28445 Optx talus fracture
Also known as: talus ORIF, open reduction talus fracture, open fixation talus
Open surgical treatment of talus fracture with internal fixation, including open reduction and hardware placement to achieve anatomic alignment for displaced talus fractures.
In Plain Language
Talus surgery; Open ankle bone surgery; Talus fracture repair
Clinical Context
Used for displaced talus fractures requiring open reduction; internal fixation restores joint surface and prevents complications like osteonecrosis and arthritis.
RVU Breakdown
| Work RVU | 15.37 |
| Total RVU | 15.37 |
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 15.37, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28445?
CPT 28445 (Optx talus fracture) is a Surgery code. Open surgical treatment of talus fracture with internal fixation, including open reduction and hardware placement to achieve anatomic alignment for displaced talus fractures.
What is the wRVU value for CPT 28445?
The work RVU for CPT 28445 is 15.37. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28445 used?
Used for displaced talus fractures requiring open reduction; internal fixation restores joint surface and prevents complications like osteonecrosis and arthritis.
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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.