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28525 Treat toe fracture

Surgery Global 90d

Also known as: toe ORIF, open reduction lesser toe, toe fracture surgery

Open surgical treatment of lesser toe fracture with internal fixation, including open reduction and hardware placement for displaced toe fractures of digits two through five.

In Plain Language

Toe surgery; Open toe repair; Toe fracture fixation

Clinical Context

Used for significantly displaced, comminuted, or intra-articular lesser toe fractures requiring open reduction and fixation.

RVU Breakdown

Work RVU5.48
Total RVU5.48

Est. Medicare Payment

$183.03

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 5.48, this code ranks in the 37th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Orthopedic SurgeryFoot and Ankle Surgery

Frequently Asked Questions

What is CPT code 28525?

CPT 28525 (Treat toe fracture) is a Surgery code. Open surgical treatment of lesser toe fracture with internal fixation, including open reduction and hardware placement for displaced toe fractures of digits two through five.

What is the wRVU value for CPT 28525?

The work RVU for CPT 28525 is 5.48. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.

When is CPT 28525 used?

Used for significantly displaced, comminuted, or intra-articular lesser toe fractures requiring open reduction and fixation.

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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.