CPT® Code 28456

The CPT® Code 28456 refers to the procedure known as percutaneous skeletal fixation of a tarsal bone fracture, specifically excluding fractures of the talus and calcaneus. This procedure is primarily indicated for fractures involving the navicular, cuboid, or one of the three cuneiform bones. In cases where the fracture is displaced, the procedure involves a reduction of the fracture, which is a critical step to ensure proper alignment of the bone fragments. The successful reduction of the fracture is confirmed through the use of radiographs, which are separate and reportable. The technique involves making one or more small skin incisions at the predetermined sites for the insertion of pins or Kirschner wires. A small drill is utilized to create a corticotomy, which is an opening in the cortex of the bone, allowing for the placement of the percutaneous pin or wire. Following this, one or more pins or wires are carefully advanced across the fracture site to stabilize the fracture. After the placement of all pins or wires, the anatomical reduction is again verified through radiographic imaging, ensuring that the bones are properly aligned for optimal healing.