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CPT code 28430: Talus fracture care, without manipulation2026 Medicare rate & RVUs in Washington, DC area

Report this service for closed treatment of a talus fracture when the physician treats the fracture without manipulating or reducing it.

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

In Washington, DC area, Medicare pays $303.45 for 28430 in the office and $245.61 when it’s performed in a hospital or facility.

$303.45Office (non-facility)
$245.61Hospital or facility
+14.1%vs the national office rate ($265.87)

Check a contract rate as a % of Medicare · 28430 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 28430 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 28430 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 28430 covers

This service covers nonoperative treatment of a talus fracture when the physician does not manipulate the fracture to change its position. An orthopedic or foot and ankle surgeon may provide care in an office, emergency department, or hospital setting, with immobilization such as a cast or splint as clinically appropriate. The code is specific to the talus, one of the bones forming the ankle joint; fractures of the calcaneus or other tarsal bones are coded elsewhere.

Choose this code when the documented treatment is closed and does not include manipulation. If the physician manipulates the fracture, uses percutaneous skeletal fixation, or performs open fixation, select the code matching that service instead. The record should identify the talus fracture and support the treatment method. 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 is paid in full and other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 Washington, DC area compares for 28430

Across 109 of 109 payment localities, the office rate for 28430 runs from $234.30 in Arkansas to $348.24 in San Benito County, CA. Washington, DC area pays $303.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

28430 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$303.45
  2. Los Angeles, CA · California$297.87−$5.58
  3. Miami, FL · Florida$292.20−$11.25
  4. Chicago, IL · Illinois$283.29−$20.16
  5. Manhattan, NY · New York$307.11+$3.66
  6. Alaska · Alaska$308.18+$4.73
  7. Alabama · Alabama$237.84−$65.61

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

28430 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$234.30$192.13
ArizonaArizona$258.47$210.89
Bakersfield, CACalifornia$279.82$226.01
Chico, CACalifornia$278.77$224.96
El Centro, CACalifornia$278.84$225.02
Fresno, CACalifornia$278.77$224.96
Hanford, CACalifornia$278.77$224.96
Madera, CACalifornia$278.77$224.96

28430 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.

$234.30

$313.51

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

View every state and territory as a table
28430 office rate range by state
State / territoryOffice rate rangeLocalities
AK$308.181
AL$237.841
AR$234.301
AZ$258.471
CA$278.77–$348.2429
CO$275.641
CT$283.871
DC$303.451
DE$262.811
FL$264.11–$292.203
GA$248.66–$271.472
GU$285.521
HI$285.521
IA$243.001
ID$244.851
IL$257.05–$283.294
IN$246.281
KS$242.331
KY$244.691
LA$244.49–$256.852
MA$274.13–$302.652
MD$267.76–$303.453
ME$246.69–$259.682
MI$251.69–$268.002
MN$262.431
MO$240.52–$257.193
MS$237.441
MT$265.851
NC$249.261
ND$258.531
NE$244.221
NH$271.761
NJ$286.64–$300.282
NM$253.301
NV$263.991
NY$253.13–$315.365
OH$250.191
OK$243.711
OR$261.48–$283.992
PA$250.32–$276.992
PR$267.681
RI$271.891
SC$250.231
SD$257.671
TN$243.641
TX$248.67–$275.138
UT$253.731
VA$259.15–$303.452
VI$267.681
VT$257.951
WA$273.47–$308.392
WI$249.701
WV$247.441
WY$262.661

See 28430 in every payment locality

How the 28430 rate is calculated

Each of 28430’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 · 28430

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.16

2.16 RVUs× 1.000 GPCI

Practice expense5.43

5.43 RVUs× 1.000 GPCI

Malpractice0.37

0.37 RVUs× 1.000 GPCI

Adjusted RVUs

7.9600

Conversion factor

$33.4009

Medicare rate

$265.87

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,203

Code
28430
Physician work
2.16
Practice expense
5.43
Malpractice
0.37

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 28430 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.16× 1.0542.2766
Practice expense5.43× 1.1786.3965
Malpractice0.37× 1.1130.4118
Total RVUs9.0850
Conversion factor× 33.4009

Office rate, Washington, DC area$303.45

Office: (2.16 × 1.054 + 5.43 × 1.178 + 0.37 × 1.113) × $33.4009 = $303.45

Facility: (2.16 × 1.054 + 3.96 × 1.178 + 0.37 × 1.113) × $33.4009 = $245.61

Open 28430 in the RVU calculator

Payment rules and modifiers for 28430

28430 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28430

Talus fracture care, without 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 · 28430

Talus fracture care, without 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

28430 without 50 · national office

$265.87

Talus fracture care, without manipulation

28430-50 · Bilateral: 150%

$398.81

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 28430

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

Codes related to 28430
CodeHow it relatesOffice range, Washington, DC area
Same family
28435Talus fracture care, closed treatment with manipulationClosed talus fracture treatment when manipulation is performed.$471.63
Used instead
28436Talus fracture fixation, percutaneous, with manipulationTalus fracture treatment using percutaneous skeletal fixation with manipulation.No office rate
28445Talus fracture surgery, open treatmentOpen treatment of a talus fracture rather than closed treatment without manipulation.No office rate

How 28430 has changed in Washington, DC area

28430 · Office / nonfacility

$303.45

Effective 2026-10-01

The base rate is $23.47 higher than on 2025-10-01, moving from $279.98 to $303.45 (8.4%).

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

    $279.98changed to$303.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.22 changed to 2.16
    • Practice expense RVU 4.94 changed to 5.43
    • Malpractice RVU 0.36 changed to 0.37
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $285.74changed to$279.98

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.88 changed to 4.94

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $281.08changed to$285.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $289.86changed to$281.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.76 changed to 4.88
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $294.26changed to$289.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.62 changed to 4.76
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $292.80changed to$294.26

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.54 changed to 4.62
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $288.77changed to$292.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.28 changed to 4.54
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $283.60changed to$288.77

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.26 changed to 4.28
    • Malpractice RVU 0.33 changed to 0.35
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $281.54changed to$283.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.23 changed to 4.26
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $280.21changed to$281.54

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.19 changed to 4.23
    • Malpractice RVU 0.34 changed to 0.32
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $281.65changed to$280.21

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.22 changed to 4.19
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $282.66changed to$281.65

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $281.26changed to$282.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $276.44changed to$281.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.15 changed to 4.22
    • Malpractice RVU 0.33 changed to 0.35
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $279.77changed to$276.44

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.59 changed to 4.15
    • Malpractice RVU 0.35 changed to 0.33
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $279.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$303.45$245.61RVU26D
2026-07-01$303.45$245.61RVU26C
2026-04-01$303.45$245.61RVU26B
2026-01-01$303.45$245.61RVU26A
2025-10-01$279.98$245.27RVU25D
2025-07-01$279.98$245.27RVU25C
2025-04-01$279.98$245.27RVU25B
2025-01-01$279.98$245.27RVU25A
2024-10-01$285.74$249.63RVU24D
2024-07-01$285.74$249.63RVU24C
2024-04-01$285.74$249.63RVU24B
2024-03-09$285.74$249.63RVU24AR
2024-01-01$281.08$245.56RVU24A
2023-10-01$289.86$252.84RVU23D
2023-07-01$289.86$252.84RVU23C
2023-04-01$289.86$252.84RVU23B
2023-01-01$289.86$252.84RVU23A
2022-10-01$294.26$256.19RVU22D
2022-07-01$294.26$256.19RVU22C
2022-04-01$294.26$256.19RVU22B
2022-01-01$294.26$256.19RVU22A
2021-10-01$292.80$254.85RVU21D
2021-07-01$292.80$254.85RVU21C
2021-04-01$292.80$254.85RVU21B
2021-01-01$292.80$254.85RVU21A
2020-10-01$288.77$252.64RVU20D
2020-07-01$288.77$252.64RVU20C
2020-04-01$288.77$252.64RVU20B
2020-01-01$288.77$252.64RVU20A
2019-10-01$283.60$248.86RVU19D
2019-07-01$283.60$248.86RVU19C
2019-04-01$283.60$248.86RVU19B
2019-01-01$283.60$248.86RVU19A
2018-10-01$281.54$247.70RVU18D
2018-07-01$281.54$247.70RVU18C
2018-04-01$281.54$247.70RVU18B
2018-01-01$281.54$247.70RVU18AR1
2017-10-01$280.21$247.77RVU17D
2017-07-01$280.21$247.77RVU17C
2017-04-01$280.21$247.77RVU17B
2017-01-01$280.21$247.77RVU17A
2016-10-01$281.65$249.29RVU16D
2016-07-01$281.65$249.29RVU16C
2016-04-01$281.65$249.29RVU16B
2016-01-01$281.65$249.29RVU16A
2015-10-01$282.66$249.76RVU15D
2015-07-01$282.66$249.76RVU15C
2015-04-01$281.26$248.51RVU15B
2015-01-01$281.26$248.51RVU15A
2014-10-01$276.44$244.58RVU14D
2014-07-01$276.44$244.58RVU14C
2014-04-01$276.44$244.58RVU14B
2014-01-01$276.44$244.58RVU14A
2013-10-01$279.77$246.35RVU13D
2013-07-01$279.77$246.35RVU13C
2013-04-01$279.77$246.35RVU13B
2013-01-01$279.77$246.35RVU13AR

Price 28430 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

28430 billing questions

How does this differ from 28435?

Use 28430 when the closed treatment does not involve manipulation. Use 28435 when the physician manipulates the talus fracture.

Can routine casting be reported as another fracture-treatment service?

No. The cast or other immobilization is part of treating the talus fracture; it is not a second fracture-treatment service.

What documentation supports code selection?

Document the talus fracture and that treatment was closed without manipulation. If manipulation or fixation was performed, the record should support the corresponding treatment code instead.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral treatment and other same-session procedures paid?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.

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 28430PPRRVU2026_Oct_nonQPP.csv, line 3,203 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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