CPT code 28436 denotes closed treatment of a talus fracture with manipulation and percutaneous fixation using screws and/or pins. This surgical procedure matters nationally because talar fractures affect mobility and often require timely, skilled operative management to reduce complications such as post-traumatic arthritis and avascular necrosis. Accurate coding of 28436 is essential for clinical documentation, resource planning, and claims adjudication across inpatient and ambulatory surgical settings.

Key payers addressed in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for percutaneous fixation of talus fractures, typical sites of service, and the implications of using CPT code 28436 for billing workflows. The publication also summarizes payer coverage patterns and benchmarks where available, highlights relevant coding considerations affecting reimbursement and utilization, and outlines policy updates and documentation elements that influence claims review. This content is designed for clinicians, coding professionals, and revenue cycle stakeholders seeking a national perspective on coding and clinical context for CPT code 28436.