CPT® Code 28465

The CPT® Code 28465 refers to the open treatment of fractures occurring in the tarsal bones, excluding the talus and calcaneus. The tarsal bones consist of five key structures: the cuboid, navicular, and three cuneiform bones. These bones play a crucial role in the stability and movement of the foot. The procedure involves a surgical approach that varies based on the specific tarsal bone that has sustained a fracture and the precise location of the fracture within that bone. During the open treatment, the surgeon makes an incision to expose the fracture site, allowing for direct inspection of the damaged area. This exposure is essential for the thorough cleaning of any debris that may be present, which is critical for preventing infection and promoting healing. Once the fracture fragments are visible, they are carefully realigned, a process known as reduction. Depending on the severity and nature of the fracture, internal fixation may be employed, utilizing devices such as pins or screws to stabilize the bone fragments in their correct position. After the fixation is completed, the surgical site is irrigated to ensure cleanliness, and the incision is subsequently closed with sutures to facilitate proper healing.