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CPT code 28322: Metatarsal repair, nonunion or malunion2026 Medicare rate & RVUs in Nevada

Repair a metatarsal fracture that has failed to unite or healed in poor alignment, with or without bone grafting.

CMS RVU26DEffective Oct 1, 2026One payment locality900 Medicare services in 2024

In Nevada, Medicare pays $807.17 for 28322 in the office and $533.34 when it’s performed in a hospital or facility.

$807.17Office (non-facility)
$533.34Hospital or facility
−0.8%vs the national office rate ($813.98)

Check a contract rate as a % of Medicare · 28322 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 28322 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 28322 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 28322 covers

This surgery addresses a metatarsal fracture that has not united or has healed in a position that needs correction. The foot and ankle surgeon exposes the affected bone, addresses the nonunion or malunion, restores alignment when needed, and stabilizes the repair. Bone graft may be used; the service covers repair with or without grafting. These cases generally follow an earlier fracture and differ from treatment of a new, acute metatarsal fracture.

Report the code when the operative record supports repair of a metatarsal nonunion or malunion. Document the affected bone, the fracture-healing problem, the corrective work, and any grafting or fixation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Nevada compares for 28322

Across 109 of 109 payment localities, the office rate for 28322 runs from $723.34 in Arkansas to $1,041.86 in San Benito County, CA. Nevada pays $807.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

28322 in Nevada vs other payment areas
  1. Nevada · this page$807.17
  2. Los Angeles, CA · California$900.77+$93.60
  3. Washington, DC area · District of Columbia$921.57+$114.40
  4. Miami, FL · Florida$901.07+$93.90
  5. Chicago, IL · Illinois$875.05+$67.88
  6. Manhattan, NY · New York$937.16+$129.99
  7. Alaska · Alaska$965.28+$158.11

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

Every other payment area

28322 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$733.45$494.09
ArkansasArkansas$723.34$488.36
ArizonaArizona$792.42$527.34
Bakersfield, CACalifornia$849.42$549.60
Chico, CACalifornia$845.67$545.85
El Centro, CACalifornia$845.88$546.07
Fresno, CACalifornia$845.67$545.85
Hanford, CACalifornia$845.67$545.85

28322 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

$723.34

$965.28

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28322 office rate range by state
State / territoryOffice rate rangeLocalities
AK$965.281
AL$733.451
AR$723.341
AZ$792.421
CA$845.67–$1,041.8629
CO$839.241
CT$866.641
DC$921.571
DE$805.041
FL$814.33–$901.073
GA$769.21–$831.492
GU$863.011
HI$863.011
IA$745.751
ID$751.531
IL$795.78–$875.054
IN$755.551
KS$745.011
KY$755.611
LA$755.52–$790.882
MA$835.64–$916.072
MD$819.08–$921.573
ME$758.05–$793.402
MI$776.79–$826.762
MN$797.451
MO$744.90–$790.443
MS$734.131
MT$813.891
NC$765.201
ND$787.991
NE$748.851
NH$828.701
NJ$874.63–$913.242
NM$781.911
NV$807.171
NY$776.37–$962.315
OH$771.501
OK$751.541
OR$799.02–$861.872
PA$771.20–$847.612
PR$818.741
RI$830.781
SC$770.001
SD$784.931
TN$748.921
TX$766.56–$838.108
UT$779.981
VA$792.75–$921.572
VI$818.741
VT$787.441
WA$833.23–$931.632
WI$763.021
WV$768.341
WY$802.601

See 28322 in every payment locality

How the 28322 rate is calculated

Each of 28322’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 · 28322

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.32

8.32 RVUs× 1.000 GPCI

Practice expense14.74

14.74 RVUs× 1.000 GPCI

Malpractice1.31

1.31 RVUs× 1.000 GPCI

Adjusted RVUs

24.3700

Conversion factor

$33.4009

Medicare rate

$813.98

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,192

Code
28322
Physician work
8.32
Practice expense
14.74
Malpractice
1.31

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 28322 in Nevada
ComponentRVULocality factorAdjusted
Physician work8.32× 1.0008.3200
Practice expense14.74× 1.00114.7547
Malpractice1.31× 0.8331.0912
Total RVUs24.1660
Conversion factor× 33.4009

Office rate, Nevada$807.17

Office: (8.32 × 1 + 14.74 × 1.001 + 1.31 × 0.833) × $33.4009 = $807.17

Facility: (8.32 × 1 + 6.55 × 1.001 + 1.31 × 0.833) × $33.4009 = $533.34

Open 28322 in the RVU calculator

Payment rules and modifiers for 28322

28322 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28322

Metatarsal repair, nonunion or malunion

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)0The 150% bilateral adjustment doesn’t apply.
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 · 28322

Metatarsal repair, nonunion or malunion

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 51 · payment effect

With and without the modifier

28322 without 51 · national office

$813.98

Metatarsal repair, nonunion or malunion

28322-51 · Second procedure: 50%

$406.99

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 28322

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

Codes related to 28322
CodeHow it relatesOffice range, Nevada
Same family
28320Bone repair, tarsal nonunion or malunionRepair of a nonunion or malunion involving tarsal bones rather than a metatarsal.No office rate
Used instead
28485Metatarsal fracture surgery, open treatment, eachOpen treatment for an acute metatarsal fracture, rather than repair of nonunion or malunion.No office rate
28470Metatarsal fracture care, without manipulation, eachClosed treatment for an acute metatarsal fracture.$235.69
28308Metatarsal osteotomy, other than first metatarsalMetatarsal osteotomy for a different indication, rather than fracture nonunion or malunion repair.$582.11

How 28322 has changed in Nevada

28322 · Office / nonfacility

$807.17

Effective 2026-10-01

The base rate is $49.93 higher than on 2025-10-01, moving from $757.24 to $807.17 (6.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $757.24changed to$807.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 8.53 changed to 8.32
    • Practice expense RVU 13.80 changed to 14.74
    • Malpractice RVU 1.28 changed to 1.31
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $781.78changed to$757.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.85 changed to 13.80
    • Malpractice RVU 1.31 changed to 1.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $769.02changed to$781.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $802.29changed to$769.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.74 changed to 13.85
    • Malpractice RVU 1.28 changed to 1.31
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $821.74changed to$802.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.43 changed to 13.74
    • Malpractice RVU 1.29 changed to 1.28
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $832.60changed to$821.74

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.60 changed to 13.43
    • Malpractice RVU 1.25 changed to 1.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $821.59changed to$832.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.80 changed to 13.60
    • Malpractice RVU 1.24 changed to 1.25
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $821.86changed to$821.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.92 changed to 12.80
    • Malpractice RVU 1.23 changed to 1.24
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $825.68changed to$821.86

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.04 changed to 12.92
    • Malpractice RVU 1.24 changed to 1.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $829.27changed to$825.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.93 changed to 13.04
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $841.16changed to$829.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.01 changed to 12.93
    • Malpractice RVU 1.27 changed to 1.24
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $844.52changed to$841.16

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.00 changed to 13.01
    • Malpractice RVU 1.29 changed to 1.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $840.32changed to$844.52

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $844.86changed to$840.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.95 changed to 13.00
    • Malpractice RVU 1.25 changed to 1.29
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $853.03changed to$844.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.11 changed to 12.95
    • Malpractice RVU 1.31 changed to 1.25
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$853.03

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$807.17$533.34RVU26D
2026-07-01$807.17$533.34RVU26C
2026-04-01$807.17$533.34RVU26B
2026-01-01$807.17$533.34RVU26A
2025-10-01$757.24$563.49RVU25D
2025-07-01$757.24$563.49RVU25C
2025-04-01$757.24$563.49RVU25B
2025-01-01$757.24$563.49RVU25A
2024-10-01$781.78$576.73RVU24D
2024-07-01$781.78$576.73RVU24C
2024-04-01$781.78$576.73RVU24B
2024-03-09$781.78$576.73RVU24AR
2024-01-01$769.02$567.31RVU24A
2023-10-01$802.29$591.85RVU23D
2023-07-01$802.29$591.85RVU23C
2023-04-01$802.29$591.85RVU23B
2023-01-01$802.29$591.85RVU23A
2022-10-01$821.74$606.83RVU22D
2022-07-01$821.74$606.83RVU22C
2022-04-01$821.74$606.83RVU22B
2022-01-01$821.74$606.83RVU22A
2021-10-01$832.60$607.54RVU21D
2021-07-01$832.60$607.54RVU21C
2021-04-01$832.60$607.54RVU21B
2021-01-01$832.60$607.54RVU21A
2020-10-01$821.59$604.69RVU20D
2020-07-01$821.59$604.69RVU20C
2020-04-01$821.59$604.69RVU20B
2020-01-01$821.59$604.69RVU20A
2019-10-01$821.86$598.29RVU19D
2019-07-01$821.86$598.29RVU19C
2019-04-01$821.86$598.29RVU19B
2019-01-01$821.86$598.29RVU19A
2018-10-01$825.68$599.42RVU18D
2018-07-01$825.68$599.42RVU18C
2018-04-01$825.68$599.42RVU18B
2018-01-01$825.68$599.42RVU18AR1
2017-10-01$829.27$602.91RVU17D
2017-07-01$829.27$602.91RVU17C
2017-04-01$829.27$602.91RVU17B
2017-01-01$829.27$602.91RVU17A
2016-10-01$841.16$610.11RVU16D
2016-07-01$841.16$610.11RVU16C
2016-04-01$841.16$610.11RVU16B
2016-01-01$841.16$610.11RVU16A
2015-10-01$844.52$612.26RVU15D
2015-07-01$844.52$612.26RVU15C
2015-04-01$840.32$609.22RVU15B
2015-01-01$840.32$609.22RVU15A
2014-10-01$844.86$615.46RVU14D
2014-07-01$844.86$615.46RVU14C
2014-04-01$844.86$615.46RVU14B
2014-01-01$844.86$615.46RVU14A
2013-10-01$853.03$611.14RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28322 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

28322 billing questions

When is this code appropriate instead of an acute fracture treatment code?

Use 28322 for repair of a metatarsal fracture nonunion or malunion. Acute fracture treatment codes describe treatment of a new fracture, not repair of a fracture-healing problem.

Does the code include bone grafting?

Yes. The repair may be performed with or without bone grafting.

Can modifier 50 be used for repair of metatarsals on both feet?

No. CMS identifies bilateral adjustment as inapplicable and modifier 50 as inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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.

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 28322PPRRVU2026_Oct_nonQPP.csv, line 3,192 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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