28430 Talus fracture care Medicare reimbursement rates in Delaware

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.