CPT code 28400: Fracture treatment, calcaneus, no manipulation2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $263.01 for 28400 in the office and $225.93 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28400 nationwide

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

What 28400 covers

This service covers nonoperative treatment of a heel bone fracture when the treating clinician manages the fracture without manipulating it to change its alignment. An orthopedic surgeon or podiatrist may provide care in an office, emergency department, or outpatient setting. Treatment commonly includes immobilization in a cast or boot and planned clinical and imaging follow-up. The key distinction is the treatment performed, not simply whether the fracture is displaced on imaging.

Report the code when the documented plan and service support closed fracture care without manipulation. The record should identify the calcaneal fracture and show that manipulation or fixation was not performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral treatment with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this code; 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.

How South Dakota compares for 28400

Across 109 of 109 payment localities, the office rate for 28400 runs from $239.32 in Arkansas to $354.95 in San Benito County, CA. South Dakota pays $263.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28400 rates by state

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

See 28400 in every payment locality

How the 28400 rate is calculated

Each of 28400’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.

Payment rules and modifiers for 28400

28400 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 28400

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

How 28400 has changed in South Dakota

Price 28400 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates