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

In North Carolina, Medicare pays $583.92 for 28465 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28465 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 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.

How North Carolina compares for 28465

Across 109 of 109 payment localities, the facility rate for 28465 runs from $557.01 in Arkansas to $761.17 in Alaska. North Carolina pays $583.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28465 rates by state

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

See 28465 in every payment locality

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

Codes related to 28465

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

How 28465 has changed in North Carolina

Price 28465 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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