CPT® Code 28660

The CPT® Code 28660 refers to the closed treatment of an interphalangeal joint dislocation without the use of anesthesia. This procedure involves a careful evaluation of the neurovascular status of the toes to ensure that there is no compromise to blood flow or nerve function. Following this assessment, radiographs, or X-rays, are obtained to visualize the dislocation and confirm the diagnosis. The closed reduction technique is then employed, which involves applying longitudinal traction to the affected toe while simultaneously exerting pressure on the involved phalangeal bones. This method aims to realign the dislocated joint without the need for surgical intervention. After the reduction is successfully performed, the neurovascular status is re-evaluated, and a second set of radiographs is taken to verify that the joint has been properly aligned. To support the healing process, the foot is immobilized in a splint, and the patient receives instructions to ice and elevate the foot to reduce swelling and promote recovery. It is important to note that this code is specifically used when the dislocation is treated without anesthesia, while a different code, 28665, is designated for cases where anesthesia is required.