What is procedure code 28470?

What is procedure code 28470?

28470 (Closed treatment of metatarsal fracture; without manipulation, each) Lay Description: The physician treats a fracture of one of the five metatarsal bones without open surgery or any manipulation of the fracture.

Does CPT 28470 need a modifier?

The procedure for each toe would be coded with CPT 28470. Each line item will require two modifiers-79 since the patient is within the post op period of the prior procedure, and the toe modifier secondary (-T6, -T7, and -T8).

What is the CPT code s for fracture metatarsal closed treatment left foot?

CPT® Code 28470 in section: Closed treatment of metatarsal fracture.

What is considered closed treatment of a fracture?

Closed treatment specifically means that the fracture site is not surgically opened. Thus, an emergency physician usually provides closed treatment only, even when caring for an open fracture.

What is a Jones FX?

A Jones fracture is a fracture of the bone on the pinky toe side of your foot, the fifth metatarsal bone. This fracture can happen when you increase your training, increase pressure on your feet from gaining weight, or run on uneven surfaces.

How is a metatarsal fracture treated?

Treatment of metatarsal fractures depends on the type and extent of the fracture and may include:

1. Rest. Sometimes rest is the only treatment needed to promote healing of a stress or traumatic fracture of a metatarsal bone.
2. Avoid the offending activity.
3. Immobilization, casting or rigid shoe.
4. Surgery.
5. Follow-up care.

What is the modifier for decision for surgery?

Modifier 57 Decision for Surgery: add Modifier 57 to the appropriate level of E/M service provided on the day before or day of surgery, in which the initial decision is made to perform major surgery. Major surgery includes all surgical procedures assigned a 90-day global surgery period.

What is the difference between open and closed treatment of fractures?

Open fracture care is reported when the provider creates an opening to expose the bone to treat the fracture. Open fracture care is not performed in the emergency department; instead, the patient is taken to an operating room. Closed repair, by contrast, is made without an incision.

How long do you have to reduce a fracture?

How Long Does a Fracture Take to Heal? Most fractures heal in 6-8 weeks, but this varies tremendously from bone to bone and in each person based on many of the factors discussed above. Hand and wrist fractures often heal in 4-6 weeks whereas a tibia fracture may take 20 weeks or more.

What happens if a Jones fracture goes untreated?

Delayed Union. When a bone fracture is untreated, it can result in either a nonunion or a delayed union. In the former case, the bone doesn’t heal at all, which means that it will remain broken. As a result, swelling, tenderness, and pain will continue to worsen over time.

Is a Jones fracture hard to heal?

When a Jones fracture occurs, the foot may bruise and swell, and it will be painful to put weight on it. Because this area of the foot receives less blood than other regions, a Jones fracture can be difficult to heal.

Is it OK to walk on a broken metatarsal?

A patient with a broken metatarsal may be able to walk, depending on how painful the injury is. Despite this, the patient with a metatarsal fracture is advised to avoid excessive walking, especially on uneven ground, to eliminate the risk of displacement.