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See a sample rate comparisonCPT 28430 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Talus Frac, Closed Treatment Of Talus Fracture Without Manipulationclosed Treatment Of Talus Fracture Without Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28430 |
| Medicaid Fee Schedule | View Medicaid rates for 28430 |
National average reimbursement for CPT 28430 by major payers:
$318.82
$315.31
$330.35
$386.94
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 28430.
CPT 28430
5 of 25 sample ratesHigher to lower in this preview
Roosevelt Surgery Center, LLC
$955.00Published rateEndoscopy Center Of Ocean County, LLC
Endoscopy Center Of Ocean County, PC
$345.00Published rateHamilton Ambulatory Surgery Center
Hamilton Ambulatory Surgery Center Inc
$184.00Published rateAmarillo Surgery And Endoscopy, Lp, Adc Endoscopy Specialists
Amarillo Surgery And Endoscopy Lp
$117.00Published rateMidsouth Interventional Pain Institute, LLC
Midsouth Interventional Pain Institute LLC
$47.00Published rate
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See a sample payer proposalCPT 28430 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28430 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 28430 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 28430-CPT | Moderate | Closed Treatment Of Talus Frac, Closed Treatment Of Talus Fracture Without Manipulationclosed Treatment Of Talus Fracture Without Manipulation |
| 28435-CPT | Moderate | Closed Treatment Of Talus Frac, Closed Treatment Of Talus Fracture With Manipulationclosed Treatment Of Talus Fracture With Manipulation |
| 28436-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Talus Fracture Withmanipulation Percutaneous Skeletal Fixation Of Talus Fracture With |
| 28445-CPT | High | Surgery To Repair Broken Ankle, Surgery To Repair A Broken Ankle Bone (Talus). Pins Wires Or Screws May Be Used To Hold The Bone In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28430 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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