How To Use CPT Code 28605

CPT 28605 describes the closed treatment of a tarsometatarsal joint dislocation, which involves the abnormal separation of a joint in the foot. 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 28605?

CPT 28605 is used to describe the closed treatment of a tarsometatarsal joint dislocation. This procedure involves the provider manually adjusting the bones in the foot to bring them back to their normal alignment. Anesthesia is required for this treatment.

2. Official Description

The official description of CPT code 28605 is: ‘Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia.’

3. Procedure

1. The provider begins by prepping and anesthetizing the patient.
2. An X-ray is performed to examine the dislocated joint.
3. The provider manually adjusts the bones by pushing or pulling to bring them back to their normal alignment.
4. A splint or brace is applied to the foot to immobilize it for four weeks.
5. An X-ray may be performed to confirm the reduction of the dislocation.

4. Qualifying circumstances

CPT 28605 is used when a patient has a tarsometatarsal joint dislocation that requires closed treatment. This procedure is performed under anesthesia. The provider must be able to manually adjust the bones to bring them back to their normal alignment.

5. When to use CPT code 28605

CPT code 28605 should be used when a patient requires closed treatment for a tarsometatarsal joint dislocation and anesthesia is necessary. This code should not be used if the provider performs the reduction without anesthesia or if they perform percutaneous skeletal fixation or open treatment of the dislocation.

6. Documentation requirements

To support a claim for CPT 28605, the provider must document the following information:

• Patient’s diagnosis of tarsometatarsal joint dislocation
• Use of anesthesia for the procedure
• Date of the procedure
• Details of the reduction technique used
• Application of a splint or brace
• Confirmation of reduction through an X-ray, if performed

7. Billing guidelines

When billing for CPT 28605, ensure that the procedure involves closed treatment of a tarsometatarsal joint dislocation and requires anesthesia. Do not report CPT 28605 if the reduction is performed without anesthesia (use CPT 28600 instead). It is important to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 28605 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes closed treatment of a tarsometatarsal joint dislocation with anesthesia.
2. A provider performs closed reduction of a tarsometatarsal joint dislocation under anesthesia and applies a splint.
3. A patient with a tarsometatarsal joint dislocation receives closed treatment with anesthesia, and an X-ray confirms the reduction.
4. A provider performs closed treatment of a tarsometatarsal joint dislocation with anesthesia and immobilizes the foot with a brace.
5. A patient undergoes closed reduction of a tarsometatarsal joint dislocation with anesthesia, and an X-ray is performed to confirm the reduction.
6. A provider performs closed treatment of a tarsometatarsal joint dislocation with anesthesia and applies a splint for immobilization.
7. A patient receives closed reduction of a tarsometatarsal joint dislocation with anesthesia, and a follow-up X-ray confirms the successful reduction.
8. A provider performs closed treatment of a tarsometatarsal joint dislocation with anesthesia and applies a brace for immobilization.
9. A patient undergoes closed reduction of a tarsometatarsal joint dislocation with anesthesia, and an X-ray is performed to ensure the proper alignment of the bones.
10. A provider performs closed treatment of a tarsometatarsal joint dislocation with anesthesia and applies a splint to support the foot during the healing process.