CPT code 28476 represents percutaneous fixation of a metatarsal fracture using screws and pins, with manipulation or adjustment of the bone. This code captures a common orthopedic procedure to restore alignment and stability of the metatarsal bones and is relevant for hospitals, ambulatory surgery centers, and orthopedic practices nationwide. It matters nationally because metatarsal fractures are frequent injuries from trauma and sports, and correct coding is essential for consistent claims processing and quality tracking.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context of the procedure, typical sites of service, and the types of documentation elements that support CPT code 28476. The publication also summarizes common billing modifiers encountered with operative orthopedic procedures and outlines areas where policy updates and coverage criteria commonly affect authorization and reimbursement. Clinical context covers indications for percutaneous fixation versus conservative care or open fixation, and operational context discusses typical care settings and imaging support used during the procedure.

This resource is intended to help revenue cycle, coding, and clinical staff understand the code’s clinical meaning, common billing considerations, and where to focus documentation to support claims. Data not available in the input: specific associated taxonomies, ICD-10 diagnoses, related codes, and payer-specific coverage rules.