28636 Treat toe dislocation
Also known as: percutaneous toe fixation, percutaneous digit pinning, minimally invasive
Percutaneous skeletal fixation of toe dislocation with manipulation, using percutaneous pins or screws to maintain reduction of displaced lesser digit dislocations.
In Plain Language
Toe pin surgery; Digit fixation; Minimal incision toe surgery
Clinical Context
Used for unstable lesser toe dislocations requiring fixation; percutaneous approach provides stability with minimal soft tissue trauma.
RVU Breakdown
| Work RVU | 2.70 |
| Total RVU | 2.70 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.70, this code ranks in the 19th percentile among Surgery codes — 3.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28636?
CPT 28636 (Treat toe dislocation) is a Surgery code. Percutaneous skeletal fixation of toe dislocation with manipulation, using percutaneous pins or screws to maintain reduction of displaced lesser digit dislocations.
What is the wRVU value for CPT 28636?
The work RVU for CPT 28636 is 2.70. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 10-day global period.
When is CPT 28636 used?
Used for unstable lesser toe dislocations requiring fixation; percutaneous approach provides stability with minimal soft tissue trauma.
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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.