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CPT® 28645, Under Fracture and/or Dislocation Procedures on the Foot and Toes

The Current Procedural Terminology (CPT®) code 28645 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Foot and Toes.

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Summary

In this procedure, the provider performs open treatment of a metatarsophalangeal joint dislocation, which is abnormal separation of a joint. She may or may not use internal fixation implants like pins or screws to fix the dislocation. Metatarsals are the five long bones in the foot that connect the ankle area to the toes. Phalanges are bones of the toe. There are three in each toe except the greater toe, which has two phalanges. The metatarsophalangeal joint is a joint where the metatarsal bone of the foot attaches to the phalanx bone of the toe. 

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Help please!
Round two: The documentation is a bit fuzzy on a couple of things but I'm glad I took a second look at this. 28645 X 4 for treating the MTP dislocations (the capsulotomies are bundled) 28285 X 4 for ... [ Read More ]
Hasselman bunionectomy coding help
Hi, For the bunion repair, I will code CPT 28297 too. As per AMA, the procedure represented by code 28297 is performed to correct a hallux abductovalgus deformity with associated long first metatarsa... [ Read More ]
Hasselman bunionectomy coding help bunion foot ankle specia hasselman orthopedic
I am looking for some professional in-put on this chart. My physician and I are in a discussion how best to code this procedure, because he believes it is more than what CPT describes in the bunionect... [ Read More ]
28645 for acute only?
I see that Margie Vaught on the Med Assests website tells many coders that 28645 is for acute dislocations only. But she never mentions where she got that information. It's not in the CPT bood. Does ... [ Read More ]
Tendon Z plasty dislocation treatement
Hello everyone! I have a patient who had [U]rigid contracture with dislocation of the MPJ[/U] of T7 toe. Podiatrist documents he did capsulotomy of the MPJ, resection of the third metatarsal head to... [ Read More ]
Cpt 28645
can you bill CPT code 28645 with 28296? why or why not? Thank you,... [ Read More ]
Doubt???
Hi all, Can we use CPT 28296, 28645 and 20680 in one instance, if the document supports??... [ Read More ]
Metatarsophalanngeal joint dislocations
Our patient had a RT 1st MPJ fusion and open treatment of RT joints 2,3,4,5 dislocations. Would I code 28750-RT 28645-59-T6 28645-59-T7 28645-59-T8 28645-59-T9 OR 28750-RT 28645-59 X 4 UNITS I ... [ Read More ]
Revision Bunionectomy
I would use the appropriate dislocation code according to location (e.g. metatarsal bone closed 838.04) and V15.81 noncompliance of medical procedure with CPT 28645 open treatment of metatarsophangel ... [ Read More ]
question on a sx
My doctor did a sx for hammertoe deformity of the 2nd and 3rd digits of the left foot with associated partial dislocation of the 2nd metatarsophalangeal joint. He's asking if 28645 will work for open ... [ Read More ]
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