CPT Code 28630 | Description & Clinical Information

CPT 28630 describes the provider’s performance of closed treatment on a metatarsophalangeal joint dislocation, which involves the abnormal separation of the joint connecting the metatarsal bone of the foot to the phalanx bone of the toe, without the use of anesthesia for the patient, with metatarsals being the five long bones in the foot that connect the ankle area to the toes and phalanges being the bones of the toe, with three in each toe except the greater toe, which has two phalanges.

Official Description

The CPT book defines CPT code 28630 as: “Closed treatment of metatarsophalangeal joint dislocation; without anesthesia”.

Clinical Information

The procedure describes by CPT code 28630 involves the reduction of metatarsophalangeal joint dislocation in patients. Prior to performing the procedure, the patient is properly prepared to ensure successful results. The provider usually conducts a separately reportable Xray to examine the joint in question and determine the extent of the dislocation.

Subsequently, the provider manually adjusts the bones to bring them into their normal alignment by pushing or pulling. During the whole process, no anesthesia is used, and the patient is advised to cooperate with the provider.

After the bones are back in place, the provider may place the affected foot or toe in a brace or splint for four weeks. This is necessary to give the bones ample time to heal and bind together. The use of the brace or splint also prevents the bones from dislocating again during the healing period.

To confirm that the reduction was successful, the provider may conduct a separately reported Xray examination to confirm that the dislocation has been resolved.

Reducing metatarsophalangeal joint dislocation requires a skilled and experienced provider to ensure that the procedure is conducted correctly. The use of anesthesia is usually avoided, where possible, to ensure that the patient can provide feedback during the procedure.

It is important for patients to follow through with aftercare instructions from their medical providers. These instructions help to speed up the healing process and minimize the possibility of complications. The use of the brace or splint should never be ignored as it plays a significant role in the healing process.

In conclusion, the reduction of metatarsophalangeal joint dislocation is an important procedure that helps alleviate pain and discomfort experienced by patients. It is conducted with careful preparation and without the use of anesthesia. Patients are advised to adhere to aftercare instructions to ensure the best possible outcome after the procedure.

Return to all the CPT codes for fracture and/or dislocation procedures on the foot and toes.