CPT® Code 28495

The CPT® Code 28495 refers to the closed treatment of a fracture of the great toe, specifically involving the phalanx or phalanges, with manipulation. This procedure is indicated when there is a displaced fracture, meaning that the bone fragments have moved out of their normal alignment. To begin the treatment, a thorough assessment is conducted, which includes obtaining radiographs to confirm the presence of the fracture. This imaging is crucial as it helps in visualizing the extent and nature of the fracture. Additionally, a neurovascular examination is performed to ensure that the nerves and blood vessels surrounding the injury are intact, which is essential for proper healing and function. In contrast to CPT® Code 28490, which addresses nondisplaced or minimally displaced fractures that do not require manipulation, CPT® Code 28495 involves the manual reduction of the displaced fracture fragments back into their correct anatomical position. Following the manipulation, further radiographs are obtained to verify that the alignment has been successfully restored. To stabilize the fracture and promote healing, a cast or boot is applied as necessary, ensuring that the affected area remains immobilized during the recovery process.