CPT® Code 28450

The CPT® Code 28450 refers to the treatment of a fracture involving the tarsal bones, specifically excluding the talus and calcaneus. This procedure is categorized as a closed treatment, meaning that it does not involve any surgical manipulation of the fracture fragments. The tarsal bones in question include the cuboid, navicular, and three cuneiform bones. In cases where multiple tarsal bones are fractured, each individual fracture must be reported separately to ensure accurate coding and billing. Prior to treatment, radiographs are obtained to confirm the presence of the fracture, which is a critical step in the diagnostic process. Additionally, a neurovascular examination is 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. The treatment for a nondisplaced or minimally displaced fracture, as indicated by CPT® Code 28450, involves the application of a cast or brace to immobilize the affected area, promoting proper healing without the need for invasive procedures. This code is distinct from CPT® Code 28455, which is used for displaced fractures that require manual reduction to restore proper alignment of the bone fragments.