CPT code 28465: Tarsal fracture repair, open treatment, each bone2026 Medicare rate & RVUs

Medicare pays $619.59 for 28465 nationally in a facility.

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

What 28465 covers

An orthopedic foot-and-ankle surgeon uses this code when surgically exposing and reducing a fracture of a tarsal bone other than the talus or calcaneus. Examples of included bones are the navicular, cuboid, and cuneiforms. Internal fixation may be used as part of the repair. These procedures are commonly performed in an operating room for fractures requiring open correction rather than closed treatment or percutaneous fixation.

Report the service for each treated bone and document the bone involved, fracture, open surgical approach, and reduction performed. Choose a closed-treatment or percutaneous-fixation code when that is the method used. The 90-day global period includes 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%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 28465 pays more and less

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

109 of 109 payment localities

28465 rates by state

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

How the 28465 rate is calculated

Each of 28465’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 28465

28465 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

28465 compared with similar codes

How to choose

28455Tarsal fracture careEach tarsal bone

Use 28455 when the tarsal fracture is treated closed with manipulation. Use 28465 when treatment involves open surgical exposure and reduction.

28456Tarsal fracture fixationPercutaneous, with manipulation

Code 28456 is for percutaneous skeletal fixation with manipulation; 28465 represents open treatment of the fracture.

28445Talus fracture surgeryOpen treatment

Code 28445 is for open treatment of a talus fracture. Code 28465 applies to other tarsal bones, not the talus or calcaneus.

Codes related to 28465

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