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CMS RVU26D · Effective 2026-10-01

28322 in Austin

Office / nonfacility

$838.10

Base rate per service

Facility setting

$548.68

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Foot surgery

About 28322: Metatarsal nonunion or malunion repair

Repair a metatarsal fracture that has failed to unite or healed in poor alignment, with or without bone grafting.

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.

CMS billing rules for 28322

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU8.32 · 34%
  • Practice expense (office) RVU14.74 · 60%
  • Malpractice RVU1.31 · 5%

900

Medicare services in 2024 · #3041 by national volume

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.

28322 compared with similar codes

Office rates for Austin, from the same CMS release.

28320

Bone repair

Tarsal nonunion or malunion

No office rate

Both codes address nonunion or malunion repair, but 28320 applies to tarsal bones; 28322 applies to metatarsals.

28485

Metatarsal fracture surgery

Open treatment, each

No office rate

28485 describes open treatment of an acute metatarsal fracture. Choose 28322 when the service repairs an established nonunion or malunion.

28308

Metatarsal osteotomy

Other than first metatarsal

$605.58

28308 is a metatarsal osteotomy used for a different indication. Use 28322 when the operative problem is fracture nonunion or malunion.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 28322 is $766.56—$71.54 lower than the $838.10 rate in Austin. Both use the same code, release and participation basis.

28322 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $838.10

  2. Beaumont

    $766.56

    $71.54 lower than Austin

  3. Brazoria

    $802.15

    $35.95 lower than Austin

  4. Dallas

    $808.30

    $29.80 lower than Austin

  5. Fort Worth

    $803.94

    $34.16 lower than Austin

  6. Galveston

    $805.23

    $32.87 lower than Austin

  7. Houston

    $829.21

    $8.89 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 28322 ranges from $723.34 in Arkansas to $1041.86 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 28322

    Office

    $784.63

    Facility

    $525.02

    $53.47 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 28322

    Office

    $900.77

    Facility

    $577.15

    $62.67 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28322

    Office

    $921.57

    Facility

    $599.32

    $83.47 higher than Austin for the office setting.

  • Miami

    Florida · 28322

    Office

    $901.07

    Facility

    $616.30

    $62.97 higher than Austin for the office setting.

  • Chicago

    Illinois · 28322

    Office

    $875.05

    Facility

    $600.13

    $36.95 higher than Austin for the office setting.

  • Manhattan

    New York · 28322

    Office

    $937.16

    Facility

    $619.29

    $99.06 higher than Austin for the office setting.

  • Alaska*

    Alaska · 28322

    Office

    $965.28

    Facility

    $673.95

    $127.18 higher than Austin for the office setting.

  • Alabama

    Alabama · 28322

    Office

    $733.45

    Facility

    $494.09

    $104.65 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 28322

    Office

    $723.34

    Facility

    $488.36

    $114.76 lower than Austin for the office setting.

  • Arizona

    Arizona · 28322

    Office

    $792.42

    Facility

    $527.34

    $45.68 lower than Austin for the office setting.

  • Bakersfield

    California · 28322

    Office

    $849.42

    Facility

    $549.60

    $11.32 higher than Austin for the office setting.

  • Chico

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • El Centro

    California · 28322

    Office

    $845.88

    Facility

    $546.07

    $7.78 higher than Austin for the office setting.

  • Fresno

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Madera

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Merced

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Modesto

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Napa

    California · 28322

    Office

    $966.52

    Facility

    $605.98

    $128.42 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28322

    Office

    $894.87

    Facility

    $571.53

    $56.77 higher than Austin for the office setting.

  • Redding

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Rest Of California

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28322

    Office

    $859.81

    Facility

    $560.00

    $21.71 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28322

    Office

    $883.93

    Facility

    $565.79

    $45.83 higher than Austin for the office setting.

  • Salinas

    California · 28322

    Office

    $880.57

    Facility

    $563.52

    $42.47 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28322

    Office

    $898.77

    Facility

    $571.60

    $60.67 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28322

    Office

    $1018.56

    Facility

    $632.85

    $180.46 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 28322

    Office

    $1017.08

    Facility

    $631.37

    $178.98 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 28322

    Office

    $1041.86

    Facility

    $647.39

    $203.76 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 28322

    Office

    $1035.77

    Facility

    $641.31

    $197.67 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28322

    Office

    $866.84

    Facility

    $555.26

    $28.74 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 28322

    Office

    $905.36

    Facility

    $573.00

    $67.26 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 28322

    Office

    $883.19

    Facility

    $564.22

    $45.09 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 28322

    Office

    $914.27

    Facility

    $578.34

    $76.17 higher than Austin for the office setting.

  • Stockton

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Vallejo

    California · 28322

    Office

    $964.38

    Facility

    $603.83

    $126.28 higher than Austin for the office setting.

  • Visalia

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Yuba City

    California · 28322

    Office

    $845.67

    Facility

    $545.85

    $7.57 higher than Austin for the office setting.

  • Colorado

    Colorado · 28322

    Office

    $839.24

    Facility

    $548.18

    $1.14 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 28322

    Office

    $866.64

    Facility

    $572.02

    $28.54 higher than Austin for the office setting.

  • Delaware

    Delaware · 28322

    Office

    $805.04

    Facility

    $534.77

    $33.06 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 28322

    Office

    $855.73

    Facility

    $578.62

    $17.63 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 28322

    Office

    $814.33

    Facility

    $552.81

    $23.77 lower than Austin for the office setting.

  • Atlanta

    Georgia · 28322

    Office

    $831.49

    Facility

    $553.56

    $6.61 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 28322

    Office

    $769.21

    Facility

    $525.20

    $68.89 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 28322

    Office

    $863.01

    Facility

    $551.98

    $24.91 higher than Austin for the office setting.

  • Iowa

    Iowa · 28322

    Office

    $745.75

    Facility

    $495.45

    $92.35 lower than Austin for the office setting.

  • Idaho

    Idaho · 28322

    Office

    $751.53

    Facility

    $499.87

    $86.57 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 28322

    Office

    $818.96

    Facility

    $567.29

    $19.14 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 28322

    Office

    $795.78

    Facility

    $546.03

    $42.32 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 28322

    Office

    $863.00

    Facility

    $582.06

    $24.90 higher than Austin for the office setting.

  • Indiana

    Indiana · 28322

    Office

    $755.55

    Facility

    $501.97

    $82.55 lower than Austin for the office setting.

  • Kansas

    Kansas · 28322

    Office

    $745.01

    Facility

    $497.72

    $93.09 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 28322

    Office

    $755.61

    Facility

    $512.42

    $82.49 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 28322

    Office

    $790.88

    Facility

    $533.47

    $47.22 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 28322

    Office

    $755.52

    Facility

    $513.43

    $82.58 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 28322

    Office

    $916.07

    Facility

    $589.45

    $77.97 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28322

    Office

    $835.64

    Facility

    $547.59

    $2.46 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28322

    Office

    $864.74

    Facility

    $571.21

    $26.64 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 28322

    Office

    $819.08

    Facility

    $542.24

    $19.02 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 28322

    Office

    $758.05

    Facility

    $506.39

    $80.05 lower than Austin for the office setting.

  • Southern Maine

    Maine · 28322

    Office

    $793.40

    Facility

    $522.31

    $44.70 lower than Austin for the office setting.

  • Detroit

    Michigan · 28322

    Office

    $826.76

    Facility

    $562.79

    $11.34 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 28322

    Office

    $776.79

    Facility

    $527.04

    $61.31 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 28322

    Office

    $797.45

    Facility

    $515.97

    $40.65 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 28322

    Office

    $782.94

    Facility

    $526.07

    $55.16 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 28322

    Office

    $790.44

    Facility

    $530.01

    $47.66 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 28322

    Office

    $744.90

    Facility

    $509.10

    $93.20 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 28322

    Office

    $734.13

    Facility

    $498.60

    $103.97 lower than Austin for the office setting.

  • Montana**

    Montana · 28322

    Office

    $813.89

    Facility

    $540.34

    $24.21 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 28322

    Office

    $765.20

    Facility

    $509.97

    $72.90 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 28322

    Office

    $787.99

    Facility

    $514.44

    $50.11 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 28322

    Office

    $748.85

    Facility

    $496.37

    $89.25 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 28322

    Office

    $828.70

    Facility

    $543.93

    $9.40 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 28322

    Office

    $913.24

    Facility

    $595.91

    $75.14 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 28322

    Office

    $874.63

    Facility

    $575.91

    $36.53 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 28322

    Office

    $781.91

    Facility

    $531.06

    $56.19 lower than Austin for the office setting.

  • Nevada**

    Nevada · 28322

    Office

    $807.17

    Facility

    $533.34

    $30.93 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28322

    Office

    $962.31

    Facility

    $637.06

    $124.21 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28322

    Office

    $882.45

    Facility

    $582.90

    $44.35 higher than Austin for the office setting.

  • Queens

    New York · 28322

    Office

    $940.71

    Facility

    $617.37

    $102.61 higher than Austin for the office setting.

  • Rest Of New York

    New York · 28322

    Office

    $776.37

    Facility

    $516.49

    $61.73 lower than Austin for the office setting.

  • Ohio

    Ohio · 28322

    Office

    $771.50

    Facility

    $521.74

    $66.60 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 28322

    Office

    $751.54

    Facility

    $507.26

    $86.56 lower than Austin for the office setting.

  • Portland

    Oregon · 28322

    Office

    $861.87

    Facility

    $557.96

    $23.77 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 28322

    Office

    $799.02

    Facility

    $526.56

    $39.08 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28322

    Office

    $847.61

    Facility

    $562.84

    $9.51 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28322

    Office

    $771.20

    Facility

    $520.08

    $66.90 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 28322

    Office

    $818.74

    Facility

    $542.18

    $19.36 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 28322

    Office

    $830.78

    Facility

    $548.20

    $7.32 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 28322

    Office

    $770.00

    Facility

    $517.24

    $68.10 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 28322

    Office

    $784.93

    Facility

    $511.37

    $53.17 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 28322

    Office

    $748.92

    Facility

    $500.26

    $89.18 lower than Austin for the office setting.

  • Utah

    Utah · 28322

    Office

    $779.98

    Facility

    $522.84

    $58.12 lower than Austin for the office setting.

  • Virginia

    Virginia · 28322

    Office

    $792.75

    Facility

    $523.84

    $45.35 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28322

    Office

    $818.74

    Facility

    $542.18

    $19.36 lower than Austin for the office setting.

  • Vermont

    Vermont · 28322

    Office

    $787.44

    Facility

    $516.62

    $50.66 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 28322

    Office

    $833.23

    Facility

    $545.18

    $4.87 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 28322

    Office

    $931.63

    Facility

    $595.98

    $93.53 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 28322

    Office

    $763.02

    Facility

    $500.96

    $75.08 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 28322

    Office

    $768.34

    Facility

    $530.63

    $69.76 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 28322

    Office

    $802.60

    Facility

    $529.05

    $35.50 lower than Austin for the office setting.

See how rates vary across the country

28322 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$965.281
AL$733.451
AR$723.341
AZ$792.421
CA$845.67–$1,041.8629
CO$839.241
CT$866.641
DC$921.571
DE$805.041
FL$814.33–$901.073
GA$769.21–$831.492
GU$863.011
HI$863.011
IA$745.751
ID$751.531
IL$795.78–$875.054
IN$755.551
KS$745.011
KY$755.611
LA$755.52–$790.882
MA$835.64–$916.072
MD$819.08–$921.573
ME$758.05–$793.402
MI$776.79–$826.762
MN$797.451
MO$744.90–$790.443
MS$734.131
MT$813.891
NC$765.201
ND$787.991
NE$748.851
NH$828.701
NJ$874.63–$913.242
NM$781.911
NV$807.171
NY$776.37–$962.315
OH$771.501
OK$751.541
OR$799.02–$861.872
PA$771.20–$847.612
PR$818.741
RI$830.781
SC$770.001
SD$784.931
TN$748.921
TX$766.56–$838.108
UT$779.981
VA$792.75–$921.572
VI$818.741
VT$787.441
WA$833.23–$931.632
WI$763.021
WV$768.341
WY$802.601

Explore 28322 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 28322 in Austin, the physician’s office rate is $838.10 and the facility-setting rate is $548.68: a difference of $289.42.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 28322 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$921.91

$838.10 × 110% = $921.91

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28322 in Austin.

PPRRVU2026_Oct_nonQPP.csv

3,192

Code
28322
Physician work
8.32
Practice expense
14.74
Malpractice
1.31

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 28322 in Austin
ComponentRVULocality factorAdjusted
Physician work8.32× 1.0028.3366
Practice expense14.74× 1.05815.5949
Malpractice1.31× 0.8861.1607
Total RVUs25.0922
Conversion factor× 33.4009

Office / nonfacility rate, Austin$838.10

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 28322 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.321.002
Practice expense14.741.058
Malpractice1.310.886

(8.32 × 1.002 + 14.74 × 1.058 + 1.31 × 0.886) × $33.4009 = $838.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.321.002
Practice expense6.551.058
Malpractice1.310.886

(8.32 × 1.002 + 6.55 × 1.058 + 1.31 × 0.886) × $33.4009 = $548.68

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

28322 · Office / nonfacility

$838.10

Effective 2026-10-01

The base rate is $57.43 higher than on 2025-10-01, moving from $780.67 to $838.10 (7.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $780.67changed to$838.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 8.53 changed to 8.32
    • Practice expense RVU 13.80 changed to 14.74
    • Malpractice RVU 1.28 changed to 1.31
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $780.67

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$838.10$548.68RVU26D
2026-07-01$838.10$548.68RVU26C
2026-04-01$838.10$548.68RVU26B
2026-01-01$838.10$548.68RVU26A
2025-10-01$780.67$578.01RVU25D
2025-07-01$780.67$578.01RVU25C
2025-04-01$780.67$578.01RVU25B
2025-01-01$780.67$578.01RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 28322PPRRVU2026_Oct_nonQPP.csv, line 3,192 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet