![]() ![]() What are the signs of a metatarsal fracture? An avulsion fracture is a type of acute fracture that occurs when a small piece of bone is pulled off the rest of the bone. For example, if you stub your toe severely or have a sports accident, you could suffer an acute fracture. They can result in the parts of the bone shifting out of place or a dislocation. Acute fracturesĪcute fractures usually stem from trauma, such as a direct blow or impact. Jones fractures are a type of stress fracture that affects the fifth metatarsal. You can also develop stress fractures if you have an abnormal foot structure or osteoporosis. They usually form following repetitive stress, for example, if you’re a runner and increase your speed or distance too quickly. Stress fractures are tiny hairline cracks in your bones. For radiology services, see 73620- 73630.Your metatarsal bones are the long, thin bones in your midfoot, and there are two types of fractures that affect these delicate bones. For percutaneous skeletal fixation of a metatarsal fracture, see 28476. For closed treatment of a metatarsal fracture, see 28470- 28475. See "Application of Casts and Strapping" in the CPT book in the Surgery Section, under the Musculoskeletal System. According to CPT guidelines, cast application or strapping (including removal) is only reported as a replacement procedure or when the cast application or strapping is an initial service performed without a restorative treatment or procedure. External fixation, if performed, may be reported separately. Internal fixation, when performed, is included in this procedure. The wound is irrigated and closed in layers. Fixation devices are applied as needed to hold the fracture in place. The fracture fragments are reduced (realigned) to their correct position. Any tissue between the fracture pieces is removed. The tissues are dissected and debrided as needed. An incision is made overlying the particular metatarsal fracture. The physician treats a fracture of one of the five metatarsals with open surgery. The foot and leg are placed in a cast or brace.Ģ8485 (Open treatment of metatarsal fracture, includes internal fixation, when performed, each) X-rays (separately reportable) confirm desired results. The physician pushes, pulls, or other maneuvers the foot to restore the fracture fragments to a satisfactory position and alignment. ![]() X-rays (separately reported) confirm a fracture of the metatarsal bone with the bony pieces in an unacceptable position. ![]() The physician treats a fracture of one of the five metatarsal bones in the foot without performing open surgery but with manipulation of the fracture. For radiology services, see 73620- 73630.Ģ8475 (Closed treatment of metatarsal fracture with manipulation, each) For open treatment of a metatarsal fracture, see 28485. Check with the specific payer to determine coverage. Durable Medical Equipment (DME) dispensed at the time of this service may be reported with the appropriate HCPCS "E" and "L" codes. The physician places the foot, ankle, and leg in a cast, splint, or brace as needed.Īccording to CPT guidelines, cast application or strapping (including removal) is only reported as a replacement procedure or when the cast application or strapping is an initial service performed without a restorative treatment or procedure. X-rays (separately reported) confirm a fracture of a metatarsal bone of the foot with the fracture fragments in acceptable position and alignment. The physician treats a fracture of one of the five metatarsal bones without open surgery or any manipulation of the fracture. There are three different codes that can be billed, depending on the type of fracture the patient has- each code would be billed for one unit of service with the appropriate T modifier (-T7, -T8 or -T9), below are the three CPT codes that could be billed:Ģ8470 (Closed treatment of metatarsal fracture without manipulation, each) (Fx met 3,4,5 Right foot) We are wondering what the correct way to bill the fracture management is. Correct Billing for 3 Fractures-Right Foot-MedicareĬoding question for Medicare Patient, we are treating a patient for 3 fractures. ![]()
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