Billing code 28570: Foot dislocationMedicare rate & RVUs

Medicare pays $267.21 for 28570 nationally in the office and $205.08 in a hospital or facility. Local office rates run $233.38–$355.04.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 28570 covers

This code describes closed management of a dislocated tarsal bone when the provider does not manipulate the bone. An orthopedic surgeon or podiatrist may provide this care in a hospital or other setting, with immobilization and related management as clinically appropriate. The injured bone and the dislocation should be identified in the record; a dislocation of the tarsometatarsal joint belongs to a different code group.

Choose this service based on the treatment performed, not solely on the diagnosis: documentation should support closed care without manipulation. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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 28570 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28570 rates by state

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

How the 28570 rate is calculated

Each of 28570’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 28570

28570 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

28570 compared with similar codes

How to choose

28575Toe dislocation

Use 28575 when the provider manipulates the dislocated tarsal bone during closed treatment; 28570 is for treatment without manipulation.

28576Foot dislocation

Use 28576 for closed manipulation requiring anesthesia. Code 28570 describes closed treatment without manipulation.

28585Foot dislocation repair

Code 28585 describes open treatment of a tarsal bone dislocation; 28570 is closed treatment without manipulation.

28540Tarsal dislocation

Code 28540 is for closed treatment of a tarsometatarsal joint dislocation without manipulation. Code 28570 concerns a tarsal bone dislocation.

Codes related to 28570

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

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