How do you code a Lisfranc fracture?
How do you code a Lisfranc fracture?
CPT code 28615 would be reported for the fixation of the dislocation with modifier LT. CPT code 28485-59, LT would be reported five times to represent each metatarsal fracture, per CPT description of the code. The physician performs open treatment of a tarsometatarsal joint dislocation.
What is a Lisfranc fracture?
Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple to complex, involving many joints and bones in the midfoot.
Where is the Lisfranc joint?
The Lisfranc joint is the point at which the metatarsal bones (long bones that lead up to the toes) and the tarsal bones (bones in the arch) connect. The Lisfranc ligament is a tough band of tissue that joins two of these bones. This is important for maintaining proper alignment and strength of the joint.
What is the moi for a Lisfranc injury?
One-third of Lisfranc injuries are caused by indirect trauma, which are more commonly missed. The main mechanism of indirect injury is axial force through the foot or twisting on a plantar-flexed foot. Forced external rotation of the foot is another documented mechanism.
What is procedure code 28485?
Code Description: 28485 (Open treatment of metatarsal fracture, includes internal fixation, when performed, each)
What is Tarsometatarsal?
Tarsometatarsal (TMT) arthritis is characterized by instability and pain in the foot. The commonest cause is post-traumatic arthritis. A Lisfranc injury involves the articulation between the medial cuneiform and the base of the second metatarsal, which is considered a keystone to midfoot integrity.
What happens if a Lisfranc injury goes untreated?
Injuries to the Lisfranc joint can cause severe damage to the cartilage in the midfoot if left untreated. This damage prevents the joint from working properly. Without the cartilage, and with the added stress of poorly healed injuries, the foot will continue to sustain further damage with each step.
What is the CPT code for fracture care?
As in all the CPT surgical codes, use of an unmodified 28510 (“Closed treatment of fracture, phalanx or phalanges, other than great toe, without manipulation”), indicates that the physician is providing restorative care and any subsequent patient care usual to the management of this condition.
