CPT code 28470: Metatarsal fracture care, without manipulation, each2026 Medicare rate & RVUs

Medicare pays $237.15 for 28470 nationally in the office and $208.76 in a hospital or facility. Local office rates run $209.70–$311.23.

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

What 28470 covers

This code covers closed treatment of a metatarsal fracture without manipulating the fracture. An orthopedist, podiatrist, or other qualified treating clinician may provide this care in an office, emergency department, or hospital setting. Treatment commonly involves immobilizing a stable fracture with a cast, splint, or walking boot; the code is for fracture care, not simply an evaluation or imaging service. It applies to each metatarsal treated, so the record should identify the affected bone and show that no manipulation was performed.

Report the code for the metatarsal receiving this treatment and document the fracture, treatment plan, and immobilization. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral adjustment is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 28470 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

28470 rates by state

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

How the 28470 rate is calculated

Each of 28470’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 28470

28470 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

28470 compared with similar codes

How to choose

28475Metatarsal fractureClosed reduction, each bone

Both address closed treatment of a metatarsal fracture. Use 28475 when the provider manipulates the fracture; 28470 is for treatment without manipulation.

28476Metatarsal fracturePercutaneous fixation with manipulation

28476 involves percutaneous skeletal fixation of the metatarsal fracture. 28470 describes closed treatment without manipulation or fixation.

28485Metatarsal fracture surgeryOpen treatment, each

28485 is for open reduction and internal fixation of a metatarsal fracture. 28470 is closed treatment without manipulation.

Codes related to 28470

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