CPT® Code 28485

The CPT® Code 28485 refers to the open treatment of a fracture in a single metatarsal bone, which includes the application of internal fixation if it is performed. The metatarsal bones are five long bones located in the foot, each connecting proximally to the cuboid and cuneiform bones and distally to the proximal row of phalanges. When a fracture occurs in one of these bones, it is essential to repair it to restore function and alleviate pain. The procedure involves making an incision directly over the fracture site to gain access to the affected bone. Once the fracture is exposed, any debris is cleared away, and the bone fragments are carefully repositioned, a process known as reduction. If necessary, internal fixation devices such as pins, screws, or a multifragment plate and screw system are utilized to stabilize the fracture and promote proper healing. After the fixation is applied, the surgical site is irrigated to prevent infection, and the incision is closed with sutures. It is important to note that if multiple metatarsal bones are treated using this open technique, the code 28485 should be reported for each metatarsal that is repaired.