How To Use CPT Code 28600

CPT 28600 describes the closed treatment of a tarsometatarsal joint dislocation without the use of anesthesia. 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 28600?

CPT 28600 is used to describe the closed treatment of a tarsometatarsal joint dislocation without the use of anesthesia. This procedure involves the provider manually adjusting the bones to bring them back to their normal alignment. The patient does not require anesthesia during this reduction procedure. Tarsometatarsal joints are the joints between the tarsal and metatarsal bones in the midfoot and rearfoot area.

2. Official Description

The official description of CPT code 28600 is: ‘Closed treatment of tarsometatarsal joint dislocation; without anesthesia.’

3. Procedure

1. The provider performs a separately reportable X-ray to examine the dislocated tarsometatarsal joint.
2. Using manual techniques, the provider manually adjusts the bones to bring them back to their normal alignment.
3. The patient does not require anesthesia during the reduction procedure.
4. The provider may perform a separately reportable X-ray examination to confirm the reduction of the dislocation.
5. The provider places the patient’s foot in a splint or brace for a period of four weeks to support the healing process.

4. Qualifying circumstances

CPT 28600 is used for patients who have a tarsometatarsal joint dislocation that requires closed treatment without anesthesia. This procedure is appropriate for patients who do not need surgical intervention and can have their dislocated joint manually adjusted by the provider. The patient’s condition must meet the criteria for a tarsometatarsal joint dislocation, and the treatment must be performed without the use of anesthesia.

5. When to use CPT code 28600

CPT code 28600 should be used when the provider performs closed treatment of a tarsometatarsal joint dislocation without the use of anesthesia. This code is appropriate when the patient’s condition meets the criteria for a tarsometatarsal joint dislocation and the treatment can be performed without the need for surgical intervention or anesthesia.

6. Documentation requirements

To support a claim for CPT 28600, the provider must document the following information:

• Patient’s diagnosis of tarsometatarsal joint dislocation
• Performance of a separately reportable X-ray to examine the dislocated joint
• Manual adjustment of the bones to bring them back to their normal alignment
• Confirmation of the reduction of the dislocation through a separately reportable X-ray examination
• Placement of the patient’s foot in a splint or brace for four weeks

7. Billing guidelines

When billing for CPT 28600, ensure that the procedure is performed without the use of anesthesia. This code should not be reported if the provider performs a tarsometatarsal joint dislocation reduction that requires anesthesia. Additionally, there are other codes available for different scenarios, such as CPT 28605 for a reduction with anesthesia, CPT 28606 for percutaneous skeletal fixation with manipulation, and CPT 28615 for open treatment of the tarsometatarsal joint dislocation with or without internal fixation.

8. Historical information

CPT 28600 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with a tarsometatarsal joint dislocation, and the provider performs closed treatment without the use of anesthesia to manually adjust the bones and bring them back to their normal alignment.
2. After a separately reportable X-ray examination confirms a tarsometatarsal joint dislocation, the provider performs closed treatment without anesthesia to reduce the dislocation and places the patient’s foot in a splint for four weeks.
3. A patient with a tarsometatarsal joint dislocation undergoes closed treatment without anesthesia, and the provider performs a follow-up X-ray examination to confirm the reduction of the dislocation.
4. The provider performs closed treatment without anesthesia for a tarsometatarsal joint dislocation, manually adjusting the bones to their normal alignment, and applies a splint to support the healing process.
5. After diagnosing a tarsometatarsal joint dislocation, the provider performs closed treatment without anesthesia, manually reducing the dislocation, and immobilizes the foot with a splint for four weeks.
6. A patient with a tarsometatarsal joint dislocation receives closed treatment without anesthesia, and the provider performs a post-reduction X-ray examination to ensure the successful reduction of the dislocation.
7. The provider performs closed treatment without anesthesia for a tarsometatarsal joint dislocation, manually reducing the dislocation, and applies a brace to support the healing process.
8. After diagnosing a tarsometatarsal joint dislocation, the provider performs closed treatment without anesthesia, manually adjusting the bones, and immobilizes the foot with a splint for the recommended four-week period.
9. A patient presents with a tarsometatarsal joint dislocation, and the provider performs closed treatment without anesthesia, manually reducing the dislocation, and applies a splint to support the healing process.
10. The provider performs closed treatment without anesthesia for a tarsometatarsal joint dislocation, manually adjusting the bones, and immobilizes the foot with a brace for the recommended four-week period.