CPT® Code 27788

Closed treatment of a distal fibular fracture, specifically at the lateral malleolus, involves a non-surgical approach to address a break in the fibula bone located near the ankle. The lateral malleolus is the bony prominence on the outer side of the ankle, and fractures in this area can occur due to various types of trauma, such as falls or sports injuries. In this procedure, the physician performs a thorough evaluation, which includes obtaining separate radiographs to confirm the presence of the fracture. A neurovascular examination is also conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing. In cases where the fracture is displaced, meaning the bone fragments are not aligned properly, the physician will manually manipulate the fragments back into their correct anatomical position. This manipulation is a critical step in the treatment process, as it allows for proper healing and alignment of the bone. Following the manipulation, a cast or brace is applied to immobilize the fracture, providing stability and support during the healing process. This procedure is distinct from the treatment of nondisplaced or minimally displaced fractures, which do not require manipulation and are treated with immobilization alone.