CPT® Code 28635

The CPT® Code 28635 refers to the closed treatment of a dislocation at the metatarsophalangeal joint, which is the joint located at the base of the toe where the metatarsal bone meets the proximal phalanx. This procedure necessitates the use of anesthesia to ensure patient comfort during the manipulation of the dislocated joint. The process begins with a thorough evaluation of the neurovascular status of the foot and toes, which is crucial for assessing any potential damage to nerves or blood vessels. Following this assessment, radiographs, or X-rays, are obtained to visualize the dislocation and confirm the diagnosis. The closed reduction technique involves applying longitudinal traction to the affected toe while simultaneously exerting pressure on the involved metatarsal and phalangeal bones to realign the joint. After the reduction is successfully performed, the neurovascular status is re-evaluated, and a second set of radiographs is taken to ensure proper alignment has been achieved. To stabilize the joint post-procedure, the foot is immobilized in a splint, and the patient receives instructions to ice and elevate the foot to reduce swelling and promote healing. It is important to note that CPT® Code 28630 should be used when the dislocation is treated without the need for anesthesia.