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

Report 28455 for closed treatment of a qualifying tarsal bone fracture when the clinician manipulates the fracture to restore alignment.

CMS RVU26DEffective Oct 1, 2026One payment locality69 Medicare services in 2024

In Houston, TX, Medicare pays $263.28 for 28455 in the office and $224.48 when it’s performed in a hospital or facility.

$263.28Office (non-facility)
$224.48Hospital or facility
+1.2%vs the national office rate ($260.19)

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.

We’ll open 28455 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 28455 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 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 Houston, TX 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. Houston, TX pays $263.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

28455 in Houston, TX vs other payment areas
  1. Houston, TX · this page$263.28
  2. Austin, TX · Texas$267.88+$4.60
  3. Beaumont, TX · Texas$246.44−$16.84
  4. Brazoria, TX · Texas$257.81−$5.47
  5. Dallas, TX · Texas$259.33−$3.95
  6. Fort Worth, TX · Texas$257.98−$5.30
  7. Galveston, TX · Texas$258.52−$4.76

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

Every other payment area

28455 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$251.91$214.82
Los Angeles, CACalifornia$288.31$242.08
Washington, DC areaDistrict of Columbia$292.86$246.82
Miami, FLFlorida$279.46$238.77
Chicago, ILIllinois$272.91$233.63
Manhattan, NYNew York$295.68$250.27
AlaskaAlaska$318.55$276.94
AlabamaAlabama$238.18$203.98

28455 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.

$235.40

$318.55

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

View every state and territory as a table
28455 office rate range by state
State / territoryOffice rate rangeLocalities
AK$318.551
AL$238.181
AR$235.401
AZ$254.421
CA$271.97–$332.2929
CO$268.901
CT$275.371
DC$292.861
DE$258.091
FL$258.14–$279.463
GA$246.10–$264.592
GU$276.531
HI$276.531
IA$242.551
ID$243.941
IL$252.38–$272.914
IN$245.071
KS$241.871
KY$243.251
LA$243.04–$252.762
MA$267.85–$291.882
MD$262.29–$292.863
ME$245.23–$255.672
MI$248.61–$261.042
MN$258.311
MO$239.82–$253.203
MS$237.641
MT$260.181
NC$247.281
ND$255.031
NE$243.551
NH$265.091
NJ$278.69–$290.792
NM$249.821
NV$258.891
NY$250.32–$301.985
OH$247.561
OK$242.641
OR$257.03–$275.862
PA$247.75–$269.752
PR$261.671
RI$266.081
SC$247.801
SD$254.431
TN$242.891
TX$246.44–$267.888
UT$250.551
VA$255.16–$292.862
VI$261.671
VT$254.441
WA$267.23–$297.012
WI$248.051
WV$244.811
WY$257.941

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.

How the rate is built · 28455

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.16

3.16 RVUs× 1.000 GPCI

Practice expense4.37

4.37 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

7.7900

Conversion factor

$33.4009

Medicare rate

$260.19

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

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,209

Code
28455
Physician work
3.16
Practice expense
4.37
Malpractice
0.26

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 28455 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work3.16× 1.0083.1853
Practice expense4.37× 0.9934.3394
Malpractice0.26× 1.3760.3578
Total RVUs7.8824
Conversion factor× 33.4009

Office rate, Houston, TX$263.28

Office: (3.16 × 1.008 + 4.37 × 0.993 + 0.26 × 1.376) × $33.4009 = $263.28

Facility: (3.16 × 1.008 + 3.2 × 0.993 + 0.26 × 1.376) × $33.4009 = $224.48

Open 28455 in the RVU calculator

Payment rules and modifiers for 28455

28455 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28455

Tarsal fracture care, each tarsal bone

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)0The 150% bilateral adjustment doesn’t apply.
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 · 28455

Tarsal fracture care, each tarsal bone

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 51 · payment effect

With and without the modifier

28455 without 51 · national office

$260.19

Tarsal fracture care, each tarsal bone

28455-51 · Second procedure: 50%

$130.10

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 28455

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

Codes related to 28455
CodeHow it relatesOffice range, Houston, TX
Same family
28450Tarsal fracture care, without manipulationClosed treatment of a tarsal fracture without manipulation.$234.42
Used instead
28456Tarsal fracture fixation, percutaneous, with manipulationTarsal fracture treatment using percutaneous skeletal fixation with manipulation.No office rate
28465Tarsal fracture repair, open treatment, each boneOpen treatment of a tarsal bone fracture.No office rate
28435Talus fracture care, closed treatment with manipulationClosed treatment with manipulation when the fractured bone is the talus.$422.01
28405Heel fracture treatment, with manipulationClosed treatment with manipulation when the fractured bone is the calcaneus.$513.61

How 28455 has changed in Houston, TX

28455 · Office / nonfacility

$263.28

Effective 2026-10-01

The base rate is $2.54 higher than on 2025-10-01, moving from $260.74 to $263.28 (1.0%).

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

    $260.74changed to$263.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.24 changed to 3.16
    • Practice expense RVU 4.41 changed to 4.37
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $266.32changed to$260.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.35 changed to 4.41

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $261.98changed to$266.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $308.58changed to$261.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.28 changed to 4.35
    • Malpractice RVU 0.37 changed to 0.25
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $306.98changed to$308.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.03 changed to 5.28
    • Malpractice RVU 0.39 changed to 0.37
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $305.30changed to$306.98

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.93 changed to 5.03
    • Malpractice RVU 0.37 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $303.73changed to$305.30

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.65 changed to 4.93
    • Malpractice RVU 0.38 changed to 0.37
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $301.91changed to$303.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.67 changed to 4.65
    • Malpractice RVU 0.37 changed to 0.38
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $301.24changed to$301.91

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $298.46changed to$301.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.62 changed to 4.67
    • Malpractice RVU 0.37 changed to 0.36
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $299.79changed to$298.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.69 changed to 4.62
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $299.77changed to$299.79

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.65 changed to 4.69
    • Malpractice RVU 0.38 changed to 0.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $298.28changed to$299.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $306.25changed to$298.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.85 changed to 4.65
    • Malpractice RVU 0.42 changed to 0.38
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $266.86changed to$306.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.16 changed to 4.85
    • Malpractice RVU 0.44 changed to 0.42
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $266.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$263.28$224.48RVU26D
2026-07-01$263.28$224.48RVU26C
2026-04-01$263.28$224.48RVU26B
2026-01-01$263.28$224.48RVU26A
2025-10-01$260.74$234.46RVU25D
2025-07-01$260.74$234.46RVU25C
2025-04-01$260.74$234.46RVU25B
2025-01-01$260.74$234.46RVU25A
2024-10-01$266.32$238.94RVU24D
2024-07-01$266.32$238.94RVU24C
2024-04-01$266.32$238.94RVU24B
2024-03-09$266.32$238.94RVU24AR
2024-01-01$261.98$235.04RVU24A
2023-10-01$308.58$275.18RVU23D
2023-07-01$308.58$275.18RVU23C
2023-04-01$308.58$275.18RVU23B
2023-01-01$308.58$275.18RVU23A
2022-10-01$306.98$273.15RVU22D
2022-07-01$306.98$273.15RVU22C
2022-04-01$306.98$273.15RVU22B
2022-01-01$306.98$273.15RVU22A
2021-10-01$305.30$271.19RVU21D
2021-07-01$305.30$271.19RVU21C
2021-04-01$305.30$271.19RVU21B
2021-01-01$305.30$271.19RVU21A
2020-10-01$303.73$271.71RVU20D
2020-07-01$303.73$271.71RVU20C
2020-04-01$303.73$271.71RVU20B
2020-01-01$303.73$271.71RVU20A
2019-10-01$301.91$270.18RVU19D
2019-07-01$301.91$270.18RVU19C
2019-04-01$301.91$270.18RVU19B
2019-01-01$301.91$270.18RVU19A
2018-10-01$301.24$269.91RVU18D
2018-07-01$301.24$269.91RVU18C
2018-04-01$301.24$269.91RVU18B
2018-01-01$301.24$269.91RVU18AR1
2017-10-01$298.46$268.41RVU17D
2017-07-01$298.46$268.41RVU17C
2017-04-01$298.46$268.41RVU17B
2017-01-01$298.46$268.41RVU17A
2016-10-01$299.79$269.90RVU16D
2016-07-01$299.79$269.90RVU16C
2016-04-01$299.79$269.90RVU16B
2016-01-01$299.79$269.90RVU16A
2015-10-01$299.77$269.40RVU15D
2015-07-01$299.77$269.40RVU15C
2015-04-01$298.28$268.06RVU15B
2015-01-01$298.28$268.06RVU15A
2014-10-01$306.25$275.32RVU14D
2014-07-01$306.25$275.32RVU14C
2014-04-01$306.25$275.32RVU14B
2014-01-01$306.25$275.32RVU14A
2013-10-01$266.86$240.61RVU13D
2013-07-01$266.86$240.61RVU13C
2013-04-01$266.86$240.61RVU13B
2013-01-01$266.86$240.61RVU13AR

Price 28455 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

28455 billing questions

How does 28455 differ from 28450?

Use 28455 when the tarsal fracture is manipulated to restore alignment. Code 28450 describes treatment without manipulation.

When would 28456 be more appropriate?

Use 28456 when the tarsal fracture is treated with percutaneous skeletal fixation and manipulation. Code 28455 describes closed treatment with manipulation without that fixation method.

Is the code reported once per fracture or once per bone?

The code is reported for each tarsal bone treated. Document the specific bone and the manipulation performed for each reported unit.

Can modifier 50 be used for fractures on both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the services according to the number of bones treated.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Routine follow-up related to the fracture treatment falls within that period.

When is an assistant-at-surgery service payable?

CMS permits assistant-at-surgery payment only when medical necessity is documented. 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 28455PPRRVU2026_Oct_nonQPP.csv, line 3,209 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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