CPT^® 28475, Under Fracture and/or Dislocation Procedures on the Foot and Toes

The Current Procedural Terminology (CPT^®) code 28475 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Foot and Toes.

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Summary

In this procedure, the provider performs closed treatment of a metatarsal fracture with manipulation, or adjustment, of the fractured bone. Metatarsals are the five long bones located between the tarsal bones of the foot and phalanges of the toes.

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Have a question about CPT Code 28475 ? Start a discussion here

fracture question ortho specialty coding

We billed the follow scenario and having issues with the modifier. Can anyone give some light to this? 20692- RT/T8/GC 11012- RT/GC 28455- RT/GC 28475- RT/GC Our denial is on line 1 and line 4 sta... [ Read More ]

1-5 metatarsal fx's with multi plane fixation

Would you bill closed treatment with manipulation of metatarsal fractures (28475) along with the multiplane fixation 20692... [ Read More ]

need help on Fracture Care codes

Assuming the documentation supports this yes except the 28475 must be reported on separate lines 28475 T6 28475 T7 You can have only one anatomical modifier per line item... [ Read More ]

need help on Fracture Care codes

[b]Fx care[/b] Initial eval treating big toe fracture and 2nd, 3rd digit metatarsal fracture on same foot in office setting: 99204, 57 28495, T5 28475, T6, T7 ?... [ Read More ]

Cpt, em

Three questions. Does code 28475 include a walking boot? And do you know the RVU's for it? and can an EM code for an existing patient be used with strapping and an injection on the same day, with the ... [ Read More ]

Metatarsal Fractures x 4 Coding Help

[QUOTE="CBC, post: 231540, member: 31410"]I'm looking for advice for cpt coding of multiple metatarsal fractures. The report states that the physician placed the patient in a short leg cast and that ... [ Read More ]

Metatarsal Fractures x 4 Coding Help

I'm looking for advice for cpt coding of multiple metatarsal fractures. The report states that the physician placed the patient in a short leg cast and that he did a closed reduction of the foot tryi... [ Read More ]

what does "each" indicate on 28475?

"Each" would mean each metatarsal. So if there were 2 MT fx's and only one required a manipulation then you'd bill a 28475 (with manipulation) and a 28470 (without manipulation) along with the correc... [ Read More ]

what does "each" indicate on 28475?

If there are 2 metatarsal fractures and one manipulation, I'm not sure what "each" means on code. Do I need to add modifier or something? Thanks... [ Read More ]

Is a modifier required?

Yes. 28475 on 8/6. The patient was seen the day before the injury for sinusitis. No injury had occurred on 8/5. Thanks... [ Read More ]

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