CPT® Code 28525

The CPT® Code 28525 refers to the open treatment of fractures occurring in the phalanx or phalanges, which are the bones of the toes, excluding the great toe. This procedure involves making an incision in the toe to gain access to the fracture site. Once the incision is made, the area is carefully cleaned to remove any debris that may interfere with the healing process. The next step involves the reduction of the fracture fragments, which means aligning the broken pieces of bone back into their proper position. In cases where internal fixation is necessary, various devices such as pins, screws, or a minifragment plate and screw device may be utilized to stabilize the fracture and promote healing. After the fixation is applied, the wound is thoroughly irrigated to ensure cleanliness, and the incision is then closed using sutures. It is important to note that if multiple phalangeal fractures in different toes are treated using this open technique, the code 28525 should be reported for each toe that undergoes the procedure, reflecting the comprehensive nature of the treatment provided.