28496 Treat big toe fracture
Also known as: percutaneous hallux fixation, percutaneous pinning hallux, minimally invasive hallux fix
Percutaneous skeletal fixation of hallux fracture with manipulation, using percutaneous pins or screws to maintain reduction of displaced great toe fractures.
In Plain Language
Big toe pin surgery; Big toe percutaneous surgery; Big toe fracture pins
Clinical Context
Used for displaced great toe fractures requiring fixation; percutaneous approach maintains reduction with minimal soft tissue damage.
RVU Breakdown
| Work RVU | 2.42 |
| Total RVU | 2.42 |
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 2.42, this code ranks in the 17th percentile among Surgery codes — 3.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28496?
CPT 28496 (Treat big toe fracture) is a Surgery code. Percutaneous skeletal fixation of hallux fracture with manipulation, using percutaneous pins or screws to maintain reduction of displaced great toe fractures.
What is the wRVU value for CPT 28496?
The work RVU for CPT 28496 is 2.42. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28496 used?
Used for displaced great toe fractures requiring fixation; percutaneous approach maintains reduction with minimal soft tissue damage.
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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.