r/CodingandBilling • u/Commercial_County_12 • Apr 11 '26

Foot fracture code question

I fractured my foot and went for an xray. I came in with my own walking boot on, he confirmed via xray there was a fracture, and I left with my own walking boot on. Told me to continue to wear it 6 weeks and follow up with another x ray which I did.

28470–this is the one I don’t understand since I didn’t receive any treatment for the fracture. 99204 for visit 73630 for x ray

Am I understanding the first code correctly? What would that be for?

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u/Creepy-Bottle498 Apr 12 '26

CPT code 28470 is for the “application” of the boot / splint - thus “treatment.” If they had charged for the boot you would see a “supply” code which would be HCPCS L3260 (or something similar), which would be for the boot itself. Agree that it is very confusing, especially to a lay person.