Dislocation CPT Codes: Traumatic vs Non-traumatic

Question:

Is it appropriate to report CPT code 28645 for both traumatic and non-traumatic dislocations?

Answer:

Yes, CPT code 28645 (Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed) may be reported whether the nature of the dislocation is traumatic or non-traumatic, as long as the dislocation required an open treatment. The diagnosis code will differentiate the condition as traumatic or non-traumatic.

Four CPT codes exist for the treatment of metatarsophalangeal joint dislocations. Report the appropriate code based on the type of treatment:28630: Closed treatment, no anesthesia required28635: Closed treatment, anesthesia required28636: Percutaneous treatment, with manipulation28645: Open treatment, with internal fixation, when performed

*This response is based on the best information available as of 01/09/20.