CPT® Code 28505

The CPT® Code 28505 refers to the open treatment of a fracture in the great toe, specifically involving the phalanx or phalanges. This procedure is characterized by the surgical approach where an incision is made directly over the fracture site. The primary goal is to expose the fracture, allowing for a thorough examination and cleaning of the area to remove any debris that may hinder healing. Once the fracture is adequately exposed, the surgeon performs a reduction, which is the process of realigning the fractured bone fragments to their normal anatomical position. To stabilize the fracture and promote proper healing, internal fixation devices such as wires, pins, screws, or a minifragment plate and screw device may be utilized. After the fixation is applied, the surgical site is irrigated to ensure cleanliness, and the incision is subsequently closed using sutures. This procedure is essential for restoring function and alignment in the great toe, which is crucial for mobility and weight-bearing activities.