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CMS RVU26D · Effective 2026-10-01

28675 in Chico

Office / nonfacility

$616.74

Base rate per service

Facility setting

$404.41

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 28675: Open interphalangeal toe dislocation repair

Reports open surgical reduction of a dislocated toe interphalangeal joint when exposure is needed to restore alignment, with stabilization when performed.

This code describes operative exposure and reduction of a dislocated joint between toe phalanges. An orthopedic surgeon or podiatric surgeon may perform the procedure when the joint cannot be adequately reduced or kept aligned with closed treatment, such as when soft tissue blocks reduction or the joint remains unstable. It is generally performed in a surgical setting, and fixation may be used when needed to maintain the reduction.

Select the code based on the joint involved and the operative method: this code is for open treatment of an interphalangeal joint, not an open metatarsophalangeal joint procedure or a closed or percutaneous treatment. The operative report should identify the affected toe and joint, describe the open approach and reduction, and document any stabilization. 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 is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 28675

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 RVU5.48 · 31%
  • Practice expense (office) RVU11.42 · 65%
  • Malpractice RVU0.70 · 4%

175

Medicare services in 2024 · #4441 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.

28675 compared with similar codes

Office rates for Chico, from the same CMS release.

28645

Toe dislocation repair

Open metatarsophalangeal joint

$694.35

Both describe open treatment of a toe dislocation, but 28645 is for the metatarsophalangeal joint; this code is for an interphalangeal joint.

28660

Toe dislocation

Interphalangeal, without anesthesia

$155.66

28660 describes closed treatment of an interphalangeal toe dislocation without anesthesia. Use this code when the joint is treated through an open approach.

28665

Toe dislocation

Interphalangeal joint, anesthesia required

$161.24

28665 is closed treatment of an interphalangeal toe dislocation with anesthesia, rather than open operative treatment.

28666

Toe reduction

Anesthesia with manipulation

No office rate

28666 describes percutaneous skeletal fixation of an interphalangeal toe dislocation. This code applies to open treatment.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 28675 is $618.81—$2.07 higher than the $616.74 rate in Chico. Both use the same code, release and participation basis.

28675 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $616.74

  2. Bakersfield

    $618.81

    $2.07 higher than Chico

  3. El Centro

    $616.85

    $0.11 higher than Chico

  4. Fresno

    $616.74

    The same base rate than Chico

  5. Hanford-Corcoran

    $616.74

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $657.31

    $40.57 higher than Chico

  7. Madera

    $616.74

    The same base rate than Chico

Other payment areas listed in California 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, 28675 ranges from $522.73 in Arkansas to $765.74 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

  • Merced

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Modesto

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Napa

    California · 28675

    Office

    $709.18

    Facility

    $453.85

    $92.44 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28675

    Office

    $653.59

    Facility

    $424.60

    $36.85 higher than Chico for the office setting.

  • Redding

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28675

    Office

    $624.33

    Facility

    $412.01

    $7.59 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28675

    Office

    $645.77

    Facility

    $420.47

    $29.03 higher than Chico for the office setting.

  • Salinas

    California · 28675

    Office

    $643.33

    Facility

    $418.80

    $26.59 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28675

    Office

    $657.40

    Facility

    $425.71

    $40.66 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28675

    Office

    $748.99

    Facility

    $475.83

    $132.25 higher than Chico for the office setting.

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

    California · 28675

    Office

    $748.19

    Facility

    $475.04

    $131.45 higher than Chico for the office setting.

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

    California · 28675

    Office

    $765.74

    Facility

    $486.39

    $149.00 higher than Chico for the office setting.

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

    California · 28675

    Office

    $762.49

    Facility

    $483.14

    $145.75 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28675

    Office

    $633.14

    Facility

    $412.49

    $16.40 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 28675

    Office

    $662.86

    Facility

    $427.48

    $46.12 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 28675

    Office

    $645.45

    Facility

    $419.57

    $28.71 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 28675

    Office

    $669.47

    Facility

    $431.57

    $52.73 higher than Chico for the office setting.

  • Stockton

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 28675

    Office

    $708.04

    Facility

    $452.71

    $91.30 higher than Chico for the office setting.

  • Visalia

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 28675

    Office

    $616.74

    Facility

    $404.41

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28675

    Office

    $668.28

    Facility

    $440.07

    $51.54 higher than Chico for the office setting.

  • Miami

    Florida · 28675

    Office

    $639.24

    Facility

    $437.58

    $22.50 higher than Chico for the office setting.

  • Chicago

    Illinois · 28675

    Office

    $621.32

    Facility

    $426.63

    $4.58 higher than Chico for the office setting.

  • Manhattan

    New York · 28675

    Office

    $675.06

    Facility

    $449.96

    $58.32 higher than Chico for the office setting.

  • Alaska*

    Alaska · 28675

    Office

    $693.67

    Facility

    $487.35

    $76.93 higher than Chico for the office setting.

  • Alabama

    Alabama · 28675

    Office

    $530.03

    Facility

    $360.52

    $86.71 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 28675

    Office

    $522.73

    Facility

    $356.32

    $94.01 lower than Chico for the office setting.

  • Arizona

    Arizona · 28675

    Office

    $572.66

    Facility

    $384.94

    $44.08 lower than Chico for the office setting.

  • Colorado

    Colorado · 28675

    Office

    $609.34

    Facility

    $403.22

    $7.40 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 28675

    Office

    $625.80

    Facility

    $417.16

    $9.06 higher than Chico for the office setting.

  • Delaware

    Delaware · 28675

    Office

    $581.83

    Facility

    $390.43

    $34.91 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 28675

    Office

    $611.71

    Facility

    $415.46

    $5.03 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 28675

    Office

    $582.83

    Facility

    $397.63

    $33.91 lower than Chico for the office setting.

  • Atlanta

    Georgia · 28675

    Office

    $599.21

    Facility

    $402.38

    $17.53 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 28675

    Office

    $551.15

    Facility

    $378.35

    $65.59 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 28675

    Office

    $630.27

    Facility

    $410.00

    $13.53 higher than Chico for the office setting.

  • Iowa

    Iowa · 28675

    Office

    $541.34

    Facility

    $364.08

    $75.40 lower than Chico for the office setting.

  • Idaho

    Idaho · 28675

    Office

    $545.02

    Facility

    $366.79

    $71.72 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 28675

    Office

    $581.05

    Facility

    $402.82

    $35.69 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 28675

    Office

    $567.83

    Facility

    $390.96

    $48.91 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 28675

    Office

    $617.49

    Facility

    $418.53

    $0.75 higher than Chico for the office setting.

  • Indiana

    Indiana · 28675

    Office

    $547.99

    Facility

    $368.41

    $68.75 lower than Chico for the office setting.

  • Kansas

    Kansas · 28675

    Office

    $539.64

    Facility

    $364.51

    $77.10 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 28675

    Office

    $543.53

    Facility

    $371.31

    $73.21 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 28675

    Office

    $568.53

    Facility

    $386.24

    $48.21 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 28675

    Office

    $543.01

    Facility

    $371.56

    $73.73 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 28675

    Office

    $666.79

    Facility

    $435.48

    $50.05 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28675

    Office

    $606.25

    Facility

    $402.26

    $10.49 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28675

    Office

    $624.17

    Facility

    $416.30

    $7.43 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 28675

    Office

    $592.35

    Facility

    $396.30

    $24.39 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 28675

    Office

    $548.50

    Facility

    $370.28

    $68.24 lower than Chico for the office setting.

  • Southern Maine

    Maine · 28675

    Office

    $575.80

    Facility

    $383.81

    $40.94 lower than Chico for the office setting.

  • Detroit

    Michigan · 28675

    Office

    $590.54

    Facility

    $403.60

    $26.20 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 28675

    Office

    $557.69

    Facility

    $380.82

    $59.05 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 28675

    Office

    $582.46

    Facility

    $383.11

    $34.28 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 28675

    Office

    $564.05

    Facility

    $382.14

    $52.69 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 28675

    Office

    $569.59

    Facility

    $385.17

    $47.15 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 28675

    Office

    $534.61

    Facility

    $367.62

    $82.13 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 28675

    Office

    $528.73

    Facility

    $361.94

    $88.01 lower than Chico for the office setting.

  • Montana**

    Montana · 28675

    Office

    $587.81

    Facility

    $394.08

    $28.93 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 28675

    Office

    $553.86

    Facility

    $373.11

    $62.88 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 28675

    Office

    $573.97

    Facility

    $380.24

    $42.77 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 28675

    Office

    $543.94

    Facility

    $365.13

    $72.80 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 28675

    Office

    $600.57

    Facility

    $398.90

    $16.17 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 28675

    Office

    $662.01

    Facility

    $437.29

    $45.27 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 28675

    Office

    $632.54

    Facility

    $420.99

    $15.80 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 28675

    Office

    $560.90

    Facility

    $383.25

    $55.84 lower than Chico for the office setting.

  • Nevada**

    Nevada · 28675

    Office

    $584.33

    Facility

    $390.41

    $32.41 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28675

    Office

    $691.70

    Facility

    $461.36

    $74.96 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28675

    Office

    $637.24

    Facility

    $425.11

    $20.50 higher than Chico for the office setting.

  • Queens

    New York · 28675

    Office

    $679.33

    Facility

    $450.34

    $62.59 higher than Chico for the office setting.

  • Rest Of New York

    New York · 28675

    Office

    $561.84

    Facility

    $377.80

    $54.90 lower than Chico for the office setting.

  • Ohio

    Ohio · 28675

    Office

    $554.86

    Facility

    $377.99

    $61.88 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 28675

    Office

    $541.83

    Facility

    $368.83

    $74.91 lower than Chico for the office setting.

  • Portland

    Oregon · 28675

    Office

    $627.14

    Facility

    $411.91

    $10.40 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 28675

    Office

    $579.39

    Facility

    $386.44

    $37.35 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28675

    Office

    $611.30

    Facility

    $409.63

    $5.44 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28675

    Office

    $555.29

    Facility

    $377.45

    $61.45 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 28675

    Office

    $591.70

    Facility

    $395.84

    $25.04 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 28675

    Office

    $601.40

    Facility

    $401.28

    $15.34 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 28675

    Office

    $555.36

    Facility

    $376.36

    $61.38 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 28675

    Office

    $572.33

    Facility

    $378.61

    $44.41 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 28675

    Office

    $542.32

    Facility

    $366.22

    $74.42 lower than Chico for the office setting.

  • Austin

    Texas · 28675

    Office

    $607.68

    Facility

    $402.72

    $9.06 lower than Chico for the office setting.

  • Beaumont

    Texas · 28675

    Office

    $551.87

    Facility

    $375.58

    $64.87 lower than Chico for the office setting.

  • Brazoria

    Texas · 28675

    Office

    $580.74

    Facility

    $388.76

    $36.00 lower than Chico for the office setting.

  • Dallas

    Texas · 28675

    Office

    $584.66

    Facility

    $391.71

    $32.08 lower than Chico for the office setting.

  • Fort Worth

    Texas · 28675

    Office

    $581.15

    Facility

    $390.13

    $35.59 lower than Chico for the office setting.

  • Galveston

    Texas · 28675

    Office

    $582.63

    Facility

    $390.26

    $34.11 lower than Chico for the office setting.

  • Houston

    Texas · 28675

    Office

    $595.44

    Facility

    $403.07

    $21.30 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 28675

    Office

    $566.13

    Facility

    $382.29

    $50.61 lower than Chico for the office setting.

  • Utah

    Utah · 28675

    Office

    $562.58

    Facility

    $380.48

    $54.16 lower than Chico for the office setting.

  • Virginia

    Virginia · 28675

    Office

    $574.50

    Facility

    $384.07

    $42.24 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28675

    Office

    $591.70

    Facility

    $395.84

    $25.04 lower than Chico for the office setting.

  • Vermont

    Vermont · 28675

    Office

    $572.49

    Facility

    $380.70

    $44.25 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 28675

    Office

    $604.86

    Facility

    $400.87

    $11.88 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 28675

    Office

    $679.32

    Facility

    $441.61

    $62.58 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 28675

    Office

    $555.66

    Facility

    $370.07

    $61.08 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 28675

    Office

    $547.96

    Facility

    $379.62

    $68.78 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 28675

    Office

    $581.78

    Facility

    $388.05

    $34.96 lower than Chico for the office setting.

See how rates vary across the country

28675 · 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.

$522.73

$693.67

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$693.671
AL$530.031
AR$522.731
AZ$572.661
CA$616.74–$765.7429
CO$609.341
CT$625.801
DC$668.281
DE$581.831
FL$582.83–$639.243
GA$551.15–$599.212
GU$630.271
HI$630.271
IA$541.341
ID$545.021
IL$567.83–$621.324
IN$547.991
KS$539.641
KY$543.531
LA$543.01–$568.532
MA$606.25–$666.792
MD$592.35–$668.283
ME$548.50–$575.802
MI$557.69–$590.542
MN$582.461
MO$534.61–$569.593
MS$528.731
MT$587.811
NC$553.861
ND$573.971
NE$543.941
NH$600.571
NJ$632.54–$662.012
NM$560.901
NV$584.331
NY$561.84–$691.705
OH$554.861
OK$541.831
OR$579.39–$627.142
PA$555.29–$611.302
PR$591.701
RI$601.401
SC$555.361
SD$572.331
TN$542.321
TX$551.87–$607.688
UT$562.581
VA$574.50–$668.282
VI$591.701
VT$572.491
WA$604.86–$679.322
WI$555.661
WV$547.961
WY$581.781

Explore 28675 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 28675 in Chico, the physician’s office rate is $616.74 and the facility-setting rate is $404.41: a difference of $212.33.

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 28675 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$678.41

$616.74 × 110% = $678.41

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 28675 in Chico.

PPRRVU2026_Oct_nonQPP.csv

3,244

Code
28675
Physician work
5.48
Practice expense
11.42
Malpractice
0.70

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28675 in Chico
ComponentRVULocality factorAdjusted
Physician work5.48× 1.0175.5732
Practice expense11.42× 1.09612.5163
Malpractice0.70× 0.5360.3752
Total RVUs18.4647
Conversion factor× 33.4009

Office / nonfacility rate, Chico$616.74

Open 28675 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.481.017
Practice expense11.421.096
Malpractice0.70.536

(5.48 × 1.017 + 11.42 × 1.096 + 0.7 × 0.536) × $33.4009 = $616.74

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.481.017
Practice expense5.621.096
Malpractice0.70.536

(5.48 × 1.017 + 5.62 × 1.096 + 0.7 × 0.536) × $33.4009 = $404.41

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

28675 · Office / nonfacility

$616.74

Effective 2026-10-01

The base rate is $33.46 higher than on 2025-10-01, moving from $583.28 to $616.74 (5.7%).

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

    $583.28changed to$616.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.62 changed to 5.48
    • Practice expense RVU 10.91 changed to 11.42
    • Malpractice RVU 0.73 changed to 0.70
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $583.28

    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$616.74$404.41RVU26D
2026-07-01$616.74$404.41RVU26C
2026-04-01$616.74$404.41RVU26B
2026-01-01$616.74$404.41RVU26A
2025-10-01$583.28$420.64RVU25D
2025-07-01$583.28$420.64RVU25C
2025-04-01$583.28$420.64RVU25B
2025-01-01$583.28$420.64RVU25A

28675 billing questions

When should this code be selected instead of 28645?

Use this code for open treatment of a dislocation between toe phalanges. Code 28645 is for open treatment of a metatarsophalangeal joint dislocation.

How does this differ from 28660, 28665, or 28666?

Those codes describe closed or percutaneous treatment of an interphalangeal toe joint dislocation. This code is for open treatment.

Does the 90-day global include postoperative visits?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for dislocations on both feet?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Can an assistant surgeon or co-surgeon be reported?

Medicare payment for an assistant at surgery is restricted for this code. Co-surgeons and team surgery are not permitted.

What documentation supports reporting this code?

Document the affected toe and interphalangeal joint, the open operative approach, the reduction performed, and any stabilization used.

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 28675PPRRVU2026_Oct_nonQPP.csv, line 3,244 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet