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CPT code 28405: Heel fracture treatment, with manipulation2026 Medicare rate & RVUs in Delaware

Report this service when a clinician treats a calcaneal fracture by closed reduction requiring manipulation, rather than immobilization alone or operative fixation.

CMS RVU26DEffective Oct 1, 2026One payment locality92 Medicare services in 2024

In Delaware, Medicare pays $495.64 for 28405 in the office and $394.66 when it’s performed in a hospital or facility.

$495.64Office (non-facility)
$394.66Hospital or facility
−1.3%vs the national office rate ($502.02)

Check a contract rate as a % of Medicare · 28405 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 28405 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 28405 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 28405 covers

This service covers closed treatment of a fracture of the calcaneus, the heel bone, when the clinician manipulates the fracture to improve alignment without an open surgical approach. Orthopedic surgeons and foot-and-ankle specialists commonly provide this care after a heel injury, using imaging and examination to assess alignment and guide treatment. The fracture may then be supported with external immobilization as part of the treatment plan.

Select this code when the documented treatment includes manipulation; treatment without manipulation is represented by 28400. The record should identify the calcaneal fracture, the reduction or manipulation performed, and the treatment plan. 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 procedure is paid in full and other procedures are reduced to 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Delaware compares for 28405

Across 109 of 109 payment localities, the office rate for 28405 runs from $441.50 in Arkansas to $642.41 in San Benito County, CA. Delaware pays $495.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

28405 in Delaware vs other payment areas
  1. Delaware · this page$495.64
  2. Los Angeles, CA · California$554.64+$59.00
  3. Washington, DC area · District of Columbia$570.07+$74.43
  4. Miami, FL · Florida$565.97+$70.33
  5. Chicago, IL · Illinois$547.92+$52.28
  6. Manhattan, NY · New York$582.38+$86.74
  7. Alaska · Alaska$584.60+$88.96

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

Every other payment area

28405 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$448.23$358.80
ArkansasArkansas$441.50$353.70
ArizonaArizona$487.46$388.42
Bakersfield, CACalifornia$522.06$410.04
Chico, CACalifornia$519.31$407.30
El Centro, CACalifornia$519.48$407.46
Fresno, CACalifornia$519.31$407.30
Hanford, CACalifornia$519.31$407.30

28405 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.

$441.50

$584.60

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

View every state and territory as a table
28405 office rate range by state
State / territoryOffice rate rangeLocalities
AK$584.601
AL$448.231
AR$441.501
AZ$487.461
CA$519.31–$642.4129
CO$516.671
CT$536.321
DC$570.071
DE$495.641
FL$504.99–$565.973
GA$474.48–$514.222
GU$531.011
HI$531.011
IA$455.161
ID$459.271
IL$493.48–$547.924
IN$461.901
KS$455.281
KY$464.291
LA$464.47–$488.012
MA$514.36–$565.642
MD$504.59–$570.073
ME$464.25–$486.862
MI$478.98–$513.932
MN$487.621
MO$457.77–$487.003
MS$449.611
MT$501.951
NC$468.901
ND$482.181
NE$457.041
NH$510.731
NJ$540.34–$564.302
NM$482.641
NV$496.751
NY$476.38–$599.925
OH$474.941
OK$460.941
OR$490.84–$530.822
PA$474.41–$524.132
PR$504.971
RI$511.711
SC$473.121
SD$479.841
TN$457.951
TX$471.36–$516.758
UT$479.751
VA$486.85–$570.072
VI$504.971
VT$482.371
WA$512.70–$574.972
WI$465.701
WV$475.241
WY$493.331

See 28405 in every payment locality

How the 28405 rate is calculated

Each of 28405’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 · 28405

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.62

4.62 RVUs× 1.000 GPCI

Practice expense9.41

9.41 RVUs× 1.000 GPCI

Malpractice1.00

1.00 RVUs× 1.000 GPCI

Adjusted RVUs

15.0300

Conversion factor

$33.4009

Medicare rate

$502.02

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,199

Code
28405
Physician work
4.62
Practice expense
9.41
Malpractice
1.00

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 28405 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.62× 1.0054.6431
Practice expense9.41× 0.9889.2971
Malpractice1.00× 0.8990.8990
Total RVUs14.8392
Conversion factor× 33.4009

Office rate, Delaware$495.64

Office: (4.62 × 1.005 + 9.41 × 0.988 + 1 × 0.899) × $33.4009 = $495.64

Facility: (4.62 × 1.005 + 6.35 × 0.988 + 1 × 0.899) × $33.4009 = $394.66

Open 28405 in the RVU calculator

Payment rules and modifiers for 28405

28405 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28405

Heel fracture treatment, with 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)0Not paid without supporting documentation.
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 · 28405

Heel fracture treatment, with 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

28405 without 50 · national office

$502.02

Heel fracture treatment, with manipulation

28405-50 · Bilateral: 150%

$753.03

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 28405

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

Codes related to 28405
CodeHow it relatesOffice range, Delaware
Same family
28400Fracture treatment, calcaneus, no manipulationClosed treatment of a calcaneal fracture without manipulation.$268.14
Used instead
28406Calcaneal fracture repair, percutaneous fixation with manipulationUsed when treatment of the calcaneal fracture includes percutaneous skeletal fixation.No office rate
28415Heel fracture repair, open treatmentUsed for open treatment of a calcaneal fracture.No office rate
28420Calcaneal fracture repair, with bone graftOpen calcaneal fracture treatment that also includes bone grafting.No office rate
28435Talus fracture care, closed treatment with manipulationClosed treatment with manipulation for a talus fracture, rather than a calcaneal fracture.$408.66

How 28405 has changed in Delaware

28405 · Office / nonfacility

$495.64

Effective 2026-10-01

The base rate is $40.36 higher than on 2025-10-01, moving from $455.28 to $495.64 (8.9%).

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

    $455.28changed to$495.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.74 changed to 4.62
    • Practice expense RVU 8.43 changed to 9.41
    • Malpractice RVU 0.98 changed to 1.00
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $463.58changed to$455.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.28 changed to 8.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $456.01changed to$463.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $468.01changed to$456.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.09 changed to 8.28
    • Malpractice RVU 0.95 changed to 0.98
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $405.98changed to$468.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.21 changed to 8.09
    • Malpractice RVU 0.67 changed to 0.95
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $409.74changed to$405.98

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.23 changed to 6.21
    • Malpractice RVU 0.66 changed to 0.67

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $407.22changed to$409.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.74 changed to 6.23
    • Malpractice RVU 0.64 changed to 0.66
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $412.70changed to$407.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.84 changed to 5.74
    • Malpractice RVU 0.65 changed to 0.64
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $411.88changed to$412.70

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.83 changed to 5.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $412.78changed to$411.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.82 changed to 5.83
    • Malpractice RVU 0.68 changed to 0.65
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $414.80changed to$412.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.87 changed to 5.82
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $420.84changed to$414.80

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.94 changed to 5.87
    • Malpractice RVU 0.73 changed to 0.68

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $418.75changed to$420.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $403.66changed to$418.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.71 changed to 5.94
    • Malpractice RVU 0.62 changed to 0.73
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $391.19changed to$403.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.00 changed to 5.71
    • Malpractice RVU 0.65 changed to 0.62
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $391.19

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$495.64$394.66RVU26D
2026-07-01$495.64$394.66RVU26C
2026-04-01$495.64$394.66RVU26B
2026-01-01$495.64$394.66RVU26A
2025-10-01$455.28$409.40RVU25D
2025-07-01$455.28$409.40RVU25C
2025-04-01$455.28$409.40RVU25B
2025-01-01$455.28$409.40RVU25A
2024-10-01$463.58$416.03RVU24D
2024-07-01$463.58$416.03RVU24C
2024-04-01$463.58$416.03RVU24B
2024-03-09$463.58$416.03RVU24AR
2024-01-01$456.01$409.24RVU24A
2023-10-01$468.01$419.90RVU23D
2023-07-01$468.01$419.90RVU23C
2023-04-01$468.01$419.90RVU23B
2023-01-01$468.01$419.90RVU23A
2022-10-01$405.98$365.31RVU22D
2022-07-01$405.98$365.31RVU22C
2022-04-01$405.98$365.31RVU22B
2022-01-01$405.98$365.31RVU22A
2021-10-01$409.74$368.73RVU21D
2021-07-01$409.74$368.73RVU21C
2021-04-01$409.74$368.73RVU21B
2021-01-01$409.74$368.73RVU21A
2020-10-01$407.22$368.90RVU20D
2020-07-01$407.22$368.90RVU20C
2020-04-01$407.22$368.90RVU20B
2020-01-01$407.22$368.90RVU20A
2019-10-01$412.70$373.77RVU19D
2019-07-01$412.70$373.77RVU19C
2019-04-01$412.70$373.77RVU19B
2019-01-01$412.70$373.77RVU19A
2018-10-01$411.88$373.00RVU18D
2018-07-01$411.88$373.00RVU18C
2018-04-01$411.88$373.00RVU18B
2018-01-01$411.88$373.00RVU18AR1
2017-10-01$412.78$374.89RVU17D
2017-07-01$412.78$374.89RVU17C
2017-04-01$412.78$374.89RVU17B
2017-01-01$412.78$374.89RVU17A
2016-10-01$414.80$376.41RVU16D
2016-07-01$414.80$376.41RVU16C
2016-04-01$414.80$376.41RVU16B
2016-01-01$414.80$376.41RVU16A
2015-10-01$420.84$381.94RVU15D
2015-07-01$420.84$381.94RVU15C
2015-04-01$418.75$380.04RVU15B
2015-01-01$418.75$380.04RVU15A
2014-10-01$403.66$366.48RVU14D
2014-07-01$403.66$366.48RVU14C
2014-04-01$403.66$366.48RVU14B
2014-01-01$403.66$366.48RVU14A
2013-10-01$391.19$352.82RVU13D
2013-07-01$391.19$352.82RVU13C
2013-04-01$391.19$352.82RVU13B
2013-01-01$391.19$352.82RVU13AR

Price 28405 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

28405 billing questions

How does this differ from 28400?

Use 28405 when treatment includes manipulation to improve fracture alignment. Code 28400 describes closed treatment without manipulation.

When should 28406 be considered instead?

Code 28406 is for treatment using percutaneous skeletal fixation. This code describes closed manipulation without that fixation method.

What documentation supports reporting this code?

Document the calcaneal fracture and the manipulation performed to reduce or improve its alignment, along with the resulting treatment plan.

How is bilateral treatment reported?

For bilateral procedures, modifier 50 is paid at 150%.

What global and multiple-procedure rules apply?

The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. 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 28405PPRRVU2026_Oct_nonQPP.csv, line 3,199 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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