28420 Optx calcaneal fracture with bone grf
Also known as: calcaneal ORIF with graft, heel fracture graft, open reduction with bone graft
Open surgical treatment of calcaneal fracture with internal fixation and bone grafting, used for comminuted fractures with significant bone loss requiring structural augmentation.
In Plain Language
Heel fracture surgery with bone graft; Heel repair with graft; Heel fracture reconstruction
Clinical Context
Used for comminuted intra-articular calcaneal fractures with bone loss; bone grafting provides structural support and enhances healing in severely fragmented fractures.
RVU Breakdown
| Work RVU | 17.08 |
| Total RVU | 17.08 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 17.08, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28420?
CPT 28420 (Optx calcaneal fracture with bone grf) is a Surgery code. Open surgical treatment of calcaneal fracture with internal fixation and bone grafting, used for comminuted fractures with significant bone loss requiring structural augmentation.
What is the wRVU value for CPT 28420?
The work RVU for CPT 28420 is 17.08. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28420 used?
Used for comminuted intra-articular calcaneal fractures with bone loss; bone grafting provides structural support and enhances healing in severely fragmented fractures.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.