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

Reports closed treatment of a calcaneal fracture managed without manipulation, such as immobilization when the fracture does not require reduction.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In Utah, Medicare pays $258.93 for 28400 in the office and $224.08 when it’s performed in a hospital or facility.

$258.93Office (non-facility)
$224.08Hospital or facility
−4.5%vs the national office rate ($271.22)

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.

We’ll open 28400 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 28400 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 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 Utah 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. Utah pays $258.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

28400 in Utah vs other payment areas
  1. Utah · this page$258.93
  2. Los Angeles, CA · California$303.76+$44.83
  3. Washington, DC area · District of Columbia$309.37+$50.44
  4. Miami, FL · Florida$297.64+$38.71
  5. Chicago, IL · Illinois$288.66+$29.73
  6. Manhattan, NY · New York$313.03+$54.10
  7. Alaska · Alaska$315.18+$56.25

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

Every other payment area

28400 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$242.89$210.45
ArkansasArkansas$239.32$207.47
ArizonaArizona$263.74$227.82
Bakersfield, CACalifornia$285.45$244.81
Chico, CACalifornia$284.39$243.76
El Centro, CACalifornia$284.46$243.82
Fresno, CACalifornia$284.39$243.76
Hanford, CACalifornia$284.39$243.76

28400 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.

$239.32

$319.67

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

View every state and territory as a table
28400 office rate range by state
State / territoryOffice rate rangeLocalities
AK$315.181
AL$242.891
AR$239.321
AZ$263.741
CA$284.39–$354.9529
CO$281.171
CT$289.461
DC$309.371
DE$268.141
FL$269.35–$297.643
GA$253.75–$276.862
GU$291.181
HI$291.181
IA$248.151
ID$250.011
IL$262.19–$288.664
IN$251.451
KS$247.451
KY$249.771
LA$249.57–$262.062
MA$279.65–$308.582
MD$273.16–$309.373
ME$251.85–$265.002
MI$256.83–$273.262
MN$267.841
MO$245.54–$262.423
MS$242.451
MT$271.191
NC$254.451
ND$263.871
NE$249.381
NH$277.201
NJ$292.32–$306.182
NM$258.451
NV$269.341
NY$258.36–$321.345
OH$255.331
OK$248.801
OR$266.81–$289.652
PA$255.47–$282.492
PR$273.051
RI$277.371
SC$255.401
SD$263.011
TN$248.781
TX$253.80–$280.618
UT$258.931
VA$264.46–$309.372
VI$273.051
VT$263.271
WA$278.98–$314.412
WI$254.951
WV$252.481
WY$268.001

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.

How the rate is built · 28400

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.25

2.25 RVUs× 1.000 GPCI

Practice expense5.50

5.50 RVUs× 1.000 GPCI

Malpractice0.37

0.37 RVUs× 1.000 GPCI

Adjusted RVUs

8.1200

Conversion factor

$33.4009

Medicare rate

$271.22

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,198

Code
28400
Physician work
2.25
Practice expense
5.50
Malpractice
0.37

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 28400 in Utah
ComponentRVULocality factorAdjusted
Physician work2.25× 1.0002.2500
Practice expense5.50× 0.9405.1700
Malpractice0.37× 0.8980.3323
Total RVUs7.7523
Conversion factor× 33.4009

Office rate, Utah$258.93

Office: (2.25 × 1 + 5.5 × 0.94 + 0.37 × 0.898) × $33.4009 = $258.93

Facility: (2.25 × 1 + 4.39 × 0.94 + 0.37 × 0.898) × $33.4009 = $224.08

Open 28400 in the RVU calculator

Payment rules and modifiers for 28400

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

CMS payment indicators · 28400

Fracture treatment, calcaneus, no manipulation

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 28400

Fracture treatment, calcaneus, no manipulation

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 50 · payment effect

With and without the modifier

28400 without 50 · national office

$271.22

Fracture treatment, calcaneus, no manipulation

28400-50 · Bilateral: 150%

$406.83

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).

When to use modifier 50

Codes related to 28400

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

Codes related to 28400
CodeHow it relatesOffice range, Utah
Same family
28405Heel fracture treatment, with manipulationClosed treatment of a calcaneal fracture that includes manipulation.$479.75
Used instead
28406Calcaneal fracture repair, percutaneous fixation with manipulationPercutaneous skeletal fixation with manipulation for a calcaneal fracture.No office rate
28415Heel fracture repair, open treatmentOpen treatment when a calcaneal fracture is managed surgically.No office rate
28420Calcaneal fracture repair, with bone graftOpen calcaneal fracture treatment that includes bone grafting.No office rate

How 28400 has changed in Utah

28400 · Office / nonfacility

$258.93

Effective 2026-10-01

The base rate is $19.77 higher than on 2025-10-01, moving from $239.16 to $258.93 (8.3%).

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

    $239.16changed to$258.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.31 changed to 2.25
    • Practice expense RVU 5.09 changed to 5.50
    • Malpractice RVU 0.36 changed to 0.37
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $244.26changed to$239.16

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.03 changed to 5.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $240.27changed to$244.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $241.96changed to$240.27

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.88 changed to 5.03
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $239.96changed to$241.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.71 changed to 4.88
    • Malpractice RVU 0.37 changed to 0.36
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $238.87changed to$239.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.64 changed to 4.71
    • Malpractice RVU 0.34 changed to 0.37

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $243.38changed to$238.87

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.41 changed to 4.64
    • Malpractice RVU 0.37 changed to 0.34
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $245.94changed to$243.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.43 changed to 4.41
    • Malpractice RVU 0.35 changed to 0.37
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $248.01changed to$245.94

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.50 changed to 4.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $244.96changed to$248.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.44 changed to 4.50
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $244.68changed to$244.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.45 changed to 4.44
    • Malpractice RVU 0.36 changed to 0.35
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $245.56changed to$244.68

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $244.34changed to$245.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $242.83changed to$244.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.43 changed to 4.45
    • Malpractice RVU 0.35 changed to 0.36
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $246.42changed to$242.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.94 changed to 4.43
    • Malpractice RVU 0.37 changed to 0.35
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $246.42

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$258.93$224.08RVU26D
2026-07-01$258.93$224.08RVU26C
2026-04-01$258.93$224.08RVU26B
2026-01-01$258.93$224.08RVU26A
2025-10-01$239.16$222.56RVU25D
2025-07-01$239.16$222.56RVU25C
2025-04-01$239.16$222.56RVU25B
2025-01-01$239.16$222.56RVU25A
2024-10-01$244.26$227.18RVU24D
2024-07-01$244.26$227.18RVU24C
2024-04-01$244.26$227.18RVU24B
2024-03-09$244.26$227.18RVU24AR
2024-01-01$240.27$223.47RVU24A
2023-10-01$241.96$225.02RVU23D
2023-07-01$241.96$225.02RVU23C
2023-04-01$241.96$225.02RVU23B
2023-01-01$241.96$225.02RVU23A
2022-10-01$239.96$222.79RVU22D
2022-07-01$239.96$222.79RVU22C
2022-04-01$239.96$222.79RVU22B
2022-01-01$239.96$222.79RVU22A
2021-10-01$238.87$220.91RVU21D
2021-07-01$238.87$220.91RVU21C
2021-04-01$238.87$220.91RVU21B
2021-01-01$238.87$220.91RVU21A
2020-10-01$243.38$225.39RVU20D
2020-07-01$243.38$225.39RVU20C
2020-04-01$243.38$225.39RVU20B
2020-01-01$243.38$225.39RVU20A
2019-10-01$245.94$226.90RVU19D
2019-07-01$245.94$226.90RVU19C
2019-04-01$245.94$226.90RVU19B
2019-01-01$245.94$226.90RVU19A
2018-10-01$248.01$226.65RVU18D
2018-07-01$248.01$226.65RVU18C
2018-04-01$248.01$226.65RVU18B
2018-01-01$248.01$226.65RVU18AR1
2017-10-01$244.96$224.71RVU17D
2017-07-01$244.96$224.71RVU17C
2017-04-01$244.96$224.71RVU17B
2017-01-01$244.96$224.71RVU17A
2016-10-01$244.68$224.87RVU16D
2016-07-01$244.68$224.87RVU16C
2016-04-01$244.68$224.87RVU16B
2016-01-01$244.68$224.87RVU16A
2015-10-01$245.56$225.35RVU15D
2015-07-01$245.56$225.35RVU15C
2015-04-01$244.34$224.23RVU15B
2015-01-01$244.34$224.23RVU15A
2014-10-01$242.83$223.08RVU14D
2014-07-01$242.83$223.08RVU14C
2014-04-01$242.83$223.08RVU14B
2014-01-01$242.83$223.08RVU14A
2013-10-01$246.42$225.23RVU13D
2013-07-01$246.42$225.23RVU13C
2013-04-01$246.42$225.23RVU13B
2013-01-01$246.42$225.23RVU13AR

Price 28400 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

28400 billing questions

How is this different from 28405?

Use 28400 when the calcaneal fracture is treated without manipulation. Code 28405 describes closed treatment that includes manipulation.

When would 28406 be more appropriate?

Code 28406 is for percutaneous skeletal fixation of a calcaneal fracture with manipulation. It is not the code for immobilization alone without manipulation or fixation.

Can casting or boot application be billed separately?

Routine immobilization is part of the fracture treatment service. Do not separately report routine cast or boot application for the same fracture care.

What documentation supports reporting 28400?

Document the calcaneal fracture, the treatment plan, and that the fracture was managed without manipulation. The record should support that fracture care was provided, rather than imaging or an evaluation alone.

How is bilateral treatment reported?

For bilateral calcaneal fracture treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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 28400PPRRVU2026_Oct_nonQPP.csv, line 3,198 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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