Billing code 28322: Metatarsal repairMedicare rate & RVUs
Repair a metatarsal fracture that has failed to unite or healed in poor alignment, with or without bone grafting.
Medicare pays $813.98 for 28322 nationally in the office and $540.43 in a hospital or facility. Local office rates run $723.34–$1,041.86.
Medicare rate · 28322
Metatarsal repair
Swap in your local Medicare rate.
- Work RVUs
- 8.32
- Total RVUs
- 24.37
- Global days
- 090
National rate · 2026
$813.98
Office setting, before claim adjustments.
See every locality for 28322 → · Billed by an NP, PA or therapist? →
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 10 sections
What 28322 covers
This surgery addresses a metatarsal fracture that has not united or has healed in a position that needs correction. The foot and ankle surgeon exposes the affected bone, addresses the nonunion or malunion, restores alignment when needed, and stabilizes the repair. Bone graft may be used; the service covers repair with or without grafting. These cases generally follow an earlier fracture and differ from treatment of a new, acute metatarsal fracture.
Report the code when the operative record supports repair of a metatarsal nonunion or malunion. Document the affected bone, the fracture-healing problem, the corrective work, and any grafting or fixation performed. 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 may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 28322 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$723.34 to $1041.86
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $733.45 | $494.09 |
| Alaska* | $965.28 | $673.95 |
| Arizona | $792.42 | $527.34 |
| Arkansas | $723.34 | $488.36 |
| Atlanta | $831.49 | $553.56 |
| Austin | $838.10 | $548.68 |
| Bakersfield | $849.42 | $549.60 |
| Baltimore/Surr. Cntys | $864.74 | $571.21 |
| Beaumont | $766.56 | $517.63 |
| Brazoria | $802.15 | $531.05 |
| Chicago | $875.05 | $600.13 |
| Chico | $845.67 | $545.85 |
| Colorado | $839.24 | $548.18 |
| Connecticut | $866.64 | $572.02 |
| Dallas | $808.30 | $535.84 |
| Dc + Md/Va Suburbs | $921.57 | $599.32 |
| Delaware | $805.04 | $534.77 |
| Detroit | $826.76 | $562.79 |
| East St. Louis | $818.96 | $567.29 |
| El Centro | $845.88 | $546.07 |
| Fort Lauderdale | $855.73 | $578.62 |
| Fort Worth | $803.94 | $534.22 |
| Fresno | $845.67 | $545.85 |
| Galveston | $805.23 | $533.59 |
| Hanford-Corcoran | $845.67 | $545.85 |
| Hawaii, Guam | $863.01 | $551.98 |
| Houston | $829.21 | $557.57 |
| Idaho | $751.53 | $499.87 |
| Indiana | $755.55 | $501.97 |
| Iowa | $745.75 | $495.45 |
| Kansas | $745.01 | $497.72 |
| Kentucky | $755.61 | $512.42 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $900.77 | $577.15 |
| Madera | $845.67 | $545.85 |
| Manhattan | $937.16 | $619.29 |
| Merced | $845.67 | $545.85 |
| Metropolitan Boston | $916.07 | $589.45 |
| Metropolitan Kansas City | $782.94 | $526.07 |
| Metropolitan Philadelphia | $847.61 | $562.84 |
| Metropolitan St. Louis | $790.44 | $530.01 |
| Miami | $901.07 | $616.30 |
| Minnesota | $797.45 | $515.97 |
| Mississippi | $734.13 | $498.60 |
| Modesto | $845.67 | $545.85 |
| Montana** | $813.89 | $540.34 |
| Napa | $966.52 | $605.98 |
| Nebraska | $748.85 | $496.37 |
| Nevada** | $807.17 | $533.34 |
| New Hampshire | $828.70 | $543.93 |
| New Mexico | $781.91 | $531.06 |
| New Orleans | $790.88 | $533.47 |
| North Carolina | $765.20 | $509.97 |
| North Dakota** | $787.99 | $514.44 |
| Northern Nj | $913.24 | $595.91 |
| Nyc Suburbs/Long Island | $962.31 | $637.06 |
| Ohio | $771.50 | $521.74 |
| Oklahoma | $751.54 | $507.26 |
| Oxnard-Thousand Oaks-Ventura | $894.87 | $571.53 |
| Portland | $861.87 | $557.96 |
| Poughkpsie/N Nyc Suburbs | $882.45 | $582.90 |
| Puerto Rico | $818.74 | $542.18 |
| Queens | $940.71 | $617.37 |
| Redding | $845.67 | $545.85 |
| Rest Of California | $845.67 | $545.85 |
| Rest Of Florida | $814.33 | $552.81 |
| Rest Of Georgia | $769.21 | $525.20 |
| Rest Of Illinois | $795.78 | $546.03 |
| Rest Of Louisiana | $755.52 | $513.43 |
| Rest Of Maine | $758.05 | $506.39 |
| Rest Of Maryland | $819.08 | $542.24 |
| Rest Of Massachusetts | $835.64 | $547.59 |
| Rest Of Michigan | $776.79 | $527.04 |
| Rest Of Missouri | $744.90 | $509.10 |
| Rest Of New Jersey | $874.63 | $575.91 |
| Rest Of New York | $776.37 | $516.49 |
| Rest Of Oregon | $799.02 | $526.56 |
| Rest Of Pennsylvania | $771.20 | $520.08 |
| Rest Of Texas | $784.63 | $525.02 |
| Rest Of Washington | $833.23 | $545.18 |
| Rhode Island | $830.78 | $548.20 |
| Riverside-San Bernardino-Ontario | $859.81 | $560.00 |
| Sacramento-Roseville-Folsom | $883.93 | $565.79 |
| Salinas | $880.57 | $563.52 |
| San Diego-Chula Vista-Carlsbad | $898.77 | $571.60 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,018.56 | $632.85 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,017.08 | $631.37 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,041.86 | $647.39 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,035.77 | $641.31 |
| San Luis Obispo-Paso Robles | $866.84 | $555.26 |
| Santa Cruz-Watsonville | $905.36 | $573.00 |
| Santa Maria-Santa Barbara | $883.19 | $564.22 |
| Santa Rosa-Petaluma | $914.27 | $578.34 |
| Seattle (King Cnty) | $931.63 | $595.98 |
| South Carolina | $770.00 | $517.24 |
| South Dakota** | $784.93 | $511.37 |
| Southern Maine | $793.40 | $522.31 |
| Stockton | $845.67 | $545.85 |
| Suburban Chicago | $863.00 | $582.06 |
| Tennessee | $748.92 | $500.26 |
| Utah | $779.98 | $522.84 |
| Vallejo | $964.38 | $603.83 |
| Vermont | $787.44 | $516.62 |
| Virgin Islands | $818.74 | $542.18 |
| Virginia | $792.75 | $523.84 |
| Visalia | $845.67 | $545.85 |
| West Virginia | $768.34 | $530.63 |
| Wisconsin | $763.02 | $500.96 |
| Wyoming** | $802.60 | $529.05 |
| Yuba City | $845.67 | $545.85 |
28322 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.
$723.34
$965.28
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 | $965.28 | 1 |
| AL | $733.45 | 1 |
| AR | $723.34 | 1 |
| AZ | $792.42 | 1 |
| CA | $845.67–$1,041.86 | 29 |
| CO | $839.24 | 1 |
| CT | $866.64 | 1 |
| DC | $921.57 | 1 |
| DE | $805.04 | 1 |
| FL | $814.33–$901.07 | 3 |
| GA | $769.21–$831.49 | 2 |
| GU | $863.01 | 1 |
| HI | $863.01 | 1 |
| IA | $745.75 | 1 |
| ID | $751.53 | 1 |
| IL | $795.78–$875.05 | 4 |
| IN | $755.55 | 1 |
| KS | $745.01 | 1 |
| KY | $755.61 | 1 |
| LA | $755.52–$790.88 | 2 |
| MA | $835.64–$916.07 | 2 |
| MD | $819.08–$921.57 | 3 |
| ME | $758.05–$793.40 | 2 |
| MI | $776.79–$826.76 | 2 |
| MN | $797.45 | 1 |
| MO | $744.90–$790.44 | 3 |
| MS | $734.13 | 1 |
| MT | $813.89 | 1 |
| NC | $765.20 | 1 |
| ND | $787.99 | 1 |
| NE | $748.85 | 1 |
| NH | $828.70 | 1 |
| NJ | $874.63–$913.24 | 2 |
| NM | $781.91 | 1 |
| NV | $807.17 | 1 |
| NY | $776.37–$962.31 | 5 |
| OH | $771.50 | 1 |
| OK | $751.54 | 1 |
| OR | $799.02–$861.87 | 2 |
| PA | $771.20–$847.61 | 2 |
| PR | $818.74 | 1 |
| RI | $830.78 | 1 |
| SC | $770.00 | 1 |
| SD | $784.93 | 1 |
| TN | $748.92 | 1 |
| TX | $766.56–$838.10 | 8 |
| UT | $779.98 | 1 |
| VA | $792.75–$921.57 | 2 |
| VI | $818.74 | 1 |
| VT | $787.44 | 1 |
| WA | $833.23–$931.63 | 2 |
| WI | $763.02 | 1 |
| WV | $768.34 | 1 |
| WY | $802.60 | 1 |
How the 28322 rate is calculated
Each of 28322’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 · 28322
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.32Practice expense 14.74Malpractice 1.31
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28322
28322 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28322
Metatarsal repair
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 28322
Metatarsal repair
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
28322 without 51 · national office
$813.98
Metatarsal repair
28322-51 · Second procedure: 50%
$406.99
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%).
28322 compared with similar codes
Compare codes
28322 vs 28320 vs 28485 vs 28308: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28320Bone repair
- Both codes address nonunion or malunion repair, but 28320 applies to tarsal bones; 28322 applies to metatarsals.
- 28485Metatarsal fracture surgery
- 28485 describes open treatment of an acute metatarsal fracture. Choose 28322 when the service repairs an established nonunion or malunion.
- 28308Metatarsal osteotomy
- 28308 is a metatarsal osteotomy used for a different indication. Use 28322 when the operative problem is fracture nonunion or malunion.
28322 billing questions
When is this code appropriate instead of an acute fracture treatment code?
Use 28322 for repair of a metatarsal fracture nonunion or malunion. Acute fracture treatment codes describe treatment of a new fracture, not repair of a fracture-healing problem.
Does the code include bone grafting?
Yes. The repair may be performed with or without bone grafting.
Can modifier 50 be used for repair of metatarsals on both feet?
No. CMS identifies bilateral adjustment as inapplicable and modifier 50 as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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
Fee sheets
Put 28322 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →