28645 Repair toe dislocation
Also known as: toe dislocation ORIF, open reduction toe, open fixation
Open surgical treatment of toe dislocation with reduction and internal fixation, including open reduction and hardware placement for complex or irreducible digit dislocations.
In Plain Language
Toe dislocation surgery; Open toe repair; Surgical digit reduction
Clinical Context
Used for irreducible or complex toe dislocations requiring open reduction; internal fixation restores stable joint anatomy.
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 28645?
CPT 28645 (Repair toe dislocation) is a Surgery code. Open surgical treatment of toe dislocation with reduction and internal fixation, including open reduction and hardware placement for complex or irreducible digit dislocations.
What is the wRVU value for CPT 28645?
The work RVU for CPT 28645 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 28645 used?
Used for irreducible or complex toe dislocations requiring open reduction; internal fixation restores stable joint anatomy.
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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.