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CMS RVU26D · Effective 2026-10-01

28400 in Delaware

Office / nonfacility

$268.14

Base rate per service

Facility setting

$231.51

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.

Fracture care

About 28400: Closed calcaneal fracture treatment without manipulation

Reports closed treatment of a calcaneal fracture managed without manipulation, such as immobilization when the fracture does not require reduction.

This service covers nonoperative treatment of a heel bone fracture when the treating clinician manages the fracture without manipulating it to change its alignment. An orthopedic surgeon or podiatrist may provide care in an office, emergency department, or outpatient setting. Treatment commonly includes immobilization in a cast or boot and planned clinical and imaging follow-up. The key distinction is the treatment performed, not simply whether the fracture is displaced on imaging.

Report the code when the documented plan and service support closed fracture care without manipulation. The record should identify the calcaneal fracture and show that manipulation or fixation was not performed. 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 paid at 50%. For bilateral treatment with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 28400

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 procedure with modifier 50 is paid at 150%.
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 RVU2.25 · 28%
  • Practice expense (office) RVU5.50 · 68%
  • Malpractice RVU0.37 · 5%

1.7K

Medicare services in 2024 · #2572 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.

28400 compared with similar codes

Office rates for Delaware, from the same CMS release.

28405

Heel fracture treatment

With manipulation

$495.64

Both codes concern closed treatment of a calcaneal fracture. Choose 28400 when no manipulation is performed; choose 28405 when treatment includes manipulation.

28406

Calcaneal fracture repair

Percutaneous fixation with manipulation

No office rate

This code represents treatment without manipulation or fixation. Code 28406 involves percutaneous skeletal fixation with manipulation.

28415

Heel fracture repair

Open treatment

No office rate

Code 28400 describes nonoperative closed care without manipulation. Code 28415 is for open treatment of the calcaneal fracture.

28430

Talus fracture care

Without manipulation

$262.81

Code 28400 is for a calcaneal fracture; 28430 concerns closed treatment without manipulation of a talus fracture.

The same code, a different location

How does Delaware compare?

28400 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $268.14

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

    $303.76

    $35.62 higher than Delaware

  3. Dc + Md/Va Suburbs

    $309.37

    $41.23 higher than Delaware

  4. Miami

    $297.64

    $29.50 higher than Delaware

  5. Chicago

    $288.66

    $20.52 higher than Delaware

  6. Manhattan

    $313.03

    $44.89 higher than Delaware

  7. Alaska*

    $315.18

    $47.04 higher than Delaware

Other payment areas listed in Delaware 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, 28400 ranges from $239.32 in Arkansas to $354.95 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

  • Alabama

    Alabama · 28400

    Office

    $242.89

    Facility

    $210.45

    $25.25 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28400

    Office

    $239.32

    Facility

    $207.47

    $28.82 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28400

    Office

    $263.74

    Facility

    $227.82

    $4.40 lower than Delaware for the office setting.

  • Bakersfield

    California · 28400

    Office

    $285.45

    Facility

    $244.81

    $17.31 higher than Delaware for the office setting.

  • Chico

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • El Centro

    California · 28400

    Office

    $284.46

    Facility

    $243.82

    $16.32 higher than Delaware for the office setting.

  • Fresno

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Madera

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Merced

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Modesto

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Napa

    California · 28400

    Office

    $328.29

    Facility

    $279.42

    $60.15 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28400

    Office

    $302.09

    Facility

    $258.27

    $33.95 higher than Delaware for the office setting.

  • Redding

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Rest Of California

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28400

    Office

    $288.39

    Facility

    $247.75

    $20.25 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28400

    Office

    $298.13

    Facility

    $255.01

    $29.99 higher than Delaware for the office setting.

  • Salinas

    California · 28400

    Office

    $297.02

    Facility

    $254.05

    $28.88 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28400

    Office

    $303.82

    Facility

    $259.47

    $35.68 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28400

    Office

    $346.99

    Facility

    $294.71

    $78.85 higher than Delaware for the office setting.

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

    California · 28400

    Office

    $346.57

    Facility

    $294.29

    $78.43 higher than Delaware for the office setting.

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

    California · 28400

    Office

    $354.95

    Facility

    $301.48

    $86.81 higher than Delaware for the office setting.

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

    California · 28400

    Office

    $353.23

    Facility

    $299.77

    $85.09 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28400

    Office

    $292.29

    Facility

    $250.07

    $24.15 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28400

    Office

    $306.56

    Facility

    $261.51

    $38.42 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28400

    Office

    $298.08

    Facility

    $254.85

    $29.94 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28400

    Office

    $309.62

    Facility

    $264.09

    $41.48 higher than Delaware for the office setting.

  • Stockton

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Vallejo

    California · 28400

    Office

    $327.68

    Facility

    $278.82

    $59.54 higher than Delaware for the office setting.

  • Visalia

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Yuba City

    California · 28400

    Office

    $284.39

    Facility

    $243.76

    $16.25 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28400

    Office

    $281.17

    Facility

    $241.72

    $13.03 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28400

    Office

    $289.46

    Facility

    $249.53

    $21.32 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28400

    Office

    $283.59

    Facility

    $246.03

    $15.45 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28400

    Office

    $269.35

    Facility

    $233.90

    $1.21 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28400

    Office

    $276.86

    Facility

    $239.20

    $8.72 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28400

    Office

    $253.75

    Facility

    $220.68

    $14.39 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28400

    Office

    $291.18

    Facility

    $249.03

    $23.04 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28400

    Office

    $248.15

    Facility

    $214.22

    $19.99 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28400

    Office

    $250.01

    Facility

    $215.90

    $18.13 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28400

    Office

    $269.05

    Facility

    $234.94

    $0.91 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28400

    Office

    $262.19

    Facility

    $228.34

    $5.95 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28400

    Office

    $286.24

    Facility

    $248.17

    $18.10 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28400

    Office

    $251.45

    Facility

    $217.08

    $16.69 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28400

    Office

    $247.45

    Facility

    $213.93

    $20.69 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28400

    Office

    $249.77

    Facility

    $216.81

    $18.37 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28400

    Office

    $262.06

    Facility

    $227.17

    $6.08 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28400

    Office

    $249.57

    Facility

    $216.76

    $18.57 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28400

    Office

    $308.58

    Facility

    $264.31

    $40.44 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28400

    Office

    $279.65

    Facility

    $240.61

    $11.51 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28400

    Office

    $288.76

    Facility

    $248.98

    $20.62 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28400

    Office

    $273.16

    Facility

    $235.64

    $5.02 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28400

    Office

    $251.85

    Facility

    $217.74

    $16.29 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28400

    Office

    $265.00

    Facility

    $228.26

    $3.14 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28400

    Office

    $273.26

    Facility

    $237.49

    $5.12 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28400

    Office

    $256.83

    Facility

    $222.98

    $11.31 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28400

    Office

    $267.84

    Facility

    $229.69

    $0.30 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28400

    Office

    $259.73

    Facility

    $224.91

    $8.41 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28400

    Office

    $262.42

    Facility

    $227.13

    $5.72 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28400

    Office

    $245.54

    Facility

    $213.58

    $22.60 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28400

    Office

    $242.45

    Facility

    $210.53

    $25.69 lower than Delaware for the office setting.

  • Montana**

    Montana · 28400

    Office

    $271.19

    Facility

    $234.12

    $3.05 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28400

    Office

    $254.45

    Facility

    $219.85

    $13.69 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28400

    Office

    $263.87

    Facility

    $226.80

    $4.27 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28400

    Office

    $249.38

    Facility

    $215.16

    $18.76 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28400

    Office

    $277.20

    Facility

    $238.61

    $9.06 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28400

    Office

    $306.18

    Facility

    $263.18

    $38.04 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28400

    Office

    $292.32

    Facility

    $251.84

    $24.18 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28400

    Office

    $258.45

    Facility

    $224.45

    $9.69 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28400

    Office

    $269.34

    Facility

    $232.22

    $1.20 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28400

    Office

    $321.34

    Facility

    $277.25

    $53.20 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28400

    Office

    $294.64

    Facility

    $254.05

    $26.50 higher than Delaware for the office setting.

  • Queens

    New York · 28400

    Office

    $314.92

    Facility

    $271.10

    $46.78 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28400

    Office

    $258.36

    Facility

    $223.14

    $9.78 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28400

    Office

    $255.33

    Facility

    $221.48

    $12.81 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28400

    Office

    $248.80

    Facility

    $215.69

    $19.34 lower than Delaware for the office setting.

  • Portland

    Oregon · 28400

    Office

    $289.65

    Facility

    $248.45

    $21.51 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28400

    Office

    $266.81

    Facility

    $229.88

    $1.33 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28400

    Office

    $282.49

    Facility

    $243.89

    $14.35 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28400

    Office

    $255.47

    Facility

    $221.44

    $12.67 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28400

    Office

    $273.05

    Facility

    $235.57

    $4.91 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28400

    Office

    $277.37

    Facility

    $239.07

    $9.23 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28400

    Office

    $255.40

    Facility

    $221.14

    $12.74 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28400

    Office

    $263.01

    Facility

    $225.93

    $5.13 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28400

    Office

    $248.78

    Facility

    $215.08

    $19.36 lower than Delaware for the office setting.

  • Austin

    Texas · 28400

    Office

    $280.61

    Facility

    $241.39

    $12.47 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28400

    Office

    $253.80

    Facility

    $220.07

    $14.34 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28400

    Office

    $267.44

    Facility

    $230.70

    $0.70 lower than Delaware for the office setting.

  • Dallas

    Texas · 28400

    Office

    $269.40

    Facility

    $232.48

    $1.26 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28400

    Office

    $267.73

    Facility

    $231.17

    $0.41 lower than Delaware for the office setting.

  • Galveston

    Texas · 28400

    Office

    $268.40

    Facility

    $231.59

    $0.26 higher than Delaware for the office setting.

  • Houston

    Texas · 28400

    Office

    $275.18

    Facility

    $238.36

    $7.04 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28400

    Office

    $260.65

    Facility

    $225.46

    $7.49 lower than Delaware for the office setting.

  • Utah

    Utah · 28400

    Office

    $258.93

    Facility

    $224.08

    $9.21 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28400

    Office

    $264.46

    Facility

    $228.01

    $3.68 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28400

    Office

    $273.05

    Facility

    $235.57

    $4.91 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28400

    Office

    $263.27

    Facility

    $226.57

    $4.87 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28400

    Office

    $278.98

    Facility

    $239.94

    $10.84 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28400

    Office

    $314.41

    Facility

    $268.92

    $46.27 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28400

    Office

    $254.95

    Facility

    $219.43

    $13.19 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28400

    Office

    $252.48

    Facility

    $220.26

    $15.66 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28400

    Office

    $268.00

    Facility

    $230.93

    $0.14 lower than Delaware for the office setting.

See how rates vary across the country

28400 · 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.

$239.32

$319.67

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$315.181
AL$242.891
AR$239.321
AZ$263.741
CA$284.39–$354.9529
CO$281.171
CT$289.461
DC$309.371
DE$268.141
FL$269.35–$297.643
GA$253.75–$276.862
GU$291.181
HI$291.181
IA$248.151
ID$250.011
IL$262.19–$288.664
IN$251.451
KS$247.451
KY$249.771
LA$249.57–$262.062
MA$279.65–$308.582
MD$273.16–$309.373
ME$251.85–$265.002
MI$256.83–$273.262
MN$267.841
MO$245.54–$262.423
MS$242.451
MT$271.191
NC$254.451
ND$263.871
NE$249.381
NH$277.201
NJ$292.32–$306.182
NM$258.451
NV$269.341
NY$258.36–$321.345
OH$255.331
OK$248.801
OR$266.81–$289.652
PA$255.47–$282.492
PR$273.051
RI$277.371
SC$255.401
SD$263.011
TN$248.781
TX$253.80–$280.618
UT$258.931
VA$264.46–$309.372
VI$273.051
VT$263.271
WA$278.98–$314.412
WI$254.951
WV$252.481
WY$268.001

Explore 28400 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 28400 in Delaware, the physician’s office rate is $268.14 and the facility-setting rate is $231.51: a difference of $36.63.

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 28400 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$294.95

$268.14 × 110% = $294.95

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 28400 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,198

Code
28400
Physician work
2.25
Practice expense
5.50
Malpractice
0.37

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28400 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.25× 1.0052.2612
Practice expense5.50× 0.9885.4340
Malpractice0.37× 0.8990.3326
Total RVUs8.0279
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$268.14

Open 28400 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.251.005
Practice expense5.50.988
Malpractice0.370.899

(2.25 × 1.005 + 5.5 × 0.988 + 0.37 × 0.899) × $33.4009 = $268.14

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.251.005
Practice expense4.390.988
Malpractice0.370.899

(2.25 × 1.005 + 4.39 × 0.988 + 0.37 × 0.899) × $33.4009 = $231.51

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

28400 · Office / nonfacility

$268.14

Effective 2026-10-01

The base rate is $18.37 higher than on 2025-10-01, moving from $249.77 to $268.14 (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

    $249.77changed to$268.14

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.31 changed to 2.25
    • Practice expense RVU 5.09 changed to 5.50
    • Malpractice RVU 0.36 changed to 0.37
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $249.77

    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$268.14$231.51RVU26D
2026-07-01$268.14$231.51RVU26C
2026-04-01$268.14$231.51RVU26B
2026-01-01$268.14$231.51RVU26A
2025-10-01$249.77$232.12RVU25D
2025-07-01$249.77$232.12RVU25C
2025-04-01$249.77$232.12RVU25B
2025-01-01$249.77$232.12RVU25A

28400 billing questions

How is this different from 28405?

Use 28400 when the calcaneal fracture is treated without manipulation. Code 28405 describes closed treatment that includes manipulation.

When would 28406 be more appropriate?

Code 28406 is for percutaneous skeletal fixation of a calcaneal fracture with manipulation. It is not the code for immobilization alone without manipulation or fixation.

Can casting or boot application be billed separately?

Routine immobilization is part of the fracture treatment service. Do not separately report routine cast or boot application for the same fracture care.

What documentation supports reporting 28400?

Document the calcaneal fracture, the treatment plan, and that the fracture was managed without manipulation. The record should support that fracture care was provided, rather than imaging or an evaluation alone.

How is bilateral treatment reported?

For bilateral calcaneal fracture treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

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.

RVUs for 28400PPRRVU2026_Oct_nonQPP.csv, line 3,198 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet