CPT® Code 28476

The CPT® Code 28476 refers to the procedure known as percutaneous skeletal fixation of a metatarsal fracture, which includes manipulation of the fracture. This procedure is typically indicated for patients who have sustained a fracture in one of the metatarsal bones of the foot. The term "percutaneous" indicates that the procedure is performed through a small incision in the skin, minimizing trauma to surrounding tissues. During the procedure, a small drill is utilized to create a corticotomy, which is an opening in the outer layer of the bone, proximal to the fracture site. This allows for access to the fracture without the need for extensive surgical exposure. Once the corticotomy is made, the fracture is carefully reduced, meaning that the bone fragments are aligned back into their proper position. To stabilize the fracture, one or more pre-bent Kirschner wires, which are thin metal wires used in orthopedic surgery, are advanced through the medullary canal of the metatarsal bone and across the fracture site. This fixation method helps to maintain the alignment of the bone during the healing process. After the wires are placed, anatomical reduction, or the correct positioning of the bone fragments, is verified using radiographic imaging, ensuring that the fracture is properly aligned before concluding the procedure. This minimally invasive approach is designed to promote healing while reducing recovery time and complications associated with more invasive surgical techniques.