There are many different excerises that a patient could do either at home or at a physical therapy office in order to help regain strength after a metatarsal fracture fixation surgery. A walking brace or boot might be necessary before the fractures are completely healed. It is highly recommended that the patient does not bear any weight on the foot for approximately six to eight weeks. Metatarsal Fracture ORIF Contraindications. Once the procedure is successfully complete, the incisions are sealed and the foot is properly bandaged and placed into a splint. 28485 Open treatment of metatarsal fracture, includes internal fixation. Depending on the fracture, a surgeon could use one or two plates with a number of screws in each in order to fix a number of different fractures within the metatarsus. The surgeon has the option to choose from a variety of screws and rigid plates or wires. Next, the surgeon will realign the bones and stabilize the fractures using screws and other hardware. HISTORY: This 32-year-old female presents to Preoperative Holding Area after keeping herself n.p.o. Open reduction and internal screw fixation right fifth metatarsal. To prepare for this procedure, a patient is correctly positioned on an operating table and undergoes anesthesia.The surgeon will then create one or more incisions on the outside or top of the foot in order to access the metatarsals that have been fractured. POSTOPERATIVE DIAGNOSIS: Fractured right fifth metatarsal. A copy of the operative note along with a letter of explanation may be helpful in getting this claim paid. These bones are analogous to the metacarpal bones found in the hand.ĭuring this procedure, the surgeon will stabilize the bones with a variety of hardware in order to allow the bones to properly heal. I would then use CPT 28485 (open treatment of metatarsal fracture, without or without internal or external fixation, each) for 2, 3 and 4. Functional weight-bearing such as Robert Jones bandage or elastic bandaging and stiff-soled shoes has better outcomes than non-weight-bearing in a short leg cast 5.įor large or very displaced fragments with intra-articular extension then operative fixation may be indicated.The goal of the metatarsal fracture fixation (open reduction and internal fixation) procedure is to correct a fracture of one or more of the long bones of the foot, called the metatarsus. Modifier T, per CPT, would not be appropriate for these metatarsal shaft fractures.
#Cpt orif 5th metatarsal fracture code
CPT code 28485-59 would be reported three times to represent each metatarsal fracture, per CPT description of the code. CPT code 28615 would be reported for the fixation of the dislocation. In general, these fractures can be treated conservatively, and heal well 2. The MT fractures are also treated by ORIF by separate incisions. Typically, definitive treatment is ORIF or fusion of the midfoot. Metatarsal Cpt procedurethe three main 306 is a non-billable icd-10 code for unspecified fracture of fifth metacarpal bone, right hand the authors. In some instances, the fracture may be occult. In this figure, the 2nd metatarsal fracture displaces the 3rd through 5th metatarsals. It usually does not reach the tarsometatarsal (metatarsocuboid) joint, but occasionally does. 3852 oblique diaphyseal osteotomy of fifth metatarsal, 4015-4016 Coventry techniques. Small fracture usually of the tuberosity of the proximal 5 th metatarsal, oriented mostly transversely (cf. Some authors believe that it is due to the lateral cord of the plantar aponeurosis which also inserts at the base, rather than the peroneus brevis tendon 2. It is also relatively common among tennis players, accounting for it sometimes being referred to as a "tennis fracture". It is for this reason that the 5 th metatarsal base must be included in the lateral ankle projection of an ankle series, especially when performed for an inversion injury. Traditionally this avulsion fracture has been ascribed to the insertion of peroneus brevis and is caused by forcible inversion of the foot in plantar flexion, as may occur while stepping on a curb or climbing steps.
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