CPT code 28496: Great toe fracture, percutaneous fixation with manipulation2026 Medicare rate & RVUs in New Hampshire
Percutaneous skeletal fixation with manipulation treats a great toe fracture when the fracture requires reduction and pin fixation rather than closed treatment alone.
In New Hampshire, Medicare pays $564.84 for 28496 in the office and $286.33 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28496 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28496 covers
An orthopedic surgeon or podiatric surgeon uses manipulation to reduce a great toe fracture and places skeletal fixation through the skin, typically with pins, to stabilize the fracture. This approach is used when the fracture needs fixation but is treated percutaneously rather than through open exposure. The service is generally performed in a surgical facility; Medicare’s 2024 claims data show facility services for this code.
Choose this code when the documented treatment includes both manipulation and percutaneous skeletal fixation of a great toe fracture. The operative report should identify the great toe fracture, reduction, and percutaneous fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Hampshire compares for 28496
Across 109 of 109 payment localities, the office rate for 28496 runs from $476.76 in Arkansas to $748.89 in San Benito County, CA. New Hampshire pays $564.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Hampshire · this page$564.84
- Los Angeles, CA · California$628.66+$63.82
- Washington, DC area · District of Columbia$634.96+$70.12
- Miami, FL · Florida$592.47+$27.63
- Chicago, IL · Illinois$572.89+$8.05
- Manhattan, NY · New York$636.45+$71.61
- Alaska · Alaska$610.67+$45.83
Other areas in New Hampshire first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $484.83 | $250.73 |
| ArkansasArkansas | $476.76 | $246.95 |
| ArizonaArizona | $532.06 | $272.81 |
| Bakersfield, CACalifornia | $586.74 | $293.51 |
| Chico, CACalifornia | $585.36 | $292.13 |
| El Centro, CACalifornia | $585.44 | $292.21 |
| Fresno, CACalifornia | $585.36 | $292.13 |
| Hanford, CACalifornia | $585.36 | $292.13 |
| Madera, CACalifornia | $585.36 | $292.13 |
| Merced, CACalifornia | $585.36 | $292.13 |
| Modesto, CACalifornia | $585.36 | $292.13 |
| Napa, CACalifornia | $688.71 | $336.09 |
| Oxnard, CACalifornia | $626.48 | $310.24 |
| Redding, CACalifornia | $585.36 | $292.13 |
| Rest of CaliforniaCalifornia | $585.36 | $292.13 |
| Riverside, CACalifornia | $590.73 | $297.51 |
| Sacramento, CACalifornia | $617.10 | $305.95 |
| Salinas, CACalifornia | $614.89 | $304.81 |
| San Diego, CACalifornia | $631.60 | $311.62 |
| Marin County, CACalifornia | $731.96 | $354.73 |
| San Francisco, CACalifornia | $731.39 | $354.16 |
| San Benito County, CACalifornia | $748.89 | $363.09 |
| Santa Clara County, CACalifornia | $746.57 | $360.77 |
| San Luis Obispo, CACalifornia | $604.74 | $300.02 |
| Santa Cruz, CACalifornia | $639.34 | $314.27 |
| Santa Maria, CACalifornia | $617.81 | $305.86 |
| Santa Rosa, CACalifornia | $645.93 | $317.39 |
| Stockton, CACalifornia | $585.36 | $292.13 |
| Vallejo, CACalifornia | $687.89 | $335.27 |
| Visalia, CACalifornia | $585.36 | $292.13 |
| Yuba City, CACalifornia | $585.36 | $292.13 |
| ColoradoColorado | $574.61 | $289.95 |
| ConnecticutConnecticut | $588.29 | $300.14 |
| DelawareDelaware | $541.75 | $277.42 |
| Fort Lauderdale, FLFlorida | $567.80 | $296.78 |
| Rest of FloridaFlorida | $537.00 | $281.23 |
| Atlanta, GAGeorgia | $559.26 | $287.43 |
| Rest of GeorgiaGeorgia | $502.95 | $264.30 |
| Hawaii, Guam, HIHawaii | $603.19 | $298.99 |
| IowaIowa | $500.04 | $255.24 |
| IdahoIdaho | $503.57 | $257.43 |
| East St. Louis, ILIllinois | $529.30 | $283.17 |
| Rest of IllinoisIllinois | $518.62 | $274.35 |
| Suburban Chicago, ILIllinois | $574.08 | $299.31 |
| IndianaIndiana | $506.94 | $258.93 |
| KansasKansas | $496.87 | $255.01 |
| KentuckyKentucky | $496.97 | $259.13 |
| New Orleans, LALouisiana | $524.11 | $272.35 |
| Rest of LouisianaLouisiana | $495.89 | $259.11 |
| Metropolitan Boston, MAMassachusetts | $637.40 | $317.95 |
| Rest of MassachusettsMassachusetts | $570.24 | $288.52 |
| Baltimore area, MDMaryland | $586.61 | $299.54 |
| Rest of MarylandMaryland | $553.29 | $282.54 |
| Rest of MaineMaine | $506.06 | $259.92 |
| Southern Maine, MEMaine | $538.22 | $273.09 |
| Detroit, MIMichigan | $544.12 | $285.94 |
| Rest of MichiganMichigan | $511.37 | $267.10 |
| MinnesotaMinnesota | $549.76 | $274.46 |
| Metropolitan Kansas City, MOMissouri | $520.55 | $269.33 |
| Metropolitan St. Louis, MOMissouri | $526.83 | $272.13 |
| Rest of MissouriMissouri | $485.78 | $255.16 |
| MississippiMississippi | $481.41 | $251.05 |
| MontanaMontana | $548.41 | $280.87 |
| North CarolinaNorth Carolina | $512.20 | $262.59 |
| North DakotaNorth Dakota | $538.52 | $270.98 |
| NebraskaNebraska | $503.33 | $256.39 |
| Northern New JerseyNew Jersey | $626.82 | $316.47 |
| Rest of New JerseyNew Jersey | $594.78 | $302.62 |
| New MexicoNew Mexico | $514.37 | $269.04 |
| NevadaNevada | $546.10 | $278.30 |
| NYC suburbs and Long Island, NYNew York | $653.15 | $335.04 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $598.42 | $305.47 |
| Queens, NYNew York | $643.06 | $326.83 |
| Rest of New YorkNew York | $520.94 | $266.77 |
| OhioOhio | $509.35 | $265.08 |
| OklahomaOklahoma | $496.47 | $257.56 |
| Portland, OROregon | $595.51 | $298.27 |
| Rest of OregonOregon | $541.68 | $275.21 |
| Metropolitan Philadelphia, PAPennsylvania | $571.61 | $293.10 |
| Rest of PennsylvaniaPennsylvania | $510.55 | $264.95 |
| Puerto RicoPuerto Rico | $553.15 | $282.67 |
| Rhode IslandRhode Island | $563.06 | $286.68 |
| South CarolinaSouth Carolina | $511.67 | $264.46 |
| South DakotaSouth Dakota | $537.35 | $269.81 |
| TennesseeTennessee | $499.68 | $256.48 |
| Austin, TXTexas | $572.85 | $289.79 |
| Beaumont, TXTexas | $506.67 | $263.21 |
| Brazoria, TXTexas | $541.36 | $276.22 |
| Dallas, TXTexas | $545.00 | $278.52 |
| Fort Worth, TXTexas | $540.70 | $276.91 |
| Galveston, TXTexas | $543.06 | $277.39 |
| Houston, TXTexas | $552.21 | $286.54 |
| Rest of TexasTexas | $523.83 | $269.93 |
| UtahUtah | $519.68 | $268.20 |
| VirginiaVirginia | $535.87 | $272.87 |
| Virgin Islands, VIUnited States Virgin Islands | $553.15 | $282.67 |
| VermontVermont | $535.68 | $270.82 |
| Rest of WashingtonWashington | $569.40 | $287.68 |
| King County, WAWashington | $651.79 | $323.51 |
| WisconsinWisconsin | $517.95 | $261.64 |
| West VirginiaWest Virginia | $496.57 | $264.08 |
| WyomingWyoming | $544.10 | $276.56 |
28496 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$476.76
$667.13
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $610.67 | 1 |
| AL | $484.83 | 1 |
| AR | $476.76 | 1 |
| AZ | $532.06 | 1 |
| CA | $585.36–$748.89 | 29 |
| CO | $574.61 | 1 |
| CT | $588.29 | 1 |
| DC | $634.96 | 1 |
| DE | $541.75 | 1 |
| FL | $537.00–$592.47 | 3 |
| GA | $502.95–$559.26 | 2 |
| GU | $603.19 | 1 |
| HI | $603.19 | 1 |
| IA | $500.04 | 1 |
| ID | $503.57 | 1 |
| IL | $518.62–$574.08 | 4 |
| IN | $506.94 | 1 |
| KS | $496.87 | 1 |
| KY | $496.97 | 1 |
| LA | $495.89–$524.11 | 2 |
| MA | $570.24–$637.40 | 2 |
| MD | $553.29–$634.96 | 3 |
| ME | $506.06–$538.22 | 2 |
| MI | $511.37–$544.12 | 2 |
| MN | $549.76 | 1 |
| MO | $485.78–$526.83 | 3 |
| MS | $481.41 | 1 |
| MT | $548.41 | 1 |
| NC | $512.20 | 1 |
| ND | $538.52 | 1 |
| NE | $503.33 | 1 |
| NH | $564.84 | 1 |
| NJ | $594.78–$626.82 | 2 |
| NM | $514.37 | 1 |
| NV | $546.10 | 1 |
| NY | $520.94–$653.15 | 5 |
| OH | $509.35 | 1 |
| OK | $496.47 | 1 |
| OR | $541.68–$595.51 | 2 |
| PA | $510.55–$571.61 | 2 |
| PR | $553.15 | 1 |
| RI | $563.06 | 1 |
| SC | $511.67 | 1 |
| SD | $537.35 | 1 |
| TN | $499.68 | 1 |
| TX | $506.67–$572.85 | 8 |
| UT | $519.68 | 1 |
| VA | $535.87–$634.96 | 2 |
| VI | $553.15 | 1 |
| VT | $535.68 | 1 |
| WA | $569.40–$651.79 | 2 |
| WI | $517.95 | 1 |
| WV | $496.57 | 1 |
| WY | $544.10 | 1 |
How the 28496 rate is calculated
Each of 28496’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 · 28496
RVUs × geographic indexes × conversion factor
Work2.42
2.42 RVUs× 1.000 GPCI
Practice expense13.50
13.50 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
16.4200
Conversion factor
$33.4009
Medicare rate
$548.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Hampshire inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,218
- Code
- 28496
- Physician work
- 2.42
- Practice expense
- 13.50
- Malpractice
- 0.50
GPCI2026.csv
74
- Locality
- New Hampshire
- Physician work
- 1.000
- Practice expense
- 1.041
- Malpractice
- 0.875
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.42 | × 1.000 | 2.4200 |
| Practice expense | 13.50 | × 1.041 | 14.0535 |
| Malpractice | 0.50 | × 0.875 | 0.4375 |
| Total RVUs | 16.9110 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Hampshire$564.84
Office: (2.42 × 1 + 13.5 × 1.041 + 0.5 × 0.875) × $33.4009 = $564.84
Facility: (2.42 × 1 + 5.49 × 1.041 + 0.5 × 0.875) × $33.4009 = $286.33
Payment rules and modifiers for 28496
28496 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28496
Great toe fracture, percutaneous fixation with manipulation
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 28496
Great toe fracture, percutaneous fixation with manipulation
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 50 · payment effect
With and without the modifier
28496 without 50 · national office
$548.44
Great toe fracture, percutaneous fixation with manipulation
28496-50 · Bilateral: 150%
$822.66
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 28496 has changed in New Hampshire
28496 · Office / nonfacility
$564.84
Effective 2026-10-01
The base rate is $61.76 higher than on 2025-10-01, moving from $503.08 to $564.84 (12.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$503.08changed to$564.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.48 changed to 2.42
- Practice expense RVU 12.20 changed to 13.50
- Malpractice RVU 0.51 changed to 0.50
- Practice expense GPCI 1.034 changed to 1.041
- Malpractice GPCI 0.898 changed to 0.875
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$520.51changed to$503.08
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 12.29 changed to 12.20
- Malpractice RVU 0.50 changed to 0.51
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$512.02changed to$520.51
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$474.44changed to$512.02
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.77 changed to 12.29
- Malpractice RVU 0.40 changed to 0.50
- Practice expense GPCI 1.036 changed to 1.034
- Malpractice GPCI 0.907 changed to 0.898
January 1, 2023
RVU23A
$476.41changed to$474.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.52 changed to 10.77
- Practice expense GPCI 1.038 changed to 1.036
- Malpractice GPCI 0.917 changed to 0.907
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$489.86changed to$476.41
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.80 changed to 10.52
- Malpractice RVU 0.38 changed to 0.40
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$483.54changed to$489.86
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.11 changed to 10.80
- Malpractice RVU 0.39 changed to 0.38
- Practice expense GPCI 1.042 changed to 1.038
- Malpractice GPCI 0.984 changed to 0.917
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$495.43changed to$483.54
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.37 changed to 10.11
- Malpractice RVU 0.41 changed to 0.39
- Practice expense GPCI 1.045 changed to 1.042
- Malpractice GPCI 1.050 changed to 0.984
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$494.51changed to$495.43
- Conversion factor 35.9996 changed to 36.0391
- Malpractice RVU 0.40 changed to 0.41
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$480.43changed to$494.51
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 10.02 changed to 10.37
- Malpractice RVU 0.38 changed to 0.40
- Practice expense GPCI 1.052 changed to 1.045
- Malpractice GPCI 0.962 changed to 1.050
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$471.28changed to$480.43
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 9.80 changed to 10.02
- Malpractice RVU 0.36 changed to 0.38
- Practice expense GPCI 1.058 changed to 1.052
- Malpractice GPCI 0.873 changed to 0.962
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$477.24changed to$471.28
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 9.78 changed to 9.80
- Malpractice RVU 0.52 changed to 0.36
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$474.87changed to$477.24
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$462.03changed to$474.87
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 9.64 changed to 9.78
- Malpractice RVU 0.33 changed to 0.52
- Practice expense GPCI 1.051 changed to 1.058
- Malpractice GPCI 0.867 changed to 0.873
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$462.03
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $564.84 | $286.33 | RVU26D |
| 2026-07-01 | $564.84 | $286.33 | RVU26C |
| 2026-04-01 | $564.84 | $286.33 | RVU26B |
| 2026-01-01 | $564.84 | $286.33 | RVU26A |
| 2025-10-01 | $503.08 | $280.66 | RVU25D |
| 2025-07-01 | $503.08 | $280.66 | RVU25C |
| 2025-04-01 | $503.08 | $280.66 | RVU25B |
| 2025-01-01 | $503.08 | $280.66 | RVU25A |
| 2024-10-01 | $520.51 | $285.08 | RVU24D |
| 2024-07-01 | $520.51 | $285.08 | RVU24C |
| 2024-04-01 | $520.51 | $285.08 | RVU24B |
| 2024-03-09 | $520.51 | $285.08 | RVU24AR |
| 2024-01-01 | $512.02 | $280.43 | RVU24A |
| 2023-10-01 | $474.44 | $258.18 | RVU23D |
| 2023-07-01 | $474.44 | $258.18 | RVU23C |
| 2023-04-01 | $474.44 | $258.18 | RVU23B |
| 2023-01-01 | $474.44 | $258.18 | RVU23A |
| 2022-10-01 | $476.41 | $255.49 | RVU22D |
| 2022-07-01 | $476.41 | $255.49 | RVU22C |
| 2022-04-01 | $476.41 | $255.49 | RVU22B |
| 2022-01-01 | $476.41 | $255.49 | RVU22A |
| 2021-10-01 | $489.86 | $255.16 | RVU21D |
| 2021-07-01 | $489.86 | $255.16 | RVU21C |
| 2021-04-01 | $489.86 | $255.16 | RVU21B |
| 2021-01-01 | $489.86 | $255.16 | RVU21A |
| 2020-10-01 | $483.54 | $256.03 | RVU20D |
| 2020-07-01 | $483.54 | $256.03 | RVU20C |
| 2020-04-01 | $483.54 | $256.03 | RVU20B |
| 2020-01-01 | $483.54 | $256.03 | RVU20A |
| 2019-10-01 | $495.43 | $260.81 | RVU19D |
| 2019-07-01 | $495.43 | $260.81 | RVU19C |
| 2019-04-01 | $495.43 | $260.81 | RVU19B |
| 2019-01-01 | $495.43 | $260.81 | RVU19A |
| 2018-10-01 | $494.51 | $259.39 | RVU18D |
| 2018-07-01 | $494.51 | $259.39 | RVU18C |
| 2018-04-01 | $494.51 | $259.39 | RVU18B |
| 2018-01-01 | $494.51 | $259.39 | RVU18AR1 |
| 2017-10-01 | $480.43 | $252.39 | RVU17D |
| 2017-07-01 | $480.43 | $252.39 | RVU17C |
| 2017-04-01 | $480.43 | $252.39 | RVU17B |
| 2017-01-01 | $480.43 | $252.39 | RVU17A |
| 2016-10-01 | $471.28 | $247.03 | RVU16D |
| 2016-07-01 | $471.28 | $247.03 | RVU16C |
| 2016-04-01 | $471.28 | $247.03 | RVU16B |
| 2016-01-01 | $471.28 | $247.03 | RVU16A |
| 2015-10-01 | $477.24 | $251.80 | RVU15D |
| 2015-07-01 | $477.24 | $251.80 | RVU15C |
| 2015-04-01 | $474.87 | $250.54 | RVU15B |
| 2015-01-01 | $474.87 | $250.54 | RVU15A |
| 2014-10-01 | $462.03 | $243.29 | RVU14D |
| 2014-07-01 | $462.03 | $243.29 | RVU14C |
| 2014-04-01 | $462.03 | $243.29 | RVU14B |
| 2014-01-01 | $462.03 | $243.29 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the New Hampshire rate applies
New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.
- Alton
- Amherst
- Antrim
- Ashland
- Bartlett
- Belmont
- Bennington
- Berlin
28496 billing questions
How does this differ from 28495?
28495 describes closed treatment with manipulation. Use 28496 when the great toe fracture is also treated with percutaneous skeletal fixation.
How does this differ from 28490?
28490 is closed treatment without manipulation. This code represents manipulation plus percutaneous skeletal fixation.
Can the fixation be reported separately from the fracture treatment?
Percutaneous skeletal fixation is part of the service represented by 28496. Do not report a separate fracture-treatment code for the same great toe fracture.
What should the operative note document?
Document the great toe fracture, manipulation or reduction, and the percutaneous skeletal fixation performed. The record should support that the treatment went beyond closed reduction alone.
How is bilateral treatment reported?
When both great toes are treated, report bilateral services with modifier 50. CMS pays bilateral reporting at 150%.
Does the code include related postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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