Results 1 to 2 of 2

Foot Fracture help

  1. #1
    Kansas City, Missouri
    Smile Foot Fracture help
    Medical Coding Books
    My surgeon dictated the following OP Report and provided a code, 28615, as he likes to code his procedures. I always read and either confirm or correct the codes. This time, I am not sure if he did ONLY this procedure because I believe I'm reading additional (or just different) procedure(s) being done. Any advice would be appreciated:
    Dissection was carried down to the bone. A reduction maneuver was performed and the medial and middle cuneiforms were reduced. Subsequently through a small percutaneous incision a 4.5 cannulated screw was passed from medial to lateral, from lateral securing the medial and middle cuneiform joint. Subsequently the second metatarsal base fracture was secured using a retrograde screw extending from the second metatarsal shaft into the middle cuneiform. This was performed with cannulated screw 3.0mm. Care was taken again to protect the neurovascular structures. Subsequently a screw was passed from the medial cuneiform into the base of the second metatarsal. This secured the Lisfranc joint as well as the medial and middle cuneiform joint as well as the base of the second metatarsal to the middle cuneiform.

    Attention was turned then to the lesser metatarsals. Another dorsal longitudinal linear incision was made in between the third and fourth intermetatarsal space. Dissection was carried down to the bone. Neurovascular structions were again protected. A retrograde pin was passed both through the third and fouth metatarsal shafts and passed retrograde through the shaft and secured. This reduced the third and fourth metatarsal fractures. Subsequently a percutaneous pin was passed retrograde through the fifth metatarsal into the securing the reduction of the fifth tarsometatarsal dislocation.
    I believe I see 28485 and/or 28476 with perhaps the 28615 the doctor indicated. At this point I'm not sure what he did and where. Any suggestions?

  2. Default
    Hi there, I believe that you are right...

    I see CPTs 28615, 28485 x 2, (third and fourth MTs, CPT 28485 reads "each") and 28476 for the perc pinning of the fifth MTs

Similar Threads

  1. Replies: 5
    Last Post: 03-20-2017, 04:22 PM
  2. Navicular foot Fracture
    By ajhunsicker in forum Orthopaedics
    Replies: 4
    Last Post: 09-30-2016, 02:36 PM
  3. Replies: 1
    Last Post: 01-22-2014, 11:00 PM
  4. Replies: 1
    Last Post: 01-22-2014, 06:08 AM
  5. Ortho Experts-help foot/ankle fracture op report
    By AR2728 in forum Orthopaedics
    Replies: 1
    Last Post: 08-21-2012, 09:22 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.