28505 Treat big toe fracture
Also known as: hallux ORIF, open reduction hallux, big toe fracture surgery
Open surgical treatment of hallux fracture with internal fixation, including open reduction and hardware placement for displaced great toe fractures.
In Plain Language
Big toe surgery; Open big toe repair; Big toe fracture fixation
Clinical Context
Used for displaced or comminuted great toe fractures requiring open reduction; internal fixation restores alignment and joint congruity.
RVU Breakdown
| Work RVU | 7.25 |
| Total RVU | 7.25 |
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 7.25, this code ranks in the 47th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28505?
CPT 28505 (Treat big toe fracture) is a Surgery code. Open surgical treatment of hallux fracture with internal fixation, including open reduction and hardware placement for displaced great toe fractures.
What is the wRVU value for CPT 28505?
The work RVU for CPT 28505 is 7.25. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28505 used?
Used for displaced or comminuted great toe fractures requiring open reduction; internal fixation restores alignment and joint congruity.
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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.