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CPT code 28470: Metatarsal fracture care, without manipulation, each2026 Medicare rate & RVUs in Washington, DC area

Reports closed care of an individual metatarsal fracture when the provider immobilizes it without manipulating or reducing the fracture.

CMS RVU26DEffective Oct 1, 2026One payment locality19.9K Medicare services in 2024

In Washington, DC area, Medicare pays $270.53 for 28470 in the office and $237.08 when it’s performed in a hospital or facility.

$270.53Office (non-facility)
$237.08Hospital or facility
+14.1%vs the national office rate ($237.15)

Check a contract rate as a % of Medicare · 28470 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 28470 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 28470 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 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.

How Washington, DC area compares for 28470

Across 109 of 109 payment localities, the office rate for 28470 runs from $209.70 in Arkansas to $311.23 in San Benito County, CA. Washington, DC area pays $270.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

28470 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$270.53
  2. Los Angeles, CA · California$266.13−$4.40
  3. Miami, FL · Florida$258.57−$11.96
  4. Chicago, IL · Illinois$250.96−$19.57
  5. Manhattan, NY · New York$273.19+$2.66
  6. Alaska · Alaska$276.35+$5.82
  7. Alabama · Alabama$212.78−$57.75

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

28470 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$209.70$185.31
ArizonaArizona$230.75$203.24
Bakersfield, CACalifornia$250.10$218.99
Chico, CACalifornia$249.26$218.15
El Centro, CACalifornia$249.31$218.20
Fresno, CACalifornia$249.26$218.15
Hanford, CACalifornia$249.26$218.15
Madera, CACalifornia$249.26$218.15

28470 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.

$209.70

$280.25

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

View every state and territory as a table
28470 office rate range by state
State / territoryOffice rate rangeLocalities
AK$276.351
AL$212.781
AR$209.701
AZ$230.751
CA$249.26–$311.2329
CO$246.141
CT$252.931
DC$270.531
DE$234.561
FL$234.92–$258.573
GA$221.58–$241.872
GU$255.171
HI$255.171
IA$217.591
ID$219.141
IL$228.56–$250.964
IN$220.391
KS$216.851
KY$218.421
LA$218.19–$228.952
MA$244.79–$270.092
MD$238.95–$270.533
ME$220.58–$232.122
MI$224.36–$238.142
MN$235.011
MO$214.63–$229.423
MS$212.191
MT$237.131
NC$222.841
ND$231.391
NE$218.701
NH$242.551
NJ$255.57–$267.782
NM$225.701
NV$235.691
NY$226.20–$280.175
OH$223.191
OK$217.721
OR$233.62–$253.632
PA$223.38–$246.822
PR$238.781
RI$242.681
SC$223.431
SD$230.711
TN$217.981
TX$221.94–$245.538
UT$226.481
VA$231.56–$270.532
VI$238.781
VT$230.751
WA$244.24–$275.302
WI$223.671
WV$220.191
WY$234.631

See 28470 in every payment locality

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.

How the rate is built · 28470

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.98

1.98 RVUs× 1.000 GPCI

Practice expense4.83

4.83 RVUs× 1.000 GPCI

Malpractice0.29

0.29 RVUs× 1.000 GPCI

Adjusted RVUs

7.1000

Conversion factor

$33.4009

Medicare rate

$237.15

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,212

Code
28470
Physician work
1.98
Practice expense
4.83
Malpractice
0.29

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 28470 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0542.0869
Practice expense4.83× 1.1785.6897
Malpractice0.29× 1.1130.3228
Total RVUs8.0994
Conversion factor× 33.4009

Office rate, Washington, DC area$270.53

Office: (1.98 × 1.054 + 4.83 × 1.178 + 0.29 × 1.113) × $33.4009 = $270.53

Facility: (1.98 × 1.054 + 3.98 × 1.178 + 0.29 × 1.113) × $33.4009 = $237.08

Open 28470 in the RVU calculator

Payment rules and modifiers for 28470

28470 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28470

Metatarsal fracture care, without manipulation, each

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)1Not paid (statutory restriction).
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 · 28470

Metatarsal fracture care, without manipulation, each

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

28470 without 51 · national office

$237.15

Metatarsal fracture care, without manipulation, each

28470-51 · Second procedure: 50%

$118.58

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 28470

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

Codes related to 28470
CodeHow it relatesOffice range, Washington, DC area
Same family
28475Metatarsal fracture, closed reduction, each boneMetatarsal fracture treatment when manipulation is performed.$312.02
28476Metatarsal fracture, percutaneous fixation with manipulationMetatarsal fracture treatment using percutaneous skeletal fixation.No office rate
28485Metatarsal fracture surgery, open treatment, eachMetatarsal fracture treatment using open reduction and internal fixation.No office rate

How 28470 has changed in Washington, DC area

28470 · Office / nonfacility

$270.53

Effective 2026-10-01

The base rate is $17.04 higher than on 2025-10-01, moving from $253.49 to $270.53 (6.7%).

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

    $253.49changed to$270.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 4.50 changed to 4.83
    • Malpractice RVU 0.28 changed to 0.29
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $259.27changed to$253.49

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.45 changed to 4.50
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $255.04changed to$259.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $262.04changed to$255.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.33 changed to 4.45
    • Malpractice RVU 0.27 changed to 0.29
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $266.25changed to$262.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.19 changed to 4.33
    • Malpractice RVU 0.29 changed to 0.27
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $265.85changed to$266.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.14 changed to 4.19
    • Malpractice RVU 0.28 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $263.85changed to$265.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.93 changed to 4.14
    • Malpractice RVU 0.30 changed to 0.28
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $260.71changed to$263.85

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.95 changed to 3.93
    • Malpractice RVU 0.28 changed to 0.30
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $262.18changed to$260.71

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.98 changed to 3.95
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $259.54changed to$262.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.93 changed to 3.98
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $260.56changed to$259.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.95 changed to 3.93
    • Malpractice RVU 0.30 changed to 0.29
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $261.50changed to$260.56

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $260.20changed to$261.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $259.39changed to$260.20

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.93 changed to 3.95
    • Malpractice RVU 0.32 changed to 0.30
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $262.44changed to$259.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.35 changed to 3.93
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $262.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$270.53$237.08RVU26D
2026-07-01$270.53$237.08RVU26C
2026-04-01$270.53$237.08RVU26B
2026-01-01$270.53$237.08RVU26A
2025-10-01$253.49$238.84RVU25D
2025-07-01$253.49$238.84RVU25C
2025-04-01$253.49$238.84RVU25B
2025-01-01$253.49$238.84RVU25A
2024-10-01$259.27$243.80RVU24D
2024-07-01$259.27$243.80RVU24C
2024-04-01$259.27$243.80RVU24B
2024-03-09$259.27$243.80RVU24AR
2024-01-01$255.04$239.82RVU24A
2023-10-01$262.04$245.58RVU23D
2023-07-01$262.04$245.58RVU23C
2023-04-01$262.04$245.58RVU23B
2023-01-01$262.04$245.58RVU23A
2022-10-01$266.25$249.57RVU22D
2022-07-01$266.25$249.57RVU22C
2022-04-01$266.25$249.57RVU22B
2022-01-01$266.25$249.57RVU22A
2021-10-01$265.85$247.74RVU21D
2021-07-01$265.85$247.74RVU21C
2021-04-01$265.85$247.74RVU21B
2021-01-01$265.85$247.74RVU21A
2020-10-01$263.85$245.79RVU20D
2020-07-01$263.85$245.79RVU20C
2020-04-01$263.85$245.79RVU20B
2020-01-01$263.85$245.79RVU20A
2019-10-01$260.71$242.04RVU19D
2019-07-01$260.71$242.04RVU19C
2019-04-01$260.71$242.04RVU19B
2019-01-01$260.71$242.04RVU19A
2018-10-01$262.18$242.66RVU18D
2018-07-01$262.18$242.66RVU18C
2018-04-01$262.18$242.66RVU18B
2018-01-01$262.18$242.66RVU18AR1
2017-10-01$259.54$241.80RVU17D
2017-07-01$259.54$241.80RVU17C
2017-04-01$259.54$241.80RVU17B
2017-01-01$259.54$241.80RVU17A
2016-10-01$260.56$242.87RVU16D
2016-07-01$260.56$242.87RVU16C
2016-04-01$260.56$242.87RVU16B
2016-01-01$260.56$242.87RVU16A
2015-10-01$261.50$243.31RVU15D
2015-07-01$261.50$243.31RVU15C
2015-04-01$260.20$242.10RVU15B
2015-01-01$260.20$242.10RVU15A
2014-10-01$259.39$241.74RVU14D
2014-07-01$259.39$241.74RVU14C
2014-04-01$259.39$241.74RVU14B
2014-01-01$259.39$241.74RVU14A
2013-10-01$262.44$243.69RVU13D
2013-07-01$262.44$243.69RVU13C
2013-04-01$262.44$243.69RVU13B
2013-01-01$262.44$243.69RVU13AR

Price 28470 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

28470 billing questions

When should 28470 be chosen instead of 28475?

Use 28470 when the metatarsal fracture is treated without manipulation. Choose 28475 when the provider manipulates the fracture.

How is the code reported when more than one metatarsal is treated?

The descriptor is for each metatarsal. Document which metatarsal bones were treated and the treatment provided to each.

Is immobilization included in fracture care?

Casting, splinting, or boot immobilization may be part of the closed fracture treatment. Related postoperative care during the 90-day global period is included.

Should modifier 50 be used for fractures in both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the treated metatarsals according to the code's each-unit structure.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What happens when another procedure is 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.

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 28470PPRRVU2026_Oct_nonQPP.csv, line 3,212 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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