CPT® Code 28496

The procedure described by CPT® Code 28496 involves the percutaneous skeletal fixation of a fracture in the great toe, specifically targeting the phalanx or phalanges. This technique is utilized when there is a fracture in the bone structure of the great toe, which may result from trauma or injury. The term 'percutaneous' indicates that the procedure is performed through the skin, minimizing the need for larger incisions and thereby reducing recovery time and potential complications associated with open surgery. The process begins with a small incision made proximal to the fracture site, allowing access to the underlying bone without extensive disruption of surrounding tissues. A specialized drill is then employed to create a corticotomy, which is a surgical procedure that involves cutting the outer layer of the bone to facilitate the alignment and stabilization of the fracture. Following this, the fracture is carefully reduced, meaning that the bone fragments are realigned to their normal anatomical position. To secure the fracture, one or more pre-bent Kirschner wires are inserted through the medullary canal, which is the central cavity of the bone. If the injury involves both phalanges of the great toe, the wires are advanced through both the proximal and distal phalanges to ensure adequate stabilization. The success of the procedure is confirmed through radiographic imaging, which allows for the verification of proper anatomical reduction and alignment of the fractured bones.