Type I fractures are generally treated conservatively with a nonweight-bearing short leg cast for six to eight weeks.
Management and prognosis of both acute (Jones fracture) and stress fracture of the fifth metatarsal within 1.5 cm of the tuberosity depend on the type of fracture, based on Torg's classification. Nondisplaced tuberosity fractures are usually treated conservatively, but orthopedic referral is indicated for fractures that are comminuted or displaced, fractures that involve more than 30 percent of the cubo-metatarsal articulation surface and fractures with delayed union. Local bruising, swelling and other injuries may be present. Tuberosity avulsion fractures cause pain and tenderness at the base of the fifth metatarsal and follow forced inversion during plantar flexion of the foot and ankle.
#Cpt orif 5th metatarsal fracture skin#
Open treatment of intraarticular distal radial fracture or epiphyseal separation with internal fixation of three or more fragmentsįasciotomy, palmar, for Dupuytrens contracture open, partialįasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) įasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) partial palmar excision with release of single digit including proximal interphalangeal jointĪrthrotomy of the elbow, with capsular excision for capsular release separate procedureĪrthrotomy, elbow with joint exploration, with or without biopsy, with or without removal of loose or foreign bodyĮxcision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia lesion diameter 0.6 to 1.Fractures of the proximal portion of the fifth metatarsal may be classified as avulsions of the tuberosity or fractures of the shaft within 1.5 cm of the tuberosity. Open treatment of intraarticular distal radial fracture or epiphyseal separation with internal fixation of two fragments Open treatment of extraarticular distal radial fracture or epiphyseal separation, with or without fracture of ulnar styloid, with or without internal or external fixation Percutaneous fixation distal radius fracture or epiphyseal separation Open treatment of distal phalangeal fracture, finger or thumb, with or without internal or external fixation, eachĬlosed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid with manipulationĬlosed treatment of distal radial fracture eg, Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid without manipulation Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external fixation with intercondylar extensionĬlosed treatment of distal phalangeal fracture, finger or thumb without manipulation, each Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) Suture of digital nerve, hand or foot each additional
Suture of digital nerve, hand or foot one nerve Tenolysis, complex, extensor tendon, dorsum of hand or finger, including hand and forearm Tendon sheath incision at radial styloid eg, for deQuervains disease) Neuroplasty and/or transposition ulnar nerve at elbowĬubital Tunnel Release or Transposition (UNT)Įxcision distal ulna, partial or comlete eg, Darrach type or matched resection) Interposition arthroplasty, intercarpal or carpometacarpal joints Neuroplasty and/or transposition median nerve at carpal tunnel Intercarpal fusion with autograft (includes obtaining graft)Ĭarpal Fusion with Autograft (Midcarpal Fusion) Open treatment of carpometacarpal fracture dislocation, thumb Bennett fracture, with or without internal or external fixation Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb Bennett fracture, with manipulation, with or without external fixation NamesĮxcision of nail and nail matrix, partial or complete, eg, ingrown or deformed nail) for permanent removal with amputation of tuft of distal phalanx Hand and Upper Extremity CPT codes with Assist fee designation and common names.
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