CPT® Code 28485

CPT Assistant Articles
Additional Code Info
Anatomy/Physiology Online
Dictionary Definitions Illustrations
My Notes
Alerts

Newsletters
Coding Tips
Fees - Facility
Fees - Non-Facility
RVUs - Facility: Show Details
RVUs - Non-Facility: Show Details

Cross-A-Code
NCCI Edits - Facility
NCCI Edits - Non-Facility
Medicare Policies & Guidelines
PQRS

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Code History

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Anatomy & Physiology Online for Coders

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Anatomical Language

Anatomical directions: Proximal

Bone Growth, Repair, and Remodeling

Bone fracture

Connective Tissue

Bone

Histological Techniques

Fixation

Lower Limb

Bones of the foot
Bones of the foot (3D view)
Cuboid

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My Notes

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CPT^® Assistant Articles

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DecisionHealth^® Articles

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AHA Coding Clinic^® Articles

AHA Coding Clinic^® for HCPCS

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Coding Tips

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Fees

Calculated for UT (84043)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

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Facility (Hospital, etc.)

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$517.19	$775.78	$1,034.38	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$517.19	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

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Non-Facility (Office, etc.)

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$517.19	$775.78	$1,034.38	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$517.19	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

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APC Fee Information

Note: APC information, including Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more, is available to Subscribers with the Hospital/Facility product.

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RVUs - Relative Value Units

Calculated for UT (84043)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

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Facility 15.2 (Hospital, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	7.44	6.71	1.05	15.2

Note: Subscribers with the Hospital/Facility product will see calculated values below.

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Practitioner Work Component: 7.44

Pre-Service	Intra-Service	Post-Service	Total Time*
##	##	##	## min

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	7.44

Practice Expense: 6.71

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time*
RN/LPN/MTA	.37 / min	## min	## min	## min	## min

Item	Purchase Price	Expected Life	Total Time
table, power	$##.##	## years	## min
cast cutter	$##.##	## years	## min

Item	Unit Price	Quantity	Unit	Amount
pack, minimum multi-specialty visit	$##.##	##	pack	$##.##
pack, post-op incision care (suture)	$##.##	##	pack	$##.##
gloves, non-sterile, nitrile	$##.##	##	pair	$##.##
gloves, sterile	$##.##	##	pair	$##.##
gauze, sterile 4in x 4in	$##.##	##	item	$##.##
steri-strip (6 strip uou)	$##.##	##	item	$##.##
tape, surgical paper 1in (Micropore)	$##.##	##	inch	$##.##
povidone soln (Betadine)	$##.##	##	ml	$##.##
swab-pad, alcohol	$##.##	##	item	$##.##

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	6.71

Malpractice Component: 1.05

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	1.05

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Non-Facility 15.2 (Office, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	7.44	6.71	1.05	15.2

Note: Subscribers will see the calculated values below.

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Practitioner Work Component: 7.44

Pre-Service	Intra-Service	Post-Service	Total Time*
##	##	##	## min

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	7.44

Practice Expense: 6.71

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time*
RN/LPN/MTA	.37 / min	## min	## min	## min	## min

Item	Purchase Price	Expected Life	Total Time
table, power	$##.##	## years	## min
cast cutter	$##.##	## years	## min

Item	Unit Price	Quantity	Unit	Amount
pack, minimum multi-specialty visit	$##.##	##	pack	$##.##
pack, post-op incision care (suture)	$##.##	##	pack	$##.##
gloves, non-sterile, nitrile	$##.##	##	pair	$##.##
gloves, sterile	$##.##	##	pair	$##.##
gauze, sterile 4in x 4in	$##.##	##	item	$##.##
steri-strip (6 strip uou)	$##.##	##	item	$##.##
tape, surgical paper 1in (Micropore)	$##.##	##	inch	$##.##
povidone soln (Betadine)	$##.##	##	ml	$##.##
swab-pad, alcohol	$##.##	##	item	$##.##

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	6.71

Malpractice Component: 1.05

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	1.05

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Cross-A-Code™ (ICD-9, CPT, HCPCS, Modifiers, ASA CROSSWALK^®)

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NCCI Edits

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Medicare Policies & Guidelines

Subscribers may see Crosswalks here for Local Coverage Determinations (LCDs) or Ambulatory Patient Classifications (APCs) with information on covered diagnosis and procedure codes.

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Physician Quality Reporting System (PQRS)

PQRS is a program where an incentive payment is made to professionals who report data on various measures.
Learn more about PQRS or Read about PQRS at cms.gov.

This code (28485) can be used with the following measures:

#	Measure Title	Reporting Options
20	Perioperative Care: Timing of Prophylactic Parenteral Antibiotic - Ordering Physician	Claim, Registry, Group
21	Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin	Claim, Registry, Group
22	Perioperative Care: Discontinuation of Prophylactic Parenteral Antibiotics (Non-Cardiac Procedures)	Claim, Registry, Group

Anatomical Language

Bone Growth, Repair, and Remodeling

Connective Tissue

Histological Techniques

Lower Limb

AHA Coding Clinic® for HCPCS

AHA Coding Clinic^® for HCPCS