CPT® Code 28405

Closed treatment of a calcaneal fracture involves a non-surgical approach to address a fracture of the calcaneus, which is the largest bone in the foot and forms the heel. This procedure is indicated when the fracture is displaced, meaning that the bone fragments are not aligned properly. The treatment begins with obtaining separate radiographs to confirm the presence of the fracture and to assess its displacement. A thorough neurovascular examination is conducted to ensure that the nerves and blood vessels surrounding the injury are intact and functioning properly. In cases where the fracture is nondisplaced or minimally displaced, as described in CPT® Code 28400, no manipulation is necessary, and the fracture is treated with immobilization using a cast or brace. However, for CPT® Code 28405, which pertains to displaced fractures, the procedure includes the manual reduction of the fracture fragments to restore proper anatomical alignment. Following this manipulation, additional radiographs are obtained to verify that the alignment has been successfully achieved. Finally, a cast or brace is applied to immobilize the fracture, promoting healing and stability during the recovery process.