Billing code 28430: Talus fracture careMedicare rate & RVUs in Oregon
Report this service for closed treatment of a talus fracture when the physician treats the fracture without manipulating or reducing it.
Medicare pays $261.48–$283.99 for 28430 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
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 in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $283.99 | $229.44 |
| Rest Of Oregon | $261.48 | $212.57 |
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.
How the rate is built · 28430
RVUs × geographic indexes × conversion factor
Work2.16
2.16 RVUs× 1.000 GPCI
Practice expense5.43
5.43 RVUs× 1.000 GPCI
Malpractice0.37
0.37 RVUs× 1.000 GPCI
Adjusted RVUs
7.9600
Conversion factor
$33.4009
Medicare rate
$265.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28430
28430 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28430
Talus fracture care
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28430
Talus fracture care
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28430 without 50 · national office
$265.87
Talus fracture care
28430-50 · Bilateral: 150%
$398.81
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).
28430 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28435Talus fracture care
- 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 fixation
- 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 surgery
- Use 28445 for open treatment of a talus fracture. Code 28430 applies when treatment is closed and performed without manipulation.
28430 billing questions
How does this differ from 28435?
Use 28430 when the closed treatment does not involve manipulation. Use 28435 when the physician manipulates the talus fracture.
Can routine casting be reported as another fracture-treatment service?
No. The cast or other immobilization is part of treating the talus fracture; it is not a second fracture-treatment service.
What documentation supports code selection?
Document the talus fracture and that treatment was closed without manipulation. If manipulation or fixation was performed, the record should support the corresponding treatment code instead.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral treatment and other same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.
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
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