CPT code 28406: Calcaneal fracture repair, percutaneous fixation with manipulation2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 28406 in California.

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

What 28406 covers

An orthopedic trauma or foot-and-ankle surgeon uses manipulation to reposition a calcaneal fracture, then stabilizes it with skeletal fixation placed through the skin rather than through an open surgical exposure. The procedure is commonly performed in an operating room, often with imaging guidance, for a fracture requiring both reduction and percutaneous fixation. The service is specific to the calcaneus, the heel bone.

Report this code when the operative record supports both manipulation and percutaneous skeletal fixation; closed manipulation without fixation and open fixation are different services. Document the fracture site, laterality, reduction, and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with 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.

Where 28406 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 28406 rate is calculated

Each of 28406’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 28406

28406 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

28406 compared with similar codes

How to choose

28405Heel fracture treatmentWith manipulation

Both involve manipulation of a calcaneal fracture, but 28406 includes percutaneous skeletal fixation; 28405 describes closed treatment without that fixation.

28415Heel fracture repairOpen treatment

Use 28415 for open treatment of a calcaneal fracture. Use 28406 when reduction and skeletal fixation are performed percutaneously.

28400Fracture treatmentCalcaneus, no manipulation

28400 is closed treatment of a calcaneal fracture without manipulation. 28406 includes manipulation and percutaneous skeletal fixation.

28420Calcaneal fracture repairWith bone graft

28420 describes open calcaneal fracture treatment with bone grafting; it is distinct from percutaneous fixation with manipulation.

Codes related to 28406

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

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