CPT® Code 28606

The procedure described by CPT® Code 28606 refers to the percutaneous skeletal fixation of a dislocated tarsometatarsal joint, which is a critical area in the foot where the metatarsal bones connect with the tarsal bones. This procedure involves a minimally invasive approach, utilizing a small skin incision to access the affected area. A corticotomy, which is a surgical procedure that involves creating a small opening in the bone, is performed using a specialized drill. This allows the surgeon to manipulate the dislocated bone back into its proper anatomical position. The reduction of the dislocation is achieved by carefully aligning the bones, ensuring that they are restored to their normal configuration. To secure the bones in place, one or more pre-bent Kirschner wires are inserted into the medullary canal of the metatarsal bone, extending across the tarsometatarsal joint and into the adjacent tarsal bone. This fixation method provides stability to the joint during the healing process. Additionally, the success of the reduction is confirmed through radiographic imaging, which is reported separately, ensuring that the anatomical alignment is accurately restored.