How To Use CPT Code 28665

CPT 28665 describes the closed treatment of an interphalangeal joint dislocation, which requires 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 28665?

CPT 28665 is used to describe the closed treatment of an interphalangeal joint dislocation, specifically in the toes. This procedure requires the use of anesthesia to ensure the patient’s comfort during the treatment. The provider will manually adjust the dislocated joint, bringing the bones back into their normal alignment. A splint or brace will then be applied to the toe to maintain the correct position for a period of four weeks. X-ray examinations may be performed before and after the reduction to confirm the success of the procedure.

2. Official Description

The official description of CPT code 28665 is: ‘Closed treatment of interphalangeal joint dislocation; requiring anesthesia.’

3. Procedure

1. The patient is prepped and anesthetized to ensure their comfort during the procedure.
2. The provider performs an X-ray examination to assess the dislocated joint.
3. Using manual techniques, the provider manipulates the bones to realign the dislocated joint.
4. A splint or brace is applied to the toe to maintain the correct alignment.
5. After the procedure, the provider may perform another X-ray examination to confirm the successful reduction of the dislocation.

4. Qualifying circumstances

CPT 28665 is used when a patient presents with an interphalangeal joint dislocation in the toes that requires closed treatment. The use of anesthesia is necessary to ensure the patient’s comfort during the procedure. It is important to note that this code specifically applies to the treatment of interphalangeal joint dislocations and not other types of joint dislocations.

5. When to use CPT code 28665

CPT code 28665 should be used when a provider performs closed treatment of an interphalangeal joint dislocation in the toes and anesthesia is required. It is important to ensure that the documentation clearly supports the use of anesthesia and the closed reduction of the dislocation. If the procedure is performed without anesthesia, CPT code 28660 should be used instead.

6. Documentation requirements

To support a claim for CPT code 28665, the provider must document the following information:

• Patient’s diagnosis of interphalangeal joint dislocation
• Use of anesthesia during the procedure
• Pre- and post-procedure X-ray examinations
• Details of the closed reduction technique used
• Application of a splint or brace to maintain alignment

7. Billing guidelines

When billing for CPT code 28665, it is important to ensure that the documentation supports the use of anesthesia and the closed treatment of an interphalangeal joint dislocation. This code should not be reported with other codes for different procedures or treatments. It is important to review the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT code 28665 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 presents with a dislocated interphalangeal joint in their toe. The provider administers anesthesia and performs a closed reduction of the dislocation. A splint is applied to maintain alignment.
2. After an X-ray examination confirms an interphalangeal joint dislocation in the toe, the provider administers anesthesia and manually manipulates the bones to realign the joint. A splint is then applied to support the correct alignment.
3. A patient with a dislocated interphalangeal joint in their toe undergoes closed treatment under anesthesia. The provider successfully reduces the dislocation and applies a splint for stabilization.
4. Following an X-ray examination that reveals an interphalangeal joint dislocation in the toe, the provider administers anesthesia and performs a closed reduction. A splint is applied to maintain the proper alignment.
5. A dislocated interphalangeal joint in the toe is identified through an X-ray examination. The provider administers anesthesia and performs a closed reduction, followed by the application of a splint to support the joint.
6. After confirming an interphalangeal joint dislocation in the toe, the provider administers anesthesia and manually reduces the dislocation. A splint is then applied to maintain alignment.
7. A patient presents with a dislocated interphalangeal joint in their toe. The provider administers anesthesia and performs a closed reduction, followed by the application of a splint for stabilization.
8. Following an X-ray examination that reveals an interphalangeal joint dislocation in the toe, the provider administers anesthesia and successfully reduces the dislocation. A splint is applied to support the joint in its correct alignment.
9. A dislocated interphalangeal joint in the toe is identified through an X-ray examination. The provider administers anesthesia and performs a closed reduction, followed by the application of a splint to maintain the proper alignment.
10. After confirming an interphalangeal joint dislocation in the toe, the provider administers anesthesia and manually reduces the dislocation. A splint is then applied to support the joint in its correct position.