Krzysztof
Contributor
Good Day,
I am seeking your feedback on the proper use of CPT code 28510 (Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each).
The lay description further describes this procedure: "The physician treats a fracture of one of the four toes other than the big toe. No open surgery or manipulation of the toe or foot is required. X-rays (reported separately) of the toe confirm a fracture or fractures of the bones where the fragments are in an acceptable position. The physician applies a splint, brace, or cast to the toe and foot."
Now, in the case of an encounter during which the pt is dx'd w/ phalangeal fx (confirmed via x-ray), but in the absence of supportive device application, is this code appropriate? One colleague argues that the encounter should be coded as E/M + rad, at most... whereas another colleague argues that the mention of "splint, brace, or cast" application in the lay description does not set a requirement... therefore making CPT code 28510 appropriate.
Thanks in advance!
I am seeking your feedback on the proper use of CPT code 28510 (Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each).
The lay description further describes this procedure: "The physician treats a fracture of one of the four toes other than the big toe. No open surgery or manipulation of the toe or foot is required. X-rays (reported separately) of the toe confirm a fracture or fractures of the bones where the fragments are in an acceptable position. The physician applies a splint, brace, or cast to the toe and foot."
Now, in the case of an encounter during which the pt is dx'd w/ phalangeal fx (confirmed via x-ray), but in the absence of supportive device application, is this code appropriate? One colleague argues that the encounter should be coded as E/M + rad, at most... whereas another colleague argues that the mention of "splint, brace, or cast" application in the lay description does not set a requirement... therefore making CPT code 28510 appropriate.
Thanks in advance!
