Wiki Metatarsal Fractures x 4 Coding Help

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CBC

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I'm looking for advice for cpt coding of multiple metatarsal fractures. The report states that the physician placed the patient in a short leg cast and that he did a closed reduction of the foot trying to correct the metatarsal varus angulation. He also states he had not put a lot of pressure, however put a lot of extra padding. There are fractures of the 1,2,3, & 4th metatarsals. It seems a little much to bill 28475 x 4?

Advice is appreciated!!
 
CBC said:
I'm looking for advice for cpt coding of multiple metatarsal fractures. The report states that the physician placed the patient in a short leg cast and that he did a closed reduction of the foot trying to correct the metatarsal varus angulation. He also states he had not put a lot of pressure, however put a lot of extra padding. There are fractures of the 1,2,3, & 4th metatarsals. It seems a little much to bill 28475 x 4?

Advice is appreciated!!
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As long as you can show the 'manipulation' of these 4 toes you're ok with the code x4
 
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