How To Use CPT Code 28576

CPT 28576 describes the percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 28576?

CPT 28576 can be used to describe the percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation. This code is used when the provider performs treatment for the abnormal separation of a joint using screws and pins through the skin. The provider also performs manipulation, or adjustment, of the separated bones to reduce the dislocation. The talotarsal joint is a joint of the talus with another tarsal bone in the midfoot and rearfoot area.

2. Official Description

The official description of CPT code 28576 is: ‘Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation.’

3. Procedure

1. The provider assesses the dislocated talotarsal joint using an X-ray.
2. The provider manually adjusts the bones by pushing or pulling to bring them back to their normal alignment.
3. A small incision is made in the skin over the dislocated joint.
4. Pins and screws are inserted through the incision to hold the reduced dislocation in place.
5. The wound is closed by suturing the skin.
6. The foot is placed in a splint or brace for four weeks.
7. An X-ray examination may be performed to confirm the reduction of the dislocation.

4. Qualifying circumstances

CPT 28576 is used for patients with talotarsal joint dislocation that requires percutaneous skeletal fixation and manipulation. The provider must perform the procedure using screws and pins through the skin to hold the reduced dislocation in place.

5. When to use CPT code 28576

CPT code 28576 should be used when the provider performs percutaneous skeletal fixation of talotarsal joint dislocation with manipulation. It should not be used for other types of dislocations or for treatment without manipulation.

6. Documentation requirements

To support a claim for CPT 28576, the provider must document the following information:

• Diagnosis of talotarsal joint dislocation
• Performance of an X-ray examination to assess the dislocation
• Manual adjustment of the bones to reduce the dislocation
• Creation of a small incision and insertion of pins and screws
• Closure of the wound by suturing the skin
• Placement of the foot in a splint or brace
• Performance of an X-ray examination to confirm the reduction of the dislocation

7. Billing guidelines

When billing for CPT 28576, ensure that the provider performs percutaneous skeletal fixation of talotarsal joint dislocation with manipulation. This code should not be reported with other codes for different types of dislocations or treatment without manipulation. It is important to follow the specific guidelines for reporting CPT 28576 accurately.

8. Historical information

CPT 28576 was added to the Current Procedural Terminology system on January 1, 1993. There have been no updates to the code since its addition.

9. Examples

1. A provider performs percutaneous skeletal fixation of talotarsal joint dislocation with manipulation for a patient who suffered a traumatic injury.
2. A patient presents with a congenital talotarsal joint dislocation, and the provider performs the necessary procedure to reduce the dislocation.
3. A provider treats a patient with a chronic talotarsal joint dislocation, and percutaneous skeletal fixation with manipulation is performed to improve the patient’s mobility and reduce pain.
4. A patient with a talotarsal joint dislocation seeks treatment, and the provider performs the procedure to restore the joint’s normal alignment.
5. A provider performs percutaneous skeletal fixation with manipulation for a patient with a talotarsal joint dislocation caused by a sports-related injury.
6. A patient with a talotarsal joint dislocation due to a fall receives treatment from a provider who performs the necessary procedure to reduce the dislocation.
7. A provider performs percutaneous skeletal fixation with manipulation for a patient with a talotarsal joint dislocation resulting from a car accident.
8. A patient with a talotarsal joint dislocation seeks treatment, and the provider performs the necessary procedure to restore the joint’s normal alignment and improve the patient’s quality of life.
9. A provider performs percutaneous skeletal fixation with manipulation for a patient with a talotarsal joint dislocation caused by a workplace injury.
10. A patient with a talotarsal joint dislocation due to a fall receives treatment from a provider who performs the necessary procedure to reduce the dislocation and prevent further complications.