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CMS RVU26D · Effective 2026-10-01

28515 in Redding

Office / nonfacility

$183.71

Base rate per service

Facility setting

$151.50

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 treatment

About 28515: Closed lesser-toe fracture treatment with manipulation

Report this code for closed reduction of a phalangeal fracture in a toe other than the great toe when the clinician manipulates the fracture.

This service covers closed treatment of a fracture in one or more phalanges of a toe other than the great toe, with manipulation to reduce or realign the fracture. Orthopedic surgeons, podiatrists, and other clinicians who manage acute fractures may perform it in an office, emergency department, or facility. The fracture is treated without open surgical exposure; the manipulation is the feature that distinguishes this service from closed treatment without manipulation.

Report the code for each treated fracture, supporting the record with the affected toe and side, fracture findings, and the reduction or other manipulation performed. Routine related care during the 90-day global period, including the day-before preoperative visit, is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 28515

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 RVU1.52 · 29%
  • Practice expense (office) RVU3.52 · 67%
  • Malpractice RVU0.18 · 3%

1.4K

Medicare services in 2024 · #2704 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.

28515 compared with similar codes

Office rates for Redding, from the same CMS release.

28510

Toe fracture care

Without manipulation

$137.69

Use 28510 for closed treatment of a lesser-toe phalanx fracture without manipulation; 28515 requires manipulation.

28495

Toe fracture treatment

Great toe, with manipulation

$206.45

Both describe closed treatment with manipulation, but 28495 is for the great toe and 28515 is for other toes.

28525

Toe fracture repair

Lesser toe, open treatment

$601.18

28525 is open treatment of a lesser-toe phalanx fracture. This code describes closed treatment with manipulation.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 28515 is $184.25—$0.54 higher than the $183.71 rate in Redding. Both use the same code, release and participation basis.

28515 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $183.71

  2. Bakersfield

    $184.25

    $0.54 higher than Redding

  3. Chico

    $183.71

    The same base rate than Redding

  4. El Centro

    $183.74

    $0.03 higher than Redding

  5. Fresno

    $183.71

    The same base rate than Redding

  6. Hanford-Corcoran

    $183.71

    The same base rate than Redding

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

    $195.93

    $12.22 higher than Redding

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, 28515 ranges from $154.86 in Arkansas to $229.11 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

  • Madera

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Merced

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Modesto

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Napa

    California · 28515

    Office

    $211.98

    Facility

    $173.24

    $28.27 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28515

    Office

    $194.91

    Facility

    $160.16

    $11.20 higher than Redding for the office setting.

  • Rest Of California

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28515

    Office

    $185.67

    Facility

    $153.46

    $1.96 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28515

    Office

    $192.55

    Facility

    $158.37

    $8.84 higher than Redding for the office setting.

  • Salinas

    California · 28515

    Office

    $191.83

    Facility

    $157.76

    $8.12 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28515

    Office

    $196.17

    Facility

    $161.01

    $12.46 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28515

    Office

    $224.13

    Facility

    $182.68

    $40.42 higher than Redding for the office setting.

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

    California · 28515

    Office

    $223.92

    Facility

    $182.48

    $40.21 higher than Redding for the office setting.

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

    California · 28515

    Office

    $229.11

    Facility

    $186.73

    $45.40 higher than Redding for the office setting.

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

    California · 28515

    Office

    $228.28

    Facility

    $185.89

    $44.57 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28515

    Office

    $188.77

    Facility

    $155.29

    $5.06 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 28515

    Office

    $197.91

    Facility

    $162.19

    $14.20 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 28515

    Office

    $192.50

    Facility

    $158.23

    $8.79 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 28515

    Office

    $199.89

    Facility

    $163.80

    $16.18 higher than Redding for the office setting.

  • Stockton

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 28515

    Office

    $211.69

    Facility

    $172.95

    $27.98 higher than Redding for the office setting.

  • Visalia

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 28515

    Office

    $183.71

    Facility

    $151.50

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28515

    Office

    $198.70

    Facility

    $164.08

    $14.99 higher than Redding for the office setting.

  • Miami

    Florida · 28515

    Office

    $188.37

    Facility

    $157.77

    $4.66 higher than Redding for the office setting.

  • Chicago

    Illinois · 28515

    Office

    $183.08

    Facility

    $153.54

    $0.63 lower than Redding for the office setting.

  • Manhattan

    New York · 28515

    Office

    $200.17

    Facility

    $166.02

    $16.46 higher than Redding for the office setting.

  • Alaska*

    Alaska · 28515

    Office

    $204.68

    Facility

    $173.38

    $20.97 higher than Redding for the office setting.

  • Alabama

    Alabama · 28515

    Office

    $157.05

    Facility

    $131.33

    $26.66 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 28515

    Office

    $154.86

    Facility

    $129.61

    $28.85 lower than Redding for the office setting.

  • Arizona

    Arizona · 28515

    Office

    $169.84

    Facility

    $141.36

    $13.87 lower than Redding for the office setting.

  • Colorado

    Colorado · 28515

    Office

    $181.17

    Facility

    $149.90

    $2.54 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 28515

    Office

    $185.68

    Facility

    $154.03

    $1.97 higher than Redding for the office setting.

  • Delaware

    Delaware · 28515

    Office

    $172.59

    Facility

    $143.55

    $11.12 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 28515

    Office

    $180.74

    Facility

    $150.96

    $2.97 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 28515

    Office

    $172.20

    Facility

    $144.10

    $11.51 lower than Redding for the office setting.

  • Atlanta

    Georgia · 28515

    Office

    $177.59

    Facility

    $147.73

    $6.12 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 28515

    Office

    $162.81

    Facility

    $136.59

    $20.90 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 28515

    Office

    $187.93

    Facility

    $154.51

    $4.22 higher than Redding for the office setting.

  • Iowa

    Iowa · 28515

    Office

    $160.73

    Facility

    $133.84

    $22.98 lower than Redding for the office setting.

  • Idaho

    Idaho · 28515

    Office

    $161.78

    Facility

    $134.74

    $21.93 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 28515

    Office

    $171.04

    Facility

    $144.00

    $12.67 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 28515

    Office

    $167.51

    Facility

    $140.67

    $16.20 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 28515

    Office

    $182.52

    Facility

    $152.34

    $1.19 lower than Redding for the office setting.

  • Indiana

    Indiana · 28515

    Office

    $162.68

    Facility

    $135.43

    $21.03 lower than Redding for the office setting.

  • Kansas

    Kansas · 28515

    Office

    $160.08

    Facility

    $133.51

    $23.63 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 28515

    Office

    $160.79

    Facility

    $134.66

    $22.92 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 28515

    Office

    $168.23

    Facility

    $140.58

    $15.48 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 28515

    Office

    $160.58

    Facility

    $134.57

    $23.13 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 28515

    Office

    $198.58

    Facility

    $163.49

    $14.87 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28515

    Office

    $180.18

    Facility

    $149.23

    $3.53 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28515

    Office

    $185.17

    Facility

    $153.63

    $1.46 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 28515

    Office

    $175.78

    Facility

    $146.03

    $7.93 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 28515

    Office

    $162.67

    Facility

    $135.63

    $21.04 lower than Redding for the office setting.

  • Southern Maine

    Maine · 28515

    Office

    $171.08

    Facility

    $141.95

    $12.63 lower than Redding for the office setting.

  • Detroit

    Michigan · 28515

    Office

    $174.36

    Facility

    $146.00

    $9.35 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 28515

    Office

    $164.90

    Facility

    $138.06

    $18.81 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 28515

    Office

    $173.53

    Facility

    $143.28

    $10.18 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 28515

    Office

    $167.04

    Facility

    $139.44

    $16.67 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 28515

    Office

    $168.72

    Facility

    $140.74

    $14.99 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 28515

    Office

    $157.97

    Facility

    $132.63

    $25.74 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 28515

    Office

    $156.44

    Facility

    $131.13

    $27.27 lower than Redding for the office setting.

  • Montana**

    Montana · 28515

    Office

    $174.34

    Facility

    $144.95

    $9.37 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 28515

    Office

    $164.31

    Facility

    $136.88

    $19.40 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 28515

    Office

    $170.78

    Facility

    $141.39

    $12.93 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 28515

    Office

    $161.56

    Facility

    $134.43

    $22.15 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 28515

    Office

    $178.42

    Facility

    $147.82

    $5.29 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 28515

    Office

    $196.77

    Facility

    $162.68

    $13.06 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 28515

    Office

    $187.78

    Facility

    $155.69

    $4.07 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 28515

    Office

    $165.80

    Facility

    $138.85

    $17.91 lower than Redding for the office setting.

  • Nevada**

    Nevada · 28515

    Office

    $173.47

    Facility

    $144.04

    $10.24 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28515

    Office

    $204.98

    Facility

    $170.03

    $21.27 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28515

    Office

    $189.07

    Facility

    $156.88

    $5.36 higher than Redding for the office setting.

  • Queens

    New York · 28515

    Office

    $201.66

    Facility

    $166.91

    $17.95 higher than Redding for the office setting.

  • Rest Of New York

    New York · 28515

    Office

    $166.69

    Facility

    $138.77

    $17.02 lower than Redding for the office setting.

  • Ohio

    Ohio · 28515

    Office

    $164.17

    Facility

    $137.34

    $19.54 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 28515

    Office

    $160.43

    Facility

    $134.18

    $23.28 lower than Redding for the office setting.

  • Portland

    Oregon · 28515

    Office

    $186.68

    Facility

    $154.02

    $2.97 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 28515

    Office

    $172.10

    Facility

    $142.82

    $11.61 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28515

    Office

    $181.25

    Facility

    $150.65

    $2.46 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28515

    Office

    $164.38

    Facility

    $137.40

    $19.33 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 28515

    Office

    $175.56

    Facility

    $145.84

    $8.15 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 28515

    Office

    $178.55

    Facility

    $148.19

    $5.16 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 28515

    Office

    $164.52

    Facility

    $137.36

    $19.19 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 28515

    Office

    $170.36

    Facility

    $140.97

    $13.35 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 28515

    Office

    $160.87

    Facility

    $134.15

    $22.84 lower than Redding for the office setting.

  • Austin

    Texas · 28515

    Office

    $180.59

    Facility

    $149.49

    $3.12 lower than Redding for the office setting.

  • Beaumont

    Texas · 28515

    Office

    $163.34

    Facility

    $136.60

    $20.37 lower than Redding for the office setting.

  • Brazoria

    Texas · 28515

    Office

    $172.38

    Facility

    $143.25

    $11.33 lower than Redding for the office setting.

  • Dallas

    Texas · 28515

    Office

    $173.49

    Facility

    $144.21

    $10.22 lower than Redding for the office setting.

  • Fort Worth

    Texas · 28515

    Office

    $172.39

    Facility

    $143.41

    $11.32 lower than Redding for the office setting.

  • Galveston

    Texas · 28515

    Office

    $172.90

    Facility

    $143.71

    $10.81 lower than Redding for the office setting.

  • Houston

    Texas · 28515

    Office

    $176.20

    Facility

    $147.01

    $7.51 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 28515

    Office

    $167.77

    Facility

    $139.88

    $15.94 lower than Redding for the office setting.

  • Utah

    Utah · 28515

    Office

    $166.69

    Facility

    $139.06

    $17.02 lower than Redding for the office setting.

  • Virginia

    Virginia · 28515

    Office

    $170.59

    Facility

    $141.69

    $13.12 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28515

    Office

    $175.56

    Facility

    $145.84

    $8.15 lower than Redding for the office setting.

  • Vermont

    Vermont · 28515

    Office

    $170.21

    Facility

    $141.11

    $13.50 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 28515

    Office

    $179.81

    Facility

    $148.86

    $3.90 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 28515

    Office

    $202.48

    Facility

    $166.41

    $18.77 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 28515

    Office

    $165.25

    Facility

    $137.10

    $18.46 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 28515

    Office

    $161.54

    Facility

    $136.00

    $22.17 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 28515

    Office

    $172.79

    Facility

    $143.40

    $10.92 lower than Redding for the office setting.

See how rates vary across the country

28515 · 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.

$154.86

$206.41

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$204.681
AL$157.051
AR$154.861
AZ$169.841
CA$183.71–$229.1129
CO$181.171
CT$185.681
DC$198.701
DE$172.591
FL$172.20–$188.373
GA$162.81–$177.592
GU$187.931
HI$187.931
IA$160.731
ID$161.781
IL$167.51–$183.084
IN$162.681
KS$160.081
KY$160.791
LA$160.58–$168.232
MA$180.18–$198.582
MD$175.78–$198.703
ME$162.67–$171.082
MI$164.90–$174.362
MN$173.531
MO$157.97–$168.723
MS$156.441
MT$174.341
NC$164.311
ND$170.781
NE$161.561
NH$178.421
NJ$187.78–$196.772
NM$165.801
NV$173.471
NY$166.69–$204.985
OH$164.171
OK$160.431
OR$172.10–$186.682
PA$164.38–$181.252
PR$175.561
RI$178.551
SC$164.521
SD$170.361
TN$160.871
TX$163.34–$180.598
UT$166.691
VA$170.59–$198.702
VI$175.561
VT$170.211
WA$179.81–$202.482
WI$165.251
WV$161.541
WY$172.791

Explore 28515 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 28515 in Redding, the physician’s office rate is $183.71 and the facility-setting rate is $151.50: a difference of $32.21.

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 28515 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$202.08

$183.71 × 110% = $202.08

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 28515 in Redding.

PPRRVU2026_Oct_nonQPP.csv

3,221

Code
28515
Physician work
1.52
Practice expense
3.52
Malpractice
0.18

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28515 in Redding
ComponentRVULocality factorAdjusted
Physician work1.52× 1.0171.5458
Practice expense3.52× 1.0963.8579
Malpractice0.18× 0.5360.0965
Total RVUs5.5002
Conversion factor× 33.4009

Office / nonfacility rate, Redding$183.71

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

Open 28515 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.521.017
Practice expense3.521.096
Malpractice0.180.536

(1.52 × 1.017 + 3.52 × 1.096 + 0.18 × 0.536) × $33.4009 = $183.71

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.521.017
Practice expense2.641.096
Malpractice0.180.536

(1.52 × 1.017 + 2.64 × 1.096 + 0.18 × 0.536) × $33.4009 = $151.50

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

28515 · Office / nonfacility

$183.71

Effective 2026-10-01

The base rate is $9.44 higher than on 2025-10-01, moving from $174.27 to $183.71 (5.4%).

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

    $174.27changed to$183.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.56 changed to 1.52
    • Practice expense RVU 3.40 changed to 3.52
    • Malpractice RVU 0.16 changed to 0.18
    • 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: $174.27

    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$183.71$151.50RVU26D
2026-07-01$183.71$151.50RVU26C
2026-04-01$183.71$151.50RVU26B
2026-01-01$183.71$151.50RVU26A
2025-10-01$174.27$151.64RVU25D
2025-07-01$174.27$151.64RVU25C
2025-04-01$174.27$151.64RVU25B
2025-01-01$174.27$151.64RVU25A

28515 billing questions

How does this differ from 28510?

28515 is for closed treatment with manipulation. Use 28510 when the lesser-toe phalanx fracture is treated without manipulation.

Can this code be used for a great toe fracture?

No. This code is for toes other than the great toe; 28495 describes closed treatment with manipulation of a great-toe fracture.

What should the documentation show?

Document the lesser toe and side, the phalangeal fracture treated, and the manipulation or reduction performed. The record should distinguish the service from treatment without manipulation.

Is routine follow-up separately reported?

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

Should modifier 50 be reported for fractures on both feet?

No. CMS identifies modifier 50 as inappropriate for this code, and a bilateral adjustment does not apply.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

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 28515PPRRVU2026_Oct_nonQPP.csv, line 3,221 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet