FAQ: What Is The Code For Closed Treatment Of The Bimalleolar Ankle Fracture With Manipulation?


What is the CPT code for closed ankle dislocation closed treatment?

The following codes may be submitted by NPPs for fracture treatment:

21310 Closed tx nose fx w/o manj
27830 Treat lower leg dislocation
27840 Treat ankle dislocation
28400 Treatment of heel fracture
28405 Treatment of heel fracture


What is procedure code 28470?

28470 (Closed treatment of metatarsal fracture; without manipulation, each) Lay Description: The physician treats a fracture of one of the five metatarsal bones without open surgery or any manipulation of the fracture.

What is closed treatment with manipulation?

Closed reduction or manipulation is a common non-invasive method of treating mildly displaced fractures. Usually performed in an emergency department or orthopedic clinic with light sedation and analgesia, the fracture is manipulated back into anatomic alignment and immobilized with a cast, brace or splint.

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How do you code a closed fracture?

When coding a closed fracture, coders must add one of the following seventh characters to each code:

  1. A: Initial encounter for fracture.
  2. D:
  3. G: Subsequent encounter for fracture with delayed healing.
  4. K: Subsequent encounter for fracture with nonunion.
  5. P: Subsequent encounter for fracture with malunion.
  6. S: Sequela.

What is the ICD 10 code for ankle fracture?

Table: Code

Subsection S82
Subsection Description Fracture of lower leg, including ankle

What is a pilon fracture?

A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Most of the time, it includes breaks in both the tibia and fibula of the lower leg.

Does 28470 need a modifier?

Each time an x-ray is taken to assess healing do I need a modifier? The procedure for each toe would be coded with CPT 28470. Each line item will require two modifiers -79 since the patient is within the post op period of the prior procedure, and the toe modifier secondary (-T6, -T7, and -T8).

What is the CPT code for fracture care?

As in all of the CPT surgical codes, use of an unmodified 28510 (“Closed treatment of fracture, phalanx or phalanges, other than great toe, without manipulation”), indicates that the physician is providing restorative care and any subsequent patient care usual to the management of this condition.

What does closed treatment mean?

Closed treatment specifically means that the fracture is not surgically opened (exposed to the external environment and directly visualized).

What is the difference between open and closed treatment of fractures?

In closed reduction, the broken ends of a fractured bone can be reset without surgery. Open reduction requires surgery to return the broken ends of the bone to their correct anatomical position.

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What is closed treatment of a fracture without manipulation?

All closed fracture treatment, without manipulation is considered “major surgery” by Federal and AMA coding systems, and is reported as surgery when billed. Therefore, on the insurance Explanation of Benefits it may reflect “surgery”.

What is the difference between open treatment and closed treatment of a fracture or dislocation?

Reduction could be by ” closed ” or ” open ” methods: Open reduction is where the fracture fragments are exposed surgically by dissecting the tissues. Closed reduction is the manipulation of the bone fragments without surgical exposure of the fragments.

What is delayed healing of a fracture?

After a bone breaks, modern treatment allows almost all to heal completely. In rare cases, however, a fracture does not heal, resulting in a nonunion. In other cases, the fracture takes far longer to heal than usual, which is called a delayed union.

How do you code a pathological fracture?

When an encounter occurs for a pathological fracture due to a neoplasm and the focus of treatment is the fracture, a code from subcategory M84. 5, Pathological fracture in neoplastic disease, should be sequenced first, followed by the code for the neoplasm.

What type of fracture is based on open or closed?

Closed or open fractures: If the injury doesn’t break open the skin, it’s called a closed fracture. If the skin does open, it’s called an open fracture or compound fracture. Complete fractures: The break goes completely through the bone, separating it in two. Displaced fractures: A gap forms where the bone breaks.

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