CPT® Code 28665

The CPT® Code 28665 refers to the closed treatment of an interphalangeal joint dislocation that necessitates the use of anesthesia. This procedure is specifically aimed at addressing dislocations occurring in the joints between the phalanges of the toes. The process begins with a thorough evaluation of the neurovascular status of the toes to ensure there are no underlying complications. 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 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 verify the proper alignment of the joint. To facilitate healing and prevent further injury, the foot is then immobilized in a splint, and the patient receives instructions to ice and elevate the foot to manage swelling and discomfort. It is important to note that CPT® Code 28660 should be used when the dislocation is treated without the need for anesthesia, while CPT® Code 28665 is specifically designated for cases requiring anesthesia during the procedure.