CPT code 28430: Talus fracture care, without manipulation2026 Medicare rate & RVUs

Medicare pays $265.87 for 28430 nationally in the office and $216.77 in a hospital or facility. Local office rates run $234.30–$348.24.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 28430 covers

This service covers nonoperative treatment of a talus fracture when the physician does not manipulate the fracture to change its position. An orthopedic or foot and ankle surgeon may provide care in an office, emergency department, or hospital setting, with immobilization such as a cast or splint as clinically appropriate. The code is specific to the talus, one of the bones forming the ankle joint; fractures of the calcaneus or other tarsal bones are coded elsewhere.

Choose this code when the documented treatment is closed and does not include manipulation. If the physician manipulates the fracture, uses percutaneous skeletal fixation, or performs open fixation, select the code matching that service instead. The record should identify the talus fracture and support the treatment method. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 28430 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28430 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 28430 rate is calculated

Each of 28430’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 28430

28430 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

28430 compared with similar codes

How to choose

28435Talus fracture careClosed treatment with manipulation

Both codes describe closed treatment of a talus fracture. Choose 28435 when the physician manipulates the fracture; choose 28430 when no manipulation is performed.

28436Talus fracture fixationPercutaneous, with manipulation

This code represents talus fracture treatment with percutaneous skeletal fixation and manipulation. Code 28430 describes closed treatment without manipulation or that fixation method.

28445Talus fracture surgeryOpen treatment

Use 28445 for open treatment of a talus fracture. Code 28430 applies when treatment is closed and performed without manipulation.

Codes related to 28430

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates