Can you clarify as to when you can use CPT code 28470: closed treatment of a metatarsal fracture. What does the code include regarding application of splints, dressings, and use of an ambulatory boot if needed. Are they included in the use of this code? What is the global for this code? If you see this patient for follow up and need to bill an E/M code, then what is the modifier needed to indicate that the visit has nothing to do with the fracture?
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28470 is for closed fracture reduction without manipulation.
28475 is the same as above but with manipulation.
As for the global period for both is 90 days. Thus
any e/m or surgical treatment normally related to this specific metatarsal fracture being treated within the next 90 days is subject to the global period.
However, DME items such as a CAM walker are not included.
If one is applying a cast (and its materials), then both of those applied on the initial date of service for the fracture care are included.
Future casts (and their materials) are not included in the global payment and subject to medical necessity these may be separately paid.
The 294 cast code should be amended with a 58 modifier
The Q (supply) code does not require a modifier.
The 58 modifier (staged procedure) should be used subject to documentation on the date of the initial cast application that a subseqent cast, or splint may be medically necessary due to edema fluctuations and the medical necessity to inspect the foot for s/s of DVT, ischemic changes, etc.
If you need to see a patient for a separate identifiable E/M then the modifier to amend to that E/M is CPT=24