$271.97
Use 28455 when the tarsal fracture is treated closed with manipulation. Use 28465 when treatment involves open surgical exposure and reduction.
On this page
CMS RVU26D · Effective 2026-10-01
28465 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$630.99
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.
Orthopedic surgery
About 28465: Open treatment of other tarsal fracture
Report open surgical treatment for each fractured tarsal bone other than the talus or calcaneus when the fracture is exposed and reduced.
An orthopedic foot-and-ankle surgeon uses this code when surgically exposing and reducing a fracture of a tarsal bone other than the talus or calcaneus. Examples of included bones are the navicular, cuboid, and cuneiforms. Internal fixation may be used as part of the repair. These procedures are commonly performed in an operating room for fractures requiring open correction rather than closed treatment or percutaneous fixation.
Report the service for each treated bone and document the bone involved, fracture, open surgical approach, and reduction performed. Choose a closed-treatment or percutaneous-fixation code when that is the method used. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 28465
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.58 · 46%
- Practice expense (office) RVU8.61 · 46%
- Malpractice RVU1.36 · 7%
330
Medicare services in 2024 · #3919 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.
28465 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Code 28456 is for percutaneous skeletal fixation with manipulation; 28465 represents open treatment of the fracture.
No office rate
Code 28445 is for open treatment of a talus fracture. Code 28465 applies to other tarsal bones, not the talus or calcaneus.
The same code, a different location
How does Chico compare?
28465 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Merced
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Modesto
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Napa
California · 28465
Office
Unavailable
Facility
$706.74
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 28465
Office
Unavailable
Facility
$662.83
No comparable office rate is available.
Redding
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Rest Of California
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 28465
Office
Unavailable
Facility
$645.68
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 28465
Office
Unavailable
Facility
$655.70
No comparable office rate is available.
Salinas
California · 28465
Office
Unavailable
Facility
$653.12
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 28465
Office
Unavailable
Facility
$663.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 28465
Office
Unavailable
Facility
$740.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 28465
Office
Unavailable
Facility
$738.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 28465
Office
Unavailable
Facility
$757.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 28465
Office
Unavailable
Facility
$750.83
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 28465
Office
Unavailable
Facility
$643.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 28465
Office
Unavailable
Facility
$666.36
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 28465
Office
Unavailable
Facility
$654.27
No comparable office rate is available.
Santa Rosa-Petaluma
California · 28465
Office
Unavailable
Facility
$672.68
No comparable office rate is available.
Stockton
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Vallejo
California · 28465
Office
Unavailable
Facility
$704.52
No comparable office rate is available.
Visalia
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Yuba City
California · 28465
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 28465
Office
Unavailable
Facility
$691.38
No comparable office rate is available.
Miami
Florida · 28465
Office
Unavailable
Facility
$700.83
No comparable office rate is available.
Chicago
Illinois · 28465
Office
Unavailable
Facility
$681.86
No comparable office rate is available.
Manhattan
New York · 28465
Office
Unavailable
Facility
$711.14
No comparable office rate is available.
Alaska*
Alaska · 28465
Office
Unavailable
Facility
$761.17
No comparable office rate is available.
Alabama
Alabama · 28465
Office
Unavailable
Facility
$563.92
No comparable office rate is available.
Arkansas
Arkansas · 28465
Office
Unavailable
Facility
$557.01
No comparable office rate is available.
Arizona
Arizona · 28465
Office
Unavailable
Facility
$604.13
No comparable office rate is available.
Colorado
Colorado · 28465
Office
Unavailable
Facility
$631.48
No comparable office rate is available.
Connecticut
Connecticut · 28465
Office
Unavailable
Facility
$657.00
No comparable office rate is available.
Delaware
Delaware · 28465
Office
Unavailable
Facility
$612.98
No comparable office rate is available.
Fort Lauderdale
Florida · 28465
Office
Unavailable
Facility
$660.03
No comparable office rate is available.
Rest Of Florida
Florida · 28465
Office
Unavailable
Facility
$629.78
No comparable office rate is available.
Atlanta
Georgia · 28465
Office
Unavailable
Facility
$634.18
No comparable office rate is available.
Rest Of Georgia
Georgia · 28465
Office
Unavailable
Facility
$597.25
No comparable office rate is available.
Hawaii, Guam
Hawaii · 28465
Office
Unavailable
Facility
$639.86
No comparable office rate is available.
Iowa
Iowa · 28465
Office
Unavailable
Facility
$567.75
No comparable office rate is available.
Idaho
Idaho · 28465
Office
Unavailable
Facility
$572.64
No comparable office rate is available.
East St. Louis
Illinois · 28465
Office
Unavailable
Facility
$642.64
No comparable office rate is available.
Rest Of Illinois
Illinois · 28465
Office
Unavailable
Facility
$620.14
No comparable office rate is available.
Suburban Chicago
Illinois · 28465
Office
Unavailable
Facility
$664.43
No comparable office rate is available.
Indiana
Indiana · 28465
Office
Unavailable
Facility
$575.24
No comparable office rate is available.
Kansas
Kansas · 28465
Office
Unavailable
Facility
$569.45
No comparable office rate is available.
Kentucky
Kentucky · 28465
Office
Unavailable
Facility
$583.80
No comparable office rate is available.
New Orleans
Louisiana · 28465
Office
Unavailable
Facility
$608.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 28465
Office
Unavailable
Facility
$584.61
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 28465
Office
Unavailable
Facility
$682.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 28465
Office
Unavailable
Facility
$630.19
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 28465
Office
Unavailable
Facility
$655.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 28465
Office
Unavailable
Facility
$622.18
No comparable office rate is available.
Rest Of Maine
Maine · 28465
Office
Unavailable
Facility
$579.41
No comparable office rate is available.
Southern Maine
Maine · 28465
Office
Unavailable
Facility
$600.24
No comparable office rate is available.
Detroit
Michigan · 28465
Office
Unavailable
Facility
$640.68
No comparable office rate is available.
Rest Of Michigan
Michigan · 28465
Office
Unavailable
Facility
$600.43
No comparable office rate is available.
Minnesota
Minnesota · 28465
Office
Unavailable
Facility
$595.95
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 28465
Office
Unavailable
Facility
$601.00
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 28465
Office
Unavailable
Facility
$605.87
No comparable office rate is available.
Rest Of Missouri
Missouri · 28465
Office
Unavailable
Facility
$578.72
No comparable office rate is available.
Mississippi
Mississippi · 28465
Office
Unavailable
Facility
$567.76
No comparable office rate is available.
Montana**
Montana · 28465
Office
Unavailable
Facility
$619.50
No comparable office rate is available.
North Carolina
North Carolina · 28465
Office
Unavailable
Facility
$583.92
No comparable office rate is available.
North Dakota**
North Dakota · 28465
Office
Unavailable
Facility
$592.60
No comparable office rate is available.
Nebraska
Nebraska · 28465
Office
Unavailable
Facility
$569.19
No comparable office rate is available.
New Hampshire
New Hampshire · 28465
Office
Unavailable
Facility
$625.70
No comparable office rate is available.
Northern Nj
New Jersey · 28465
Office
Unavailable
Facility
$686.74
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 28465
Office
Unavailable
Facility
$661.91
No comparable office rate is available.
New Mexico
New Mexico · 28465
Office
Unavailable
Facility
$604.85
No comparable office rate is available.
Nevada**
Nevada · 28465
Office
Unavailable
Facility
$612.29
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 28465
Office
Unavailable
Facility
$731.21
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 28465
Office
Unavailable
Facility
$669.34
No comparable office rate is available.
Queens
New York · 28465
Office
Unavailable
Facility
$710.35
No comparable office rate is available.
Rest Of New York
New York · 28465
Office
Unavailable
Facility
$591.72
No comparable office rate is available.
Ohio
Ohio · 28465
Office
Unavailable
Facility
$594.93
No comparable office rate is available.
Oklahoma
Oklahoma · 28465
Office
Unavailable
Facility
$578.69
No comparable office rate is available.
Portland
Oregon · 28465
Office
Unavailable
Facility
$644.46
No comparable office rate is available.
Rest Of Oregon
Oregon · 28465
Office
Unavailable
Facility
$604.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 28465
Office
Unavailable
Facility
$645.30
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 28465
Office
Unavailable
Facility
$593.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 28465
Office
Unavailable
Facility
$622.07
No comparable office rate is available.
Rhode Island
Rhode Island · 28465
Office
Unavailable
Facility
$629.62
No comparable office rate is available.
South Carolina
South Carolina · 28465
Office
Unavailable
Facility
$590.92
No comparable office rate is available.
South Dakota**
South Dakota · 28465
Office
Unavailable
Facility
$589.42
No comparable office rate is available.
Tennessee
Tennessee · 28465
Office
Unavailable
Facility
$572.38
No comparable office rate is available.
Austin
Texas · 28465
Office
Unavailable
Facility
$631.66
No comparable office rate is available.
Beaumont
Texas · 28465
Office
Unavailable
Facility
$590.48
No comparable office rate is available.
Brazoria
Texas · 28465
Office
Unavailable
Facility
$609.30
No comparable office rate is available.
Dallas
Texas · 28465
Office
Unavailable
Facility
$614.57
No comparable office rate is available.
Fort Worth
Texas · 28465
Office
Unavailable
Facility
$612.28
No comparable office rate is available.
Galveston
Texas · 28465
Office
Unavailable
Facility
$612.05
No comparable office rate is available.
Houston
Texas · 28465
Office
Unavailable
Facility
$636.95
No comparable office rate is available.
Rest Of Texas
Texas · 28465
Office
Unavailable
Facility
$600.51
No comparable office rate is available.
Utah
Utah · 28465
Office
Unavailable
Facility
$597.70
No comparable office rate is available.
Virginia
Virginia · 28465
Office
Unavailable
Facility
$601.34
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 28465
Office
Unavailable
Facility
$622.07
No comparable office rate is available.
Vermont
Vermont · 28465
Office
Unavailable
Facility
$594.27
No comparable office rate is available.
Rest Of Washington
Washington · 28465
Office
Unavailable
Facility
$627.70
No comparable office rate is available.
Seattle (King Cnty)
Washington · 28465
Office
Unavailable
Facility
$690.88
No comparable office rate is available.
Wisconsin
Wisconsin · 28465
Office
Unavailable
Facility
$576.07
No comparable office rate is available.
West Virginia
West Virginia · 28465
Office
Unavailable
Facility
$601.49
No comparable office rate is available.
Wyoming**
Wyoming · 28465
Office
Unavailable
Facility
$607.78
No comparable office rate is available.
See how rates vary across the country
28465 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 28465 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$694.09
$630.99 × 110% = $694.09
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.
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 28465 in Chico.
PPRRVU2026_Oct_nonQPP.csv
3,211
- Code
- 28465
- Physician work
- 8.58
- Practice expense
- 8.61
- Malpractice
- 1.36
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.58 | × 1.017 | 8.7259 |
| Practice expense | 8.61 | × 1.096 | 9.4366 |
| Malpractice | 1.36 | × 0.536 | 0.7290 |
| Total RVUs | 18.8914 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$630.99
Open 28465 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.58 | 1.017 |
| Practice expense | 8.61 | 1.096 |
| Malpractice | 1.36 | 0.536 |
(8.58 × 1.017 + 8.61 × 1.096 + 1.36 × 0.536) × $33.4009 = $630.99
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
28465 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $630.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $630.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $630.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $630.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $650.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $650.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $650.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $650.88 | RVU25A |
28465 billing questions
Which tarsal bones are included?
This code covers open treatment of tarsal bones other than the talus and calcaneus, such as the navicular, cuboid, or cuneiforms. Talus and calcaneus fractures have their own codes.
How does this differ from 28455?
Use 28465 for open treatment. Code 28455 describes closed treatment with manipulation, without open surgical treatment.
Is internal fixation included?
Yes. Internal fixation may be part of the open fracture treatment represented by this code; do not separately report a percutaneous fixation service for the same fracture.
How should units be reported for multiple bones?
The code is reported for each treated tarsal bone. Document the specific bone treated; do not use the code for a talus or calcaneus fracture.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor is reported per bone.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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.
3,20828450,,Tx tarsal b1 fx w/o mnpj ea,A,,1.98,4.67,,3.56,,0.28,6.93,5.82,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,20928455,,Tx tarsal b1 fx w/mnpj each,A,,3.16,4.37,,3.20,,0.26,7.79,6.62,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21028456,,Prq skel fix tarsl fx w/mnpj,A,,2.79,8.10,NA,8.10,,0.59,11.48,11.48,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21128465,,Optx tarsal bone fx each,A,,8.58,8.61,NA,8.61,,1.36,18.55,18.55,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21228470,,Cltx metatarsal fx wo mnp ea,A,,1.98,4.83,,3.98,,0.29,7.10,6.25,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21328475,,Cltx metatarsal fx w/mnpj ea,A,,2.93,4.94,,3.40,,0.39,8.26,6.72,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21428476,,Prq skel fix metar fx w/mnpj,A,,3.51,7.55,NA,7.55,,0.55,11.61,11.61,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536