The surgeon is responsible for pre-operative planning, including imaging studies and assessment of the fracture.During the procedure, the surgeon performs the incision, reduction of the fracture, and application of any fixation devices. Post-operatively, the surgeon monitors the healing process, manages pain, and prescribes rehabilitation as needed.

In simple words: This surgery fixes a broken bone in your foot. The surgeon makes a cut to expose the broken bone, puts the pieces back together, and may use metal hardware like screws or plates to hold it in place while it heals.

This procedure involves open treatment of a metatarsal fracture.The surgeon makes an incision to access the fractured bone, realigns the bone fragments, and may use internal or external fixation devices (such as screws, plates, pins, or wires) to stabilize the fracture and promote healing.This code is reported for each metatarsal fracture treated.

Example 1: A patient sustained a displaced fracture of the fifth metatarsal during a sporting event. Open reduction and internal fixation using screws is performed to stabilize the fracture and allow proper healing., A patient presents with multiple metatarsal fractures after a motor vehicle accident.Open reduction and internal fixation with plates and screws are performed on each fractured metatarsal., An open fracture of the second metatarsal is treated with open reduction and external fixation using pins and wires due to significant soft tissue injury and the need for wound management before definitive internal fixation.

Documentation should include details of the fracture, such as location, displacement, and any associated injuries. Operative reports should describe the surgical approach, method of reduction, type of fixation used, and any complications encountered. Post-operative notes should document the healing progress and any follow-up care.

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