CPT code 28476: Metatarsal fracture, percutaneous fixation with manipulation2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $370.55 for 28476 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28476 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 28476 covers

An orthopedic or foot-and-ankle surgeon uses this service for a metatarsal fracture that needs manipulation to restore alignment and stabilization with pins or other percutaneous skeletal fixation, without open exposure of the fracture. It is generally performed in an operating room or other surgical facility for a displaced fracture requiring more than closed treatment alone. Report the service for each metatarsal fracture treated.

Choose this code when both manipulation and percutaneous fixation are performed; closed manipulation without skeletal fixation is represented by 28475, while open fixation is represented by 28485. Document the specific metatarsal, fracture pattern, reduction, fixation method, and imaging that supports the result. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; 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 New Mexico compares for 28476

Across 109 of 109 payment localities, the facility rate for 28476 runs from $343.32 in Arkansas to $503.62 in San Benito County, CA. New Mexico pays $370.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28476 rates by state

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

See 28476 in every payment locality

How the 28476 rate is calculated

Each of 28476’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 28476

28476 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 28476

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

How 28476 has changed in New Mexico

Price 28476 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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