CPT code 28496: Great toe fracture, percutaneous fixation with manipulation2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $537.35 for 28496 in the office and $269.81 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.

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 South Dakota 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. South Dakota pays $537.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28496 rates by state

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

See 28496 in every payment locality

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.

Payment rules and modifiers for 28496

28496 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 50

Codes related to 28496

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

How 28496 has changed in South Dakota

Price 28496 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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