CPT code 28445: Talus fracture surgery, open treatment2026 Medicare rate & RVUs in New Mexico

Reports open surgical treatment of a talus fracture, including reduction and internal fixation when performed, such as for a displaced fracture requiring exposure.

CMS RVU26DEffective Oct 1, 2026One payment locality458 Medicare services in 2024

In New Mexico, Medicare pays $964.26 for 28445 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$964.26Hospital or facility

Check a contract rate as a % of Medicare · 28445 nationwide

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

We’ll open 28445 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 28445 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 28445 covers

An orthopedic surgeon typically reports this service when the talus fracture is treated through an open surgical approach to expose and reduce the fracture. Internal fixation, such as plates or screws, is included when performed. A common setting is an operating room for a displaced talar fracture requiring direct access; the code is specific to fracture treatment of the talus, not a neighboring tarsal bone or an osteochondral graft procedure.

The operative report should identify the talus fracture and document the open approach and reduction; describe fixation when used. This major surgery has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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.

How New Mexico compares for 28445

Across 109 of 109 payment localities, the facility rate for 28445 runs from $879.09 in Arkansas to $1,215.36 in Alaska. New Mexico pays $964.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

28445 in New Mexico vs other payment areas
  1. New Mexico · this page$964.26
  2. Los Angeles, CA · California$1,033.88+$69.62
  3. Washington, DC area · District of Columbia$1,080.40+$116.14
  4. Miami, FL · Florida$1,133.46+$169.20
  5. Chicago, IL · Illinois$1,102.00+$137.74
  6. Manhattan, NY · New York$1,123.53+$159.27
  7. Alaska · Alaska$1,215.36+$251.10

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

28445 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$889.75
ArkansasArkansas—$879.09
ArizonaArizona—$951.46
Bakersfield, CACalifornia—$985.28
Chico, CACalifornia—$977.48
El Centro, CACalifornia—$977.94
Fresno, CACalifornia—$977.48
Hanford, CACalifornia—$977.48

28445 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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28445 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 28445 in every payment locality

How the 28445 rate is calculated

Each of 28445’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.

How the rate is built · 28445

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.37

15.37 RVUs× 1.000 GPCI

Practice expense11.08

11.08 RVUs× 1.000 GPCI

Malpractice2.78

2.78 RVUs× 1.000 GPCI

Adjusted RVUs

29.2300

Conversion factor

$33.4009

Medicare rate

$976.31

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,206

Code
28445
Physician work
15.37
Practice expense
11.08
Malpractice
2.78

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 28445 in New Mexico
ComponentRVULocality factorAdjusted
Physician work15.37× 1.00015.3700
Practice expense11.08× 0.91710.1604
Malpractice2.78× 1.2013.3388
Total RVUs28.8691
Conversion factor× 33.4009

Facility rate, New Mexico$964.26

Facility: (15.37 × 1 + 11.08 × 0.917 + 2.78 × 1.201) × $33.4009 = $964.26

Open 28445 in the RVU calculator

Payment rules and modifiers for 28445

28445 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28445

Talus fracture surgery, open treatment

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28445

Talus fracture surgery, open treatment

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28445 without 50 · national facility

$976.31

Talus fracture surgery, open treatment

28445-50 · Bilateral: 150%

$1,464.47

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 28445 has changed in New Mexico

28445 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$964.26RVU26D
2026-07-01Not available in this setting$964.26RVU26C
2026-04-01Not available in this setting$964.26RVU26B
2026-01-01Not available in this setting$964.26RVU26A
2025-10-01Not available in this setting$1,003.98RVU25D
2025-07-01Not available in this setting$1,003.98RVU25C
2025-04-01Not available in this setting$1,003.98RVU25B
2025-01-01Not available in this setting$1,003.98RVU25A
2024-10-01Not available in this setting$1,030.21RVU24D
2024-07-01Not available in this setting$1,030.21RVU24C
2024-04-01Not available in this setting$1,030.21RVU24B
2024-03-09Not available in this setting$1,030.21RVU24AR
2024-01-01Not available in this setting$1,013.40RVU24A
2023-10-01Not available in this setting$1,027.66RVU23D
2023-07-01Not available in this setting$1,027.66RVU23C
2023-04-01Not available in this setting$1,027.66RVU23B
2023-01-01Not available in this setting$1,027.66RVU23A
2022-10-01Not available in this setting$1,018.98RVU22D
2022-07-01Not available in this setting$1,018.98RVU22C
2022-04-01Not available in this setting$1,018.98RVU22B
2022-01-01Not available in this setting$1,018.98RVU22A
2021-10-01Not available in this setting$1,025.11RVU21D
2021-07-01Not available in this setting$1,025.11RVU21C
2021-04-01Not available in this setting$1,025.11RVU21B
2021-01-01Not available in this setting$1,025.11RVU21A
2020-10-01Not available in this setting$1,059.98RVU20D
2020-07-01Not available in this setting$1,059.98RVU20C
2020-04-01Not available in this setting$1,059.98RVU20B
2020-01-01Not available in this setting$1,059.98RVU20A
2019-10-01Not available in this setting$1,080.49RVU19D
2019-07-01Not available in this setting$1,080.49RVU19C
2019-04-01Not available in this setting$1,080.49RVU19B
2019-01-01Not available in this setting$1,080.49RVU19A
2018-10-01Not available in this setting$1,083.73RVU18D
2018-07-01Not available in this setting$1,083.73RVU18C
2018-04-01Not available in this setting$1,083.73RVU18B
2018-01-01Not available in this setting$1,083.73RVU18AR1
2017-10-01Not available in this setting$1,083.21RVU17D
2017-07-01Not available in this setting$1,083.21RVU17C
2017-04-01Not available in this setting$1,083.21RVU17B
2017-01-01Not available in this setting$1,083.21RVU17A
2016-10-01Not available in this setting$1,076.23RVU16D
2016-07-01Not available in this setting$1,076.23RVU16C
2016-04-01Not available in this setting$1,076.23RVU16B
2016-01-01Not available in this setting$1,076.23RVU16A
2015-10-01Not available in this setting$1,088.00RVU15D
2015-07-01Not available in this setting$1,088.00RVU15C
2015-04-01Not available in this setting$1,082.59RVU15B
2015-01-01Not available in this setting$1,082.59RVU15A
2014-10-01Not available in this setting$1,061.02RVU14D
2014-07-01Not available in this setting$1,061.02RVU14C
2014-04-01Not available in this setting$1,061.02RVU14B
2014-01-01Not available in this setting$1,061.02RVU14A
2013-10-01Not available in this setting$1,040.32RVU13D
2013-07-01Not available in this setting$1,040.32RVU13C
2013-04-01Not available in this setting$1,040.32RVU13B
2013-01-01Not available in this setting$1,040.32RVU13AR

Price 28445 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

28445 billing questions

How does 28445 differ from percutaneous talus fixation?

Use 28445 when the fracture is treated through an open approach. Code 28436 describes percutaneous skeletal fixation rather than open treatment.

Is internal fixation separately reported with 28445?

No separate fracture-treatment code is needed for internal fixation when it is performed as part of the open treatment; fixation is included in 28445.

When is modifier 50 appropriate?

For bilateral talus fracture treatment, CMS lists modifier 50 payment at 150%. The operative documentation should support treatment of both sides.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports choosing 28445 over closed treatment?

Document the talus fracture, open surgical approach, and fracture reduction. For 28445, the record should support open treatment rather than closed management or percutaneous fixation.

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

Show the CMS file lines behind this rate
RVUs for 28445PPRRVU2026_Oct_nonQPP.csv, line 3,206 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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