28446 Opn osteochondrl agrft talus
Also known as: talar OCD surgery, osteochondral graft talus, talar dome grafting
Open surgical treatment of osteochondral fracture of the talus with graft placement, including reduction of the osteochondral fragment and bone graft augmentation to promote healing.
In Plain Language
Talus cartilage surgery; Ankle cartilage repair; Talus graft surgery
Clinical Context
Used for osteochondral lesions of the talus with bone loss; open reduction and bone grafting restores the articular surface and promotes healing.
RVU Breakdown
| Work RVU | 17.27 |
| Total RVU | 17.27 |
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 17.27, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28446?
CPT 28446 (Opn osteochondrl agrft talus) is a Surgery code. Open surgical treatment of osteochondral fracture of the talus with graft placement, including reduction of the osteochondral fragment and bone graft augmentation to promote healing.
What is the wRVU value for CPT 28446?
The work RVU for CPT 28446 is 17.27. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28446 used?
Used for osteochondral lesions of the talus with bone loss; open reduction and bone grafting restores the articular surface and promotes healing.
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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.