Commonly Asked Foot and Ankle Coding Questions

Mary LeGrand, RN, MA, CCS-P, CPC

This month’s coding column addresses questions related to coding of foot and ankle procedures.

Metatarsal fracture
A patient is diagnosed with a metatarsal fracture; the shaft is fractured both proximally and distally. The surgeon treats the fracture of the shaft with an open reduction and internal fixation (ORIF) and internally fixates both fractures as a single unit. I think I should report CPT code 28485 (open treatment of a metatarsal fracture, includes internal fixation, when performed) one time, but I wonder if I should I report the second fracture as 28485-52?

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