CPT® Code 28436

The procedure described by CPT® Code 28436 refers to the percutaneous skeletal fixation of a fracture in the talus, which is a bone located in the ankle. This surgical intervention is specifically indicated for cases where the talus has sustained a fracture, particularly when the fracture is displaced. In such instances, the primary goal of the procedure is to realign the fractured bone fragments, a process known as reduction. The successful reduction of the fracture is confirmed through the use of radiographs, which are imaging studies that provide a visual representation of the bone structure. The procedure involves making one or more small incisions in the skin at the sites where pins or Kirschner wires will be inserted. A specialized drill is utilized to create a corticotomy, which is a surgical opening in the cortex of the bone, allowing for the placement of the percutaneous pins or wires. These pins or wires are then carefully advanced across the fracture site to stabilize the bone. After the placement of all necessary pins or wires, the anatomical alignment of the talus is once again verified through radiographic imaging to ensure proper healing and stabilization of the fracture.