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See a sample rate comparisonCPT 28445 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28445 |
| Medicaid Fee Schedule | View Medicaid rates for 28445 |
National average reimbursement for CPT 28445 by major payers:
$1,357.30
$1,425.02
$1,474.43
$1,715.46
Compare published rates across providers.
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CPT 28445
5 of 25 sample ratesHigher to lower in this preview
Arlington Surgery Center, LLC, Arlington Surgery Center Associates, Lp
Arlington Surgery Center LLC
$8,818.00Published rateSurgical Center Of Tvh
$5,167.00Published rateUniversity Of Miami, Umiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - Asc)
University Of Miami
$3,820.00Published rateWaukegan Illinois Hospital Company LLC, Vista Surgery Center
$1,494.00Published ratePaul Brinton
Deaconess Hospital Inc
$847.76Published rate
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See a sample payer proposalCPT 28445 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28445 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 28445 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 28445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28445 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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