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CMS RVU26D · Effective 2026-10-01

28510 in Delaware

Office / nonfacility

$129.56

Base rate per service

Facility setting

$123.62

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 28510: Closed treatment of lesser toe fracture

Reports closed treatment without manipulation of a phalangeal fracture in a toe other than the great toe, with follow-up care included in the global period.

This code covers closed treatment of a fracture in one or more phalanges of a toe other than the great toe, when the physician or other qualified practitioner does not manipulate the fracture. A typical case is a lesser-toe fracture managed with measures such as buddy taping or protective footwear. Orthopedic clinicians, podiatrists, and other practitioners who manage foot injuries may provide this care in an office or facility setting.

Report it when the record supports the fracture’s location and closed treatment without manipulation. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral adjustment does not apply. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 28510

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 RVU1.14 · 29%
  • Practice expense (office) RVU2.63 · 67%
  • Malpractice RVU0.15 · 4%

9.3K

Medicare services in 2024 · #1510 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.

28510 compared with similar codes

Office rates for Delaware, from the same CMS release.

28515

Toe fracture care

With manipulation

$172.59

Both concern closed treatment of a lesser-toe phalangeal fracture. Choose 28510 when no manipulation is performed and 28515 when the fracture is manipulated.

28490

Toe fracture care

Without manipulation

$156.89

This code is for closed treatment without manipulation of a great-toe phalangeal fracture; 28510 is for a toe other than the great toe.

28525

Toe fracture repair

Lesser toe, open treatment

$567.67

28525 describes open treatment of a lesser-toe phalangeal fracture. 28510 describes closed treatment without manipulation.

The same code, a different location

How does Delaware compare?

28510 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $129.56

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

    $146.88

    $17.32 higher than Delaware

  3. Dc + Md/Va Suburbs

    $149.19

    $19.63 higher than Delaware

  4. Miami

    $142.19

    $12.63 higher than Delaware

  5. Chicago

    $138.13

    $8.57 higher than Delaware

  6. Manhattan

    $150.54

    $20.98 higher than Delaware

  7. Alaska*

    $153.43

    $23.87 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, 28510 ranges from $116.12 in Arkansas to $171.62 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 · 28510

    Office

    $117.78

    Facility

    $112.52

    $11.78 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28510

    Office

    $116.12

    Facility

    $110.95

    $13.44 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28510

    Office

    $127.49

    Facility

    $121.66

    $2.07 lower than Delaware for the office setting.

  • Bakersfield

    California · 28510

    Office

    $138.13

    Facility

    $131.54

    $8.57 higher than Delaware for the office setting.

  • Chico

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • El Centro

    California · 28510

    Office

    $137.71

    Facility

    $131.12

    $8.15 higher than Delaware for the office setting.

  • Fresno

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Madera

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Merced

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Modesto

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Napa

    California · 28510

    Office

    $158.80

    Facility

    $150.88

    $29.24 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28510

    Office

    $146.10

    Facility

    $138.99

    $16.54 higher than Delaware for the office setting.

  • Redding

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Rest Of California

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28510

    Office

    $139.31

    Facility

    $132.72

    $9.75 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28510

    Office

    $144.30

    Facility

    $137.30

    $14.74 higher than Delaware for the office setting.

  • Salinas

    California · 28510

    Office

    $143.75

    Facility

    $136.79

    $14.19 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28510

    Office

    $147.00

    Facility

    $139.81

    $17.44 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28510

    Office

    $167.85

    Facility

    $159.38

    $38.29 higher than Delaware for the office setting.

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

    California · 28510

    Office

    $167.68

    Facility

    $159.21

    $38.12 higher than Delaware for the office setting.

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

    California · 28510

    Office

    $171.62

    Facility

    $162.95

    $42.06 higher than Delaware for the office setting.

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

    California · 28510

    Office

    $170.93

    Facility

    $162.26

    $41.37 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28510

    Office

    $141.46

    Facility

    $134.62

    $11.90 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28510

    Office

    $148.29

    Facility

    $140.99

    $18.73 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28510

    Office

    $144.26

    Facility

    $137.24

    $14.70 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28510

    Office

    $149.78

    Facility

    $142.39

    $20.22 higher than Delaware for the office setting.

  • Stockton

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Vallejo

    California · 28510

    Office

    $158.55

    Facility

    $150.63

    $28.99 higher than Delaware for the office setting.

  • Visalia

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Yuba City

    California · 28510

    Office

    $137.69

    Facility

    $131.10

    $8.13 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28510

    Office

    $135.91

    Facility

    $129.52

    $6.35 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28510

    Office

    $139.51

    Facility

    $133.03

    $9.95 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28510

    Office

    $136.12

    Facility

    $130.03

    $6.56 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28510

    Office

    $129.59

    Facility

    $123.84

    $0.03 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28510

    Office

    $133.46

    Facility

    $127.35

    $3.90 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28510

    Office

    $122.41

    Facility

    $117.04

    $7.15 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28510

    Office

    $140.86

    Facility

    $134.02

    $11.30 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28510

    Office

    $120.44

    Facility

    $114.94

    $9.12 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28510

    Office

    $121.26

    Facility

    $115.73

    $8.30 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28510

    Office

    $128.98

    Facility

    $123.45

    $0.58 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28510

    Office

    $126.11

    Facility

    $120.62

    $3.45 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28510

    Office

    $137.44

    Facility

    $131.26

    $7.88 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28510

    Office

    $121.94

    Facility

    $116.37

    $7.62 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28510

    Office

    $120.01

    Facility

    $114.58

    $9.55 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28510

    Office

    $120.75

    Facility

    $115.41

    $8.81 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28510

    Office

    $126.43

    Facility

    $120.77

    $3.13 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28510

    Office

    $120.62

    Facility

    $115.30

    $8.94 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28510

    Office

    $148.98

    Facility

    $141.80

    $19.42 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28510

    Office

    $135.18

    Facility

    $128.85

    $5.62 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28510

    Office

    $139.14

    Facility

    $132.69

    $9.58 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28510

    Office

    $131.96

    Facility

    $125.87

    $2.40 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28510

    Office

    $122.01

    Facility

    $116.48

    $7.55 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28510

    Office

    $128.29

    Facility

    $122.33

    $1.27 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28510

    Office

    $131.29

    Facility

    $125.49

    $1.73 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28510

    Office

    $123.94

    Facility

    $118.45

    $5.62 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28510

    Office

    $129.95

    Facility

    $123.77

    $0.39 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28510

    Office

    $125.46

    Facility

    $119.81

    $4.10 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28510

    Office

    $126.73

    Facility

    $121.00

    $2.83 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28510

    Office

    $118.68

    Facility

    $113.50

    $10.88 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28510

    Office

    $117.41

    Facility

    $112.24

    $12.15 lower than Delaware for the office setting.

  • Montana**

    Montana · 28510

    Office

    $130.92

    Facility

    $124.91

    $1.36 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28510

    Office

    $123.24

    Facility

    $117.63

    $6.32 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28510

    Office

    $127.96

    Facility

    $121.94

    $1.60 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28510

    Office

    $121.05

    Facility

    $115.50

    $8.51 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28510

    Office

    $133.91

    Facility

    $127.65

    $4.35 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28510

    Office

    $147.73

    Facility

    $140.75

    $18.17 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28510

    Office

    $141.02

    Facility

    $134.46

    $11.46 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28510

    Office

    $124.65

    Facility

    $119.13

    $4.91 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28510

    Office

    $130.18

    Facility

    $124.16

    $0.62 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28510

    Office

    $154.26

    Facility

    $147.12

    $24.70 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28510

    Office

    $142.04

    Facility

    $135.46

    $12.48 higher than Delaware for the office setting.

  • Queens

    New York · 28510

    Office

    $151.57

    Facility

    $144.46

    $22.01 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28510

    Office

    $125.05

    Facility

    $119.34

    $4.51 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28510

    Office

    $123.33

    Facility

    $117.84

    $6.23 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28510

    Office

    $120.41

    Facility

    $115.05

    $9.15 lower than Delaware for the office setting.

  • Portland

    Oregon · 28510

    Office

    $140.01

    Facility

    $133.33

    $10.45 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28510

    Office

    $129.09

    Facility

    $123.10

    $0.47 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28510

    Office

    $136.19

    Facility

    $129.93

    $6.63 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28510

    Office

    $123.45

    Facility

    $117.93

    $6.11 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28510

    Office

    $131.82

    Facility

    $125.74

    $2.26 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28510

    Office

    $134.01

    Facility

    $127.80

    $4.45 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28510

    Office

    $123.50

    Facility

    $117.95

    $6.06 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28510

    Office

    $127.60

    Facility

    $121.59

    $1.96 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28510

    Office

    $120.62

    Facility

    $115.15

    $8.94 lower than Delaware for the office setting.

  • Austin

    Texas · 28510

    Office

    $135.53

    Facility

    $129.17

    $5.97 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28510

    Office

    $122.67

    Facility

    $117.20

    $6.89 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28510

    Office

    $129.34

    Facility

    $123.39

    $0.22 lower than Delaware for the office setting.

  • Dallas

    Texas · 28510

    Office

    $130.21

    Facility

    $124.22

    $0.65 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28510

    Office

    $129.40

    Facility

    $123.47

    $0.16 lower than Delaware for the office setting.

  • Galveston

    Texas · 28510

    Office

    $129.76

    Facility

    $123.79

    $0.20 higher than Delaware for the office setting.

  • Houston

    Texas · 28510

    Office

    $132.51

    Facility

    $126.53

    $2.95 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28510

    Office

    $125.97

    Facility

    $120.26

    $3.59 lower than Delaware for the office setting.

  • Utah

    Utah · 28510

    Office

    $125.15

    Facility

    $119.50

    $4.41 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28510

    Office

    $127.97

    Facility

    $122.06

    $1.59 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28510

    Office

    $131.82

    Facility

    $125.74

    $2.26 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28510

    Office

    $127.58

    Facility

    $121.63

    $1.98 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28510

    Office

    $134.88

    Facility

    $128.55

    $5.32 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28510

    Office

    $151.86

    Facility

    $144.48

    $22.30 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28510

    Office

    $123.78

    Facility

    $118.02

    $5.78 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28510

    Office

    $121.58

    Facility

    $116.36

    $7.98 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28510

    Office

    $129.63

    Facility

    $123.62

    $0.07 higher than Delaware for the office setting.

See how rates vary across the country

28510 · 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.

$116.12

$154.66

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$153.431
AL$117.781
AR$116.121
AZ$127.491
CA$137.69–$171.6229
CO$135.911
CT$139.511
DC$149.191
DE$129.561
FL$129.59–$142.193
GA$122.41–$133.462
GU$140.861
HI$140.861
IA$120.441
ID$121.261
IL$126.11–$138.134
IN$121.941
KS$120.011
KY$120.751
LA$120.62–$126.432
MA$135.18–$148.982
MD$131.96–$149.193
ME$122.01–$128.292
MI$123.94–$131.292
MN$129.951
MO$118.68–$126.733
MS$117.411
MT$130.921
NC$123.241
ND$127.961
NE$121.051
NH$133.911
NJ$141.02–$147.732
NM$124.651
NV$130.181
NY$125.05–$154.265
OH$123.331
OK$120.411
OR$129.09–$140.012
PA$123.45–$136.192
PR$131.821
RI$134.011
SC$123.501
SD$127.601
TN$120.621
TX$122.67–$135.538
UT$125.151
VA$127.97–$149.192
VI$131.821
VT$127.581
WA$134.88–$151.862
WI$123.781
WV$121.581
WY$129.631

Explore 28510 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 28510 in Delaware, the physician’s office rate is $129.56 and the facility-setting rate is $123.62: a difference of $5.94.

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 28510 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$142.52

$129.56 × 110% = $142.52

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.

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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 28510 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,220

Code
28510
Physician work
1.14
Practice expense
2.63
Malpractice
0.15

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28510 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.14× 1.0051.1457
Practice expense2.63× 0.9882.5984
Malpractice0.15× 0.8990.1348
Total RVUs3.8790
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$129.56

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

Open 28510 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.141.005
Practice expense2.630.988
Malpractice0.150.899

(1.14 × 1.005 + 2.63 × 0.988 + 0.15 × 0.899) × $33.4009 = $129.56

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.141.005
Practice expense2.450.988
Malpractice0.150.899

(1.14 × 1.005 + 2.45 × 0.988 + 0.15 × 0.899) × $33.4009 = $123.62

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

28510 · Office / nonfacility

$129.56

Effective 2026-10-01

The base rate is $7.19 higher than on 2025-10-01, moving from $122.37 to $129.56 (5.9%).

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

    $122.37changed to$129.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.17 changed to 1.14
    • Practice expense RVU 2.48 changed to 2.63
    • 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: $122.37

    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$129.56$123.62RVU26D
2026-07-01$129.56$123.62RVU26C
2026-04-01$129.56$123.62RVU26B
2026-01-01$129.56$123.62RVU26A
2025-10-01$122.37$122.37RVU25D
2025-07-01$122.37$122.37RVU25C
2025-04-01$122.37$122.37RVU25B
2025-01-01$122.37$122.37RVU25A

28510 billing questions

When should 28510 be used instead of 28515?

Use 28510 when the lesser-toe fracture is treated closed without manipulation. Use 28515 when manipulation is performed as part of closed treatment.

Does this code include related fracture follow-up?

Yes. Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

Can modifier 50 be reported for fractures on both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used to indicate bilateral treatment.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 28510. Co-surgeons and team surgery are not permitted.

What documentation supports 28510?

Document the fractured phalanx and toe, confirm that the toe is not the great toe, and describe closed treatment without manipulation.

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 28510PPRRVU2026_Oct_nonQPP.csv, line 3,220 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet