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CPT code for closed treatment of distal fibula fracture without manipulation

CPT® Code 27786 in section: Closed treatment of distal

CPT® Code 27786 in section: Closed treatment of distal fibular fracture (lateral malleolus) 2021 ICD-10-CM and ICD-10-PCS CODING HANDBOOK. ×. The handbook's format and style of presentation follows that of previous editions inspired by the Faye Brown approach to coding instruction. The handbook is authored by Nelly Leon-Chisen, RHIA, Director. CPT 27825 (Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation). CPT 27786-51 (Closed treatment of distal fibular fracture (lateral malleolus), without manipulation) Closed: For closed fracture treatment of the lateral malleolus, report either CPT code 27786 (Closed treatment of distal fibular fracture [lateral malleolus]; without manipulation) or 27788 (... with manipulation) The general consensus is to use the fracture care codes designated as closed treatment without manipulation and bill the initial E/M with modifier 57. This more aptly covers the true work of the rendered services with supporting documentation. It may be a judgment call as to what is the optimum fracture care solution on a case-by-case basis

Radius/Ulna Fractures - Closed treatment CPT Codes. Closed treatment of radial shaft fracture, with dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) (25520) Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; without manipulation (25600 The provider opts to treat this fracture via closed treatment without manipulation, with subsequent visits for follow-up care. In this case, the correct CPT® code for the initial treatment is 27750 Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation 27781-LT fracture, fibula, closed treatment (initial cast application included with treatment code) Open treatment with internal fixation of 3 rib fractures 21811 fracture, rib, open The surgeon performed open reduction with internal fixation of medial condylar fracture of the humeru CPT: 27786 is the correct code for closed treatment of distal fibular fracture (lateral malleolus); without manipulation. LT is added because it was the patient's left ankle. 27788 is with manipulation, and 27792 is with internal fixation. ICD-10-CM: M80.072A is the correct code

the CPT codes tracked to each defined case category. The CPT codes available in each 27792 Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation when performed without manipulation 28405 Closed treatment of calcaneal fracture; with manipulation closed treatment of distal fibular fracture without manipulation, the patent was int he postoperative period fro an arthroscopy of the should performed 2 wks ago: the same physician performed both surgeries

Debridement of tissue related to an open repair of a fracture or dislocation may be separately reportable with CPT®codes 11010-11012. If a tissue transfer procedure such as a graft, (e.g., CPT®codes 20900-20926) is included in the code descriptor of a primary procedure, the tissue transfer code is not separately reportable. 3 23570 Closed treatment of scapular fracture; without manipulation 23585 Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed 23600 Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation Closed Rx: Both Bone Forearm / Combined Injuries Codes. Closed treatment of radial shaft fracture, with dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) (25520) Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; without manipulation (25600 fractures without manipulation, only one closed fracture without manipulation CPT code may be reported. 33 Written inquiry response February 8, 2013 This policy is applicable to any combination of multiple bone fractures treated with the same cast, strapping or splinting and without manipulation. It is NOT limited to multiple fractures of. Closed treatment of fracture without manipulation (e.g. 23500—closed treatment of clavicular fracture, without manipulation) Closed treatment of fracture with manipulation (e.g. 26755—closed treatment of distal phalangeal fracture, finger or thumb; with manipulation

tibia Salter-Harris I displaced fx & segmental fibular fx

27786-27814: Be Confident in Your Ankle Fracture Repair Codin

Don't Break Your Fracture Care Revenue Cycle - AAPC

  1. 27786-RT (closed treatment to distal fibular fracture, without manipulation) Casting supply codes; However, note that you cannot report the code(s) for the casting/strapping because the fracture care code(s) include the first application of the cast
  2. 27780 Closed treatment of proximal fibula or shaft fracture; without manipulation $1,115.00 27786 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation $1,719.12 2780
  3. Query: Coding Multiple Fractures. What would be the correct procedure and diagnosis codes for the treatment of the following multiple fractures (closed without manipulation), right foot? 1. Navicular fracture 2. Middle cuneiform fracture 3. Tibial sesamoid fracture 4. Cuboid fracture 5. Fibular fracture. Lisa Maynard, New York, N

Radius/Ulna Fractures - Closed treatment CPT Code

  1. FRACTURE CARE: Performed by attending. Prior to procedure, capillary refill normal. Compartment is normal. Distal sensation is intact. Distal motor function is normal. Left wrist fracture noted. Closed treatment of colles wrist fracture without manipulation completed. X-ray ordered. Short arm post mold applied. Material used for splinting is.
  2. 4 physician services #4 Closed treatment of distal fibular fracture without manipulation the patient was in the postoperative period for an arthoscopy of the shoulder performed 2 weeks ago; the same surgeon performed both surgeries
  3. Append modifier 57 to the E/M CPT code if the treatment of the fracture is performed on the same day or the day following the E/M service. Note, although CPT rules call for using modifier 57 when you are protecting an E/M service performed for a procedure with a 90 day global period, some payors may instead require modifier 25 when the fracture.
  4. Closed treatment of distal fibular fracture (lateral malleolus); without manipulation. 27788: Musculoskeletal: Closed treatment of distal fibular fracture (lateral malleolus); with manipulation. 27792: Musculoskeletal: Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external fixation. 27808.
  5. Fracture/dislocation treatment lower leg/ankle/foot Px - ortho - treat fx/disloc - lower leg/ankle/foot (tx_epi_yes)27825 CPT Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation
  6. If a reduction of the fracture is done in the clinic, then it would be appropriate to use the closed treatment global code with or without manipulation. Proper Documentation for Fracture Care Is Key. To support a global fracture care CPT® code, the provider must document that the patient received definitive fracture care
  7. closed treatment of scapular fracture; without manipulation: 23575 : closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) 23585 : open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation: 2360

Best Answer. Copy. CPT Code 27786 - Closed treatment of distal fibular fracture (lateral malleolus); without manipulation. Wiki User. ∙ 2012-05-17 05:10:53 Distal Phalanx Fractures CPT Codes. Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each (26755) Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each (26756) Open treatment of. Closed treatment of proximal fibula or shaft fracture; without manipulation $600.00 $0.00 CPT Code 27786-59 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation $600.00 $0.00 . Page 2 of 3 TOTAL $4,300.00 $0.00 FINDINGS AND DECISION This medical fee dispute is decided pursuant to Texas Labor Code §413.031 and. System for Pediatric Orthopaedic Surgery has been revised to identify the CPT codes tracked to each defined case category. distal fibula 27734 Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula 27740 Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal without manipulation 24560 Closed treatment.

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For example, if a patient presents with a distal radial fracture and the provider uses manual manipulation to set the injury, then it should be coded with CPT code 25605 (Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with. 27823 Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip 27826 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond) Fracture and/or Dislocation CPT® Code Description 2020 Total RVUs 2020 Medicare National Average Payment 27829 Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed 20.20 $729 28470 Closed treatment of metatarsal fracture; without manipulation, each 5.85 $21 Emergency Services Closed treatment of metatarsal fracture; without manipulation, each $ 275.85 02-Jun: V54.16 S92.309D: 29540 Outpatient Hospital: Medical equipment and supplies Strapping; ankle and/or foot $ 163.17 02-Jun: V54.16 S92.309D: 29515 Outpatient Hospita The CPT Manual states that coders should not report this code in conjunction with a fibular osteotomy (code 27707). 27767-Closed treatment of posterior malleolus fracture performed without manipulation. 27768-Closed treatment of a posterior malleolus fracture performed with manipulation. 27769-Open treatment of a posterior malleolus fracture.

Many times these injuries are also associated with other malleolar fractures. There are CPT codes that deal with the distal tibial plafond: 27824 Closed treatment of fracture of weight-bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation Almost invariably when fracture treatment is performed in an urgent care center, the biller will encounter closed treatment of the fracture. For finger fractures, one of the following codes will apply: CPT code 26750: Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, eac Open treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage 4.1% n/a -10.4% -6.8% 27786 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation 3.2% n/a -10.4 -7.5% 2779

Open treatment intraarticular distal radius fracture, internal fix of two fragments Open treatment intraarticular distal radius fracture, internal fix of three or more fragments OTA Fellowship Accreditation - Program Case List Program Name: Split thickness autograft, trunk, arms, legs; 1st > 100 sq. cm. # of Cases on an annual basis Fellowship. closed treatment of proximal fibula or shaft fracture; without manipulation: c0371282: a0925237: l0499662: s0866964: scui: 28103: hbt: p5b=ambulatory procedures - musculoskeletal: excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograf CPT Codes for Hand and Finger Fractures: ICD Counterpart Codes: Closed Treatment without Manipulation: Closed Treatment with Manipulation: Closed Reduction with External Fixation: Percutaneous Pin Fixation: Open Reduction with or without Fixation: Metacarpal: Bennett: Phalangeal Shaft, Proximal / Middle: Intraarticular, MCP / PIP / DIP: Distal. Ankle fractures are very common injuries to the ankle which generally occur due to a twisting mechanism. Diagnosis is made with orthogonal radiographs of the ankle. Treatment can be nonoperative or operative depending on fracture displacement, ankle stability, syndesmosis injury, and patient activity demands. 1

Commonly Used CPT Codes • CPT Code: 25565—Closed treatment of radial and ulnar shaft fractures; with manipulation • CPT Code: 25605—Closed treatment of distal radial fracture (e.g., Colles' or Smith's type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation Chris Stutz, Peter M. Waters, in Green's Skeletal Trauma in Children (Fifth Edition), 2015. Nonoperative Treatment. Closed reduction and casting or splinting can treat the majority of distal radial fractures in children. Reduction can be performed with a local anesthesia hematoma block, under conscious sedation in the emergency department, or even with general anesthesia, depending on the.

Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external: 29828: Arthroscopy, shoulder, surgical; biceps tenodesis: 27814: Open treatment of bimalleolar ankle fracture, with or without internal or external fixation: 2782 CPT is a list of descriptive terms and identifying numeric codes for medical services and procedures that are provided by physicians and health care professionals. American Medical Association, Intellectual.PropertyServices@ama-assn.org. CPT can no longer be served by BioPortal due to licensing constraints Example CPT® 27752 Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction Open Treatment and Reduction of a Fracture/Dislocation — Describes a situation in which a fracture is so severely displaced or out of alignment the bones cannot be manipulated through the skin the ankle is disturbed, which will inevitably lead to arthritis. • The goal of treating all ankle fractures is to reposition the bones to prevent the occurrence of arthritis. • More minor ankle fractures can be treated in a boot or a cast without surgery. • Many ankle fractures do, however, require operative treatment

27825 Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation 27826 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal or. Pages 13 ; Ratings 100% (1) 1 out of 1 people found this document helpful; This preview shows page 10 - 11 out of 13 pages.preview shows page 10 - 11 out of 13 pages the CPT codes tracked to each defined case category. The CPT codes available in each 27848 Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation 28400 Closed treatment of calcaneal fracture; without manipulation. May 1, 2013 one CPT code for closed fracture treat-ment without manipulation may be reported. If a cast, strapping, or splint applied after an open or percutaneous treatment of a fracture also treats a closed fracture without manipulation, a closed fracture without manipula-tion CPT code should not be report-ed separately. These principles al The physician performed manipulation of a closed fracture of the distal radius on a 12 year-old male. He placed a short arm fiberglass cast. What is the HCPCS Level II code for the supply? A. Q4012 B. Q4011 C. Q4010 D. Q4009..

Let Our Professionals Assist You With Research and Writing. Try Our Essay Service Today Answer: The official definition of CPT code 26600 (Closed treatment of metacarpal fracture, single; without manipulation, each bone) instructs the physician to report CPT code 26600 for each bone that is fracture and treated without manipulation. Several years ago, CMS implemented NCCI guidelines instructing that non-manipulative fractures that. 27485 arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) 27502 closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction 27506 open treatment of femoral shaft fracture, with or without external fixation, with insertion o New Codes distinguish Treatment with and without Manipulation. Code 27197 should be used to report closed treatment of posterior pelvic ring fracture, or related acute pathological conditions of the pelvis or adjacent structures, without manipulation, i.e., without movement of the fragments of the bone

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CPT Code 27786- Closed treatment of distal fibular fracture (lateral malleolus); without manipulation. 27193 cpt code? CPT Code 27193 : Closed treatment of pelvic ring fracture, dislocation. Closed treatment of distal fibular fracture (lateral malleolus); without manipulation: 090. 27814. Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed: 090. 27880. Amputation, leg, through tibia and fibula. CPT Code Description 21073 . Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (i.e., Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation. The code represents an open treatment of the fracture, but the physician performed a closed manipulation. Correct code: 27762-LT 3. Surgeon performs a cystourethroscopy with dilation of a urethral stricture. CPT Code: 52341 The documentation states that it was a urethral stricture, but the CPT code identifies treatment of ureteral stricture cruciate ligament repair) (CPT code 27570) when there is failure of conservative medical management, including exercise and physical therapy • reduction of a displaced fracture (e.g., vertebral, long bones) (e.g., CPT code 22505, 25675) • reduction of acute/traumatic dislocation (e.g., vertebral, perched cervical facet) (e.g., CPT code 22505

Manipulation of a nasal fracture is the procedure of restoration of the bone to its original place. A surgical opening is not required in closed nasal fracture restoration. This procedure is performed after 5 or 6 days of fracture. The CPT code for closed reduction with manipulation is 21310 However, if you splinted the fracture (i.e., provided restorative treatment) and scheduled follow up at your facility, then it would be appropriate to code 26720, Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each or 26725, with manipulation, with or without. Acceptable CPT codes for Orthopaedic Sports Medicine Subspecialty Case List 23515 Open treatment of clavicular fracture, with or without internal or external fixation when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/dislocation), includes percutaneous skeletal fixation, when performe Closed treatment of posterior malleolus fracture; without manipulation: 27780: Closed treatment of proximal fibula or shaft fracture; without manipulation: 27786: Closed treatment of distal fibular fracture (lateral malleolus); without manipulation: 27808: Closed treatment of bimalleolar ankle fracture (e.g., lateral and medial malleoli, or. CPT 28510-Closed treatment of fracture, phalanx, or phalanges, other than great toe; without manipulation, each. So, each or every one of the fractures in this example was 4 fractures, each means 4 each not = 1

Is CPT code 26605 (Closed treatment of metacarpal fracture, single; with manipulation, each bone) the correct code for this case? ANSWER: From the notes you provided, I would agree that it would be correct to report CPT code 26605 for this procedure. In addition, I would report CPT code 26608 (Percutaneous skeletal fixation of metacarpal. Closed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; with manipulation (25605) American. Society. for. Surgery

Closed reduction of a fracture (code 79.0X, Closed reduction of fracture without internal fixation and code 79.1X, Closed reduction of fracture with internal fixation) indicates the surgeon does not make an incision through the skin and subcutaneous tissue to expose the fracture. The treatment involves a manipulation of the fractured bone and. Removal, under anesthesia, of external fixation system. 21320. Closed treatment of nasal bone fracture; with stabilization. 21336. Open treatment of nasal septal fracture, with or without stabilization. 21400. Closed treatment of fracture of orbit, except blowout; without manipulation. 21453 25530 closed treatment of ulnar shaft fracture; without manipulation 25560 closed treatment of radial and ulnar shaft fractures; without manipulation 25600 closed treatment of distal radial fracture (eg, colles or smith type) o In this case, report ICD-10-CM codes S72.402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97.02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis The same patient presents to the orthopedist for definitive treatment. Closed reduction with manipulation is performed and a cast applied. Coders should report the CPT code for closed treatment of the fracture only, because cast application is integral to any definitive fracture treatment

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What is the CPT code for closed reduction of distal radial wrist fracture? Nonsurgical Treatment If the distal radius fracture is in a good position, a splint or cast is applied. Closed treatment without manipulation involves fitting the patient to appropriate materials for bone stabilization and weight bearing/non-weight bearing function 27818 treatment of ankle fracture $1,056.68 27824 cltx fx w8 brg artclr prtn dstl tibia w/o mnpj $1,056.68 27840 closed tx ankle dislocation w/o anesthesia $1,447.43 28190 removal foreign body foot subcutaneous $1,220.70 28192 removal of foot foreign body $6,478.09 28430 closed tx talus fracture w/o manipulation $1,066.28 28470 closed treatment. This modifier is to be applied to the following anesthesia CPT codes only: 00100, 00300, 00400, 00160, 00532 and 00920. G8 Anesthesia HCPCS Modifier - represents a history of severe cardiopulmonary disease, and should be utilized whenever the procedural list feels the need for MAC due to a history of advanced cardiopulmonary disease

Closed Rx: Both Bone Forearm / Combined Injuries Code

n=no maintenance for this code: closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; without manipulation distal femur or proximal tibia or fibula (eg, genu varus or valgus) c0187853: a0849067: l0502105: s0789591: scui: 27594: haq: 0: amputation, thigh, through femur, any level; secondary closure or scar revision. Code either of these codes in addition to the code for treatment of the fracture care. Use code 20693 for the adjustment or revision of an external fixation system requiring anesthesia [e.g., new pin(s) or wire(s) and/or new ring(s) or bar(s)]. For the removal of an external fixation system under anesthesia, report code 20694. When coding for.

ACEP // Orthopedic Fracture / Dislocation Management FA

CPT 20692 all fracture treatment codes • with or without internal fixation is • • Subsequently the RVU's for fracture treatment codes havebeen decreased American Academy of Professional Coders corrected now Session 1A, 10-11:30 AM Friday, October 26th, 2012 Epicondylitis • CPT 24357 - percutaneous elbow • CPT 24359. fracture care. One of our doctors is charging 27786 for tx of closed malleolus,simple all he did was put on a aircast. My procedure book says 27786 the physician treats a fx without open surgery or and manipulation of the bones. So my question is can he charge this code? It sounds like he can even though he just put on a aircast Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed without manipulation 25622 Closed treatment of carpal scaphoid (navicular) fracture; without manipulation

CPT® Code 27825 in section: Closed treatment of fracture

For closed lateral malleolus fracture treatment, use CPT codes 27786 (closed treatment of distal fibular fracture [lateral malleolus]; without manipulation) or 27788 ( with manipulation). Use 27786 for an application of a cast, CAM walker, splint or orthosis and 27788 when the fracture is displaced and needs to be reduced Fracture and/or Dislocation CPT® Code Description 2021 Total RVUs 2021 Medicare National Average Payment 27829 Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed 20.98 $732 28470 Closed treatment of metatarsal fracture; without manipulation, each 6.03 $21 He was taken to the ER where x-rays were taken noting a comminuted fracture of the distal fibula. Orthopedist, was called in by the ER doctor in consultation to evaluate the patient & discuss treatment options The Orthopedist obtained an expanded problem focused history and performed a detailed examination

Closed tibial shaft fractures are the most common long-bone fractures, resulting in approximately 77,000 hospitalizations, 569,000 hospital days (average length of stay, 7.4 days), and 825,000 office visits per year 1.Closed tibial shaft fractures in young patients are most commonly sport-related injuries, whereas simple falls cause most of the closed tibial shaft fractures in the elderly Physician - Procedure Codes, Section 5 - Surgery Version 2016 Page 84 of 291 27508 Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation 27509 Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal separation. A Tillaux fracture is Salter-Harris III injury of anterolateral tibial epiphysis caused by eversion and lateral ankle rotation, most common in adolescents, in whom the medial epiphyseal plate has closed, whereas the lateral physis remains open (Figure 14-110). 75 Other Salter-Harris injuries of the distal tibia and fibula are shown in Figures. A, Forearm cast for treatment of injuries or fractures to the forearm and wrist.It extends from the metacarpal heads to below the elbow. The plaster must not reach beyond the distal palmar crease (two views). B, Long arm cast for immobilization of the elbow and treatment of fractures around the elbow and of the forearm.The elbow is at 90 degrees, the wrist is in slight dorsiflexion, and the. cpt code for closed treatment of fifth metatarsal fracture. 0000048800 00000 n The K-wires were then cut at the level of the skin and buried underneath the skin. If the closed reduction involved manipulation of fracture, then substitute CPT 28475 for CPT 28470. In this example, the coder would assign two units of the code for closed treatment.