CPT code 28475: Metatarsal fracture, closed reduction, each bone2026 Medicare rate & RVUs in California
Reports closed reduction of a metatarsal fracture when the clinician manipulates the fracture to improve alignment, with separate reporting for each metatarsal treated.
Medicare pays $287.35–$353.54 for 28475 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 28475 covers
This service covers closed management of a fractured metatarsal that requires manipulation to improve alignment. The clinician performs the reduction without an open incision or percutaneous skeletal fixation, then typically immobilizes the foot. Orthopedic surgeons and podiatrists may provide this treatment in an office, emergency department, or hospital setting.
Report one unit for each metatarsal treated with manipulation. Documentation should identify the fractured bone and support the need for manipulation, including the reduction performed and resulting alignment. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed 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. Medicare does not pay an assistant at surgery for this service; 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 28475 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$287.35 to $353.54
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $288.50 | $232.12 |
| Chico, CA | $287.35 | $230.98 |
| El Centro, CA | $287.42 | $231.04 |
| Fresno, CA | $287.35 | $230.98 |
| Hanford, CA | $287.35 | $230.98 |
| Los Angeles, CA | $305.72 | $244.87 |
| Madera, CA | $287.35 | $230.98 |
| Marin County, CA | $345.79 | $273.26 |
| Merced, CA | $287.35 | $230.98 |
| Modesto, CA | $287.35 | $230.98 |
| Napa, CA | $328.12 | $260.32 |
| Oxnard, CA | $303.75 | $242.95 |
| Redding, CA | $287.35 | $230.98 |
| Rest of California | $287.35 | $230.98 |
| Riverside, CA | $291.58 | $235.20 |
| Sacramento, CA | $300.27 | $240.44 |
| Salinas, CA | $299.12 | $239.50 |
| San Benito County, CA | $353.54 | $279.37 |
| San Diego, CA | $305.20 | $243.68 |
| San Francisco, CA | $345.35 | $272.82 |
| San Luis Obispo, CA | $294.45 | $235.86 |
| Santa Clara County, CA | $351.73 | $277.56 |
| Santa Cruz, CA | $307.38 | $244.88 |
| Santa Maria, CA | $299.98 | $240.00 |
| Santa Rosa, CA | $310.40 | $247.24 |
| Stockton, CA | $287.35 | $230.98 |
| Vallejo, CA | $327.48 | $259.69 |
| Visalia, CA | $287.35 | $230.98 |
| Yuba City, CA | $287.35 | $230.98 |
How the 28475 rate is calculated
Each of 28475’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 · 28475
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense4.94
4.94 RVUs× 1.000 GPCI
Malpractice0.39
0.39 RVUs× 1.000 GPCI
Adjusted RVUs
8.2600
Conversion factor
$33.4009
Medicare rate
$275.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28475
28475 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28475
Metatarsal fracture, closed reduction, each bone
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28475
Metatarsal fracture, closed reduction, each 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
28475 without 51 · national office
$275.89
Metatarsal fracture, closed reduction, each bone
28475-51 · Second procedure: 50%
$137.95
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%).
28475 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28470Metatarsal fracture careWithout manipulation, each
- Choose 28470 for closed treatment without manipulation; choose 28475 when manipulation is performed to improve fracture alignment.
- 28476Metatarsal fracturePercutaneous fixation with manipulation
- Choose 28476 when percutaneous skeletal fixation accompanies manipulation. Use 28475 for closed manipulation without percutaneous skeletal fixation.
- 28485Metatarsal fracture surgeryOpen treatment, each
- Choose 28485 for open reduction and fixation of the metatarsal fracture. Code 28475 represents closed treatment with manipulation.
28475 billing questions
How does this differ from 28470?
Use 28475 when the clinician manipulates the metatarsal fracture to improve alignment. Code 28470 describes closed treatment without manipulation.
When is 28476 more appropriate?
Use 28476 when percutaneous skeletal fixation is performed with manipulation. Code 28475 describes closed reduction without that fixation.
How many units should be reported?
Report one unit for each metatarsal treated with manipulation. Document the specific metatarsal or metatarsals addressed.
Should modifier 50 be used for fractures in both feet?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service for each treated metatarsal rather than using modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
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
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