CPT code 28455: Tarsal fracture care, each tarsal bone2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $254.43 for 28455 in the office and $215.35 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28455 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 28455 covers

This code describes closed treatment of a tarsal bone fracture with manipulation to improve alignment, without open exposure or percutaneous skeletal fixation. Typical examples include manipulated fractures of the navicular, cuboid, or a cuneiform; calcaneus and talus fractures have separate codes. Orthopedic surgeons and podiatrists commonly provide this treatment in an office, emergency department, or hospital setting, followed by immobilization and fracture follow-up.

Report one unit for each tarsal bone treated, supported by documentation identifying the fracture site and the reduction or manipulation performed. Choose the code based on the bone and treatment method: manipulation distinguishes this service from closed treatment without manipulation, while fixation or open treatment points to other codes. 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. 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 South Dakota compares for 28455

Across 109 of 109 payment localities, the office rate for 28455 runs from $235.40 in Arkansas to $332.29 in San Benito County, CA. South Dakota pays $254.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28455 rates by state

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

See 28455 in every payment locality

How the 28455 rate is calculated

Each of 28455’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 28455

28455 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 51

Codes related to 28455

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

How 28455 has changed in South Dakota

Price 28455 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