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CPT 28445: Open Treatment of Talus Fracture
CPT code 28445 represents the open surgical treatment of talus fractures, a clinically significant procedure given the talus's central role in ankle stability and weight bearing. Proper coding of this procedure affects hospital and surgical facility reporting, case-mix considerations, and national utilization monitoring for orthopedic trauma care. The code covers open reduction with or without internal fixation using implants such as pins or screws.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a national perspective on clinical context and common sites of service for this procedure, plus coverage-relevant considerations and benchmarks where available. The publication summarizes clinical indications, typical surgical settings (hospital inpatient, hospital outpatient, and select ambulatory surgical centers), and coding implications for surgical treatment of talus fractures.
This summary guides coding professionals, surgical departments, and policy analysts on the core attributes of CPT code 28445, clarifying what the code denotes and what users should expect in national reporting and payer interactions. Data not available in the input is noted where specific payer coverage policies, associated taxonomies, ICD-10 pairings, and related codes would otherwise be detailed.
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Billing Code Overview
CPT code 28445 describes the open treatment of a talus fracture, a surgical procedure to address fractures of the talus bone in the ankle. The procedure may include internal fixation using devices such as pins or screws, but fixation is optional depending on fracture pattern and surgeon judgment.
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Service type: Open surgical fracture treatment/orthopedic surgery
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Typical site of service: Hospital inpatient or hospital outpatient surgical setting; may also be performed in ambulatory surgical centers for select cases