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CPT 28436 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.

Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Talus Fracture Withmanipulation Percutaneous Skeletal Fixation Of Talus Fracture With
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 28436
Medicaid Fee ScheduleView Medicaid rates for 28436

National average reimbursement for CPT 28436 by major payers:

bcbs

$649.86

uhc

$613.43

aetna

$641.51

cigna

$790.42

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 28436.

CPT 28436
5 of 25 sample ratesHigher to lower in this preview
  1. Countryside Surgery Center, Ltd

    Countryside Surgery Center Ltd

    FLAmbulatory Surgical Clinic/CenterNPI 1518920040Tax ID 75-2400186

    $6,651.00Published rate
  2. Florida Springs Surgery Center LLC

    Florida Springs Surgery Center L

    FLAmbulatory Surgical Clinic/CenterNPI 1730713439Tax ID 83-2895293

    $2,353.00Published rate
  3. Plainfield Surgery Center, LLC

    Plainfield Surgery Center LLC

    ILAmbulatory Surgical Clinic/CenterNPI 1902078207Tax ID 30-0391104

    $1,690.00Published rate
  4. Unity Linden Oaks Surgery Center, LLC

    NYAmbulatory Surgical Clinic/CenterNPI 1194091801Tax ID 80-0798208

    $1,169.00Published rate
  5. Northwest Kansas Surgery Center, LLC

    Northwest Kansas Surgery Center LLC

    KSAmbulatory Surgical Clinic/CenterNPI 1275501512Tax ID 48-1209668

    $598.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 28436 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 28436 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 28436 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.

CodeComplexityDescription
28430-CPTModerateClosed Treatment Of Talus Frac, Closed Treatment Of Talus Fracture Without Manipulationclosed Treatment Of Talus Fracture Without Manipulation
28435-CPTModerateClosed Treatment Of Talus Frac, Closed Treatment Of Talus Fracture With Manipulationclosed Treatment Of Talus Fracture With Manipulation
28436-CPTModeratePercutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Talus Fracture Withmanipulation Percutaneous Skeletal Fixation Of Talus Fracture With
28445-CPTHighSurgery 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 28436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 28436 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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