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CMS RVU26D · Effective 2026-10-01

28545 in Wyoming**

Office / nonfacility

$342.77

Base rate per service

Facility setting

$272.62

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.

Orthopedic treatment

About 28545: Closed tarsal dislocation reduction with manipulation

Report this service when a clinician treats a dislocated tarsal joint by closed reduction that requires manipulation rather than open repair.

This service covers closed reduction of a dislocated tarsal joint when the clinician must manipulate the joint to restore alignment. Orthopedic surgeons, podiatrists, and other qualified practitioners may provide it in an operating room, procedure area, or other setting appropriate to the reduction. The treatment is performed without opening the joint for repair; documentation should identify the affected joint and the manipulation used to reduce the dislocation.

Report this code when manipulation is required, rather than the related closed-treatment code for a tarsal dislocation treated without manipulation. The record should support the diagnosis, anatomic site, reduction, and need for manipulation. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 28545

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.54 · 24%
  • Practice expense (office) RVU7.33 · 70%
  • Malpractice RVU0.53 · 5%

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.

28545 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

28540

Tarsal dislocation

Without manipulation

$197.51

Choose 28540 when the tarsal dislocation is treated closed without manipulation; 28545 requires manipulation.

28546

Tarsal dislocation

Percutaneous skeletal fixation

$631.54

Both describe closed manipulation treatment of a tarsal dislocation; 28546 specifies treatment with anesthesia.

28555

Foot dislocation repair

Open talotarsal joint

$871.18

Use 28555 for open treatment of a tarsal joint dislocation. Code 28545 describes closed reduction with manipulation.

28575

Toe dislocation

Single joint, manipulation

$416.27

Code 28575 concerns closed treatment with manipulation of a metatarsophalangeal joint dislocation, not a tarsal joint dislocation.

The same code, a different location

How does Wyoming** compare?

28545 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $342.77

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

    $389.70

    $46.93 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $397.53

    $54.76 higher than Wyoming**

  4. Miami

    $384.47

    $41.70 higher than Wyoming**

  5. Chicago

    $372.11

    $29.34 higher than Wyoming**

  6. Manhattan

    $402.83

    $60.06 higher than Wyoming**

  7. Alaska*

    $397.75

    $54.98 higher than Wyoming**

Other payment areas listed in Wyoming 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, 28545 ranges from $304.26 in Arkansas to $456.70 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 · 28545

    Office

    $309.08

    Facility

    $247.71

    $33.69 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 28545

    Office

    $304.26

    Facility

    $244.01

    $38.51 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 28545

    Office

    $337.23

    Facility

    $269.26

    $5.54 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 28545

    Office

    $365.56

    Facility

    $288.69

    $22.79 higher than Wyoming** for the office setting.

  • Chico

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • El Centro

    California · 28545

    Office

    $364.19

    Facility

    $287.31

    $21.42 higher than Wyoming** for the office setting.

  • Fresno

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Madera

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Merced

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Modesto

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Napa

    California · 28545

    Office

    $421.86

    Facility

    $329.41

    $79.09 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28545

    Office

    $387.63

    Facility

    $304.72

    $44.86 higher than Wyoming** for the office setting.

  • Redding

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28545

    Office

    $369.80

    Facility

    $292.92

    $27.03 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28545

    Office

    $382.12

    Facility

    $300.54

    $39.35 higher than Wyoming** for the office setting.

  • Salinas

    California · 28545

    Office

    $380.71

    Facility

    $299.42

    $37.94 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28545

    Office

    $389.79

    Facility

    $305.90

    $47.02 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28545

    Office

    $446.23

    Facility

    $347.33

    $103.46 higher than Wyoming** for the office setting.

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

    California · 28545

    Office

    $445.63

    Facility

    $346.73

    $102.86 higher than Wyoming** for the office setting.

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

    California · 28545

    Office

    $456.70

    Facility

    $355.56

    $113.93 higher than Wyoming** for the office setting.

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

    California · 28545

    Office

    $454.24

    Facility

    $353.10

    $111.47 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28545

    Office

    $374.63

    Facility

    $294.74

    $31.86 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 28545

    Office

    $393.58

    Facility

    $308.35

    $50.81 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 28545

    Office

    $382.17

    Facility

    $300.39

    $39.40 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 28545

    Office

    $397.52

    Facility

    $311.39

    $54.75 higher than Wyoming** for the office setting.

  • Stockton

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Vallejo

    California · 28545

    Office

    $420.99

    Facility

    $328.55

    $78.22 higher than Wyoming** for the office setting.

  • Visalia

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Yuba City

    California · 28545

    Office

    $364.10

    Facility

    $287.23

    $21.33 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 28545

    Office

    $360.18

    Facility

    $285.55

    $17.41 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 28545

    Office

    $371.64

    Facility

    $296.09

    $28.87 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 28545

    Office

    $343.07

    Facility

    $273.77

    $0.30 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 28545

    Office

    $364.86

    Facility

    $293.80

    $22.09 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 28545

    Office

    $345.50

    Facility

    $278.45

    $2.73 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 28545

    Office

    $355.10

    Facility

    $283.84

    $12.33 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 28545

    Office

    $324.33

    Facility

    $261.76

    $18.44 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 28545

    Office

    $373.46

    Facility

    $293.71

    $30.69 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 28545

    Office

    $315.88

    Facility

    $251.70

    $26.89 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 28545

    Office

    $318.45

    Facility

    $253.92

    $24.32 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 28545

    Office

    $345.73

    Facility

    $281.20

    $2.96 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 28545

    Office

    $336.04

    Facility

    $272.00

    $6.73 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 28545

    Office

    $368.24

    Facility

    $296.20

    $25.47 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 28545

    Office

    $320.40

    Facility

    $255.38

    $22.37 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 28545

    Office

    $315.09

    Facility

    $251.68

    $27.68 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 28545

    Office

    $318.69

    Facility

    $256.33

    $24.08 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 28545

    Office

    $335.33

    Facility

    $269.33

    $7.44 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 28545

    Office

    $318.47

    Facility

    $256.39

    $24.30 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 28545

    Office

    $396.40

    Facility

    $312.65

    $53.63 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28545

    Office

    $358.11

    Facility

    $284.25

    $15.34 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28545

    Office

    $370.79

    Facility

    $295.53

    $28.02 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 28545

    Office

    $349.70

    Facility

    $278.72

    $6.93 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 28545

    Office

    $321.09

    Facility

    $256.56

    $21.68 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 28545

    Office

    $338.63

    Facility

    $269.12

    $4.14 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 28545

    Office

    $350.94

    Facility

    $283.26

    $8.17 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 28545

    Office

    $328.35

    Facility

    $264.31

    $14.42 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 28545

    Office

    $342.01

    Facility

    $269.83

    $0.76 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 28545

    Office

    $332.03

    Facility

    $266.16

    $10.74 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 28545

    Office

    $335.65

    Facility

    $268.88

    $7.12 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 28545

    Office

    $313.12

    Facility

    $252.66

    $29.65 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 28545

    Office

    $308.72

    Facility

    $248.33

    $34.05 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 28545

    Office

    $347.33

    Facility

    $277.19

    $4.56 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 28545

    Office

    $324.58

    Facility

    $259.13

    $18.19 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 28545

    Office

    $336.85

    Facility

    $266.71

    $5.92 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 28545

    Office

    $317.51

    Facility

    $252.77

    $25.26 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 28545

    Office

    $355.19

    Facility

    $282.18

    $12.42 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 28545

    Office

    $393.09

    Facility

    $311.73

    $50.32 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 28545

    Office

    $375.00

    Facility

    $298.41

    $32.23 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 28545

    Office

    $330.61

    Facility

    $266.29

    $12.16 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 28545

    Office

    $344.66

    Facility

    $274.45

    $1.89 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28545

    Office

    $414.24

    Facility

    $330.84

    $71.47 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28545

    Office

    $378.16

    Facility

    $301.36

    $35.39 higher than Wyoming** for the office setting.

  • Queens

    New York · 28545

    Office

    $405.18

    Facility

    $322.27

    $62.41 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 28545

    Office

    $329.87

    Facility

    $263.24

    $12.90 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 28545

    Office

    $326.21

    Facility

    $262.17

    $16.56 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 28545

    Office

    $317.23

    Facility

    $254.59

    $25.54 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 28545

    Office

    $371.37

    Facility

    $293.44

    $28.60 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 28545

    Office

    $341.13

    Facility

    $271.27

    $1.64 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28545

    Office

    $362.35

    Facility

    $289.33

    $19.58 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28545

    Office

    $326.32

    Facility

    $261.93

    $16.45 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 28545

    Office

    $349.80

    Facility

    $278.88

    $7.03 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 28545

    Office

    $355.15

    Facility

    $282.69

    $12.38 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 28545

    Office

    $326.11

    Facility

    $261.30

    $16.66 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 28545

    Office

    $335.61

    Facility

    $265.47

    $7.16 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 28545

    Office

    $316.89

    Facility

    $253.13

    $25.88 lower than Wyoming** for the office setting.

  • Austin

    Texas · 28545

    Office

    $359.72

    Facility

    $285.51

    $16.95 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 28545

    Office

    $324.08

    Facility

    $260.25

    $18.69 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 28545

    Office

    $341.95

    Facility

    $272.44

    $0.82 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 28545

    Office

    $344.64

    Facility

    $274.78

    $1.87 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 28545

    Office

    $342.42

    Facility

    $273.26

    $0.35 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 28545

    Office

    $343.29

    Facility

    $273.64

    $0.52 higher than Wyoming** for the office setting.

  • Houston

    Texas · 28545

    Office

    $352.99

    Facility

    $283.34

    $10.22 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 28545

    Office

    $333.17

    Facility

    $266.60

    $9.60 lower than Wyoming** for the office setting.

  • Utah

    Utah · 28545

    Office

    $330.87

    Facility

    $264.94

    $11.90 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 28545

    Office

    $338.00

    Facility

    $269.05

    $4.77 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28545

    Office

    $349.80

    Facility

    $278.88

    $7.03 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 28545

    Office

    $336.18

    Facility

    $266.74

    $6.59 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 28545

    Office

    $357.22

    Facility

    $283.36

    $14.45 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 28545

    Office

    $403.95

    Facility

    $317.88

    $61.18 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 28545

    Office

    $324.84

    Facility

    $257.64

    $17.93 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 28545

    Office

    $322.93

    Facility

    $261.97

    $19.84 lower than Wyoming** for the office setting.

See how rates vary across the country

28545 · 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.

$304.26

$410.40

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$397.751
AL$309.081
AR$304.261
AZ$337.231
CA$364.10–$456.7029
CO$360.181
CT$371.641
DC$397.531
DE$343.071
FL$345.50–$384.473
GA$324.33–$355.102
GU$373.461
HI$373.461
IA$315.881
ID$318.451
IL$336.04–$372.114
IN$320.401
KS$315.091
KY$318.691
LA$318.47–$335.332
MA$358.11–$396.402
MD$349.70–$397.533
ME$321.09–$338.632
MI$328.35–$350.942
MN$342.011
MO$313.12–$335.653
MS$308.721
MT$347.331
NC$324.581
ND$336.851
NE$317.511
NH$355.191
NJ$375.00–$393.092
NM$330.611
NV$344.661
NY$329.87–$414.245
OH$326.211
OK$317.231
OR$341.13–$371.372
PA$326.32–$362.352
PR$349.801
RI$355.151
SC$326.111
SD$335.611
TN$316.891
TX$324.08–$359.728
UT$330.871
VA$338.00–$397.532
VI$349.801
VT$336.181
WA$357.22–$403.952
WI$324.841
WV$322.931
WY$342.771

Explore 28545 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 28545 in Wyoming**, the physician’s office rate is $342.77 and the facility-setting rate is $272.62: a difference of $70.15.

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 28545 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$377.05

$342.77 × 110% = $377.05

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 28545 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,226

Code
28545
Physician work
2.54
Practice expense
7.33
Malpractice
0.53

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 28545 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.54× 1.0002.5400
Practice expense7.33× 1.0007.3300
Malpractice0.53× 0.7400.3922
Total RVUs10.2622
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$342.77

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

Open 28545 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.541
Practice expense7.331
Malpractice0.530.74

(2.54 × 1 + 7.33 × 1 + 0.53 × 0.74) × $33.4009 = $342.77

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.541
Practice expense5.231
Malpractice0.530.74

(2.54 × 1 + 5.23 × 1 + 0.53 × 0.74) × $33.4009 = $272.62

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

28545 · Office / nonfacility

$342.77

Effective 2026-10-01

The base rate is $31.87 higher than on 2025-10-01, moving from $310.90 to $342.77 (10.3%).

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

    $310.90changed to$342.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.60 changed to 2.54
    • Practice expense RVU 6.62 changed to 7.33
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $310.90

    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$342.77$272.62RVU26D
2026-07-01$342.77$272.62RVU26C
2026-04-01$342.77$272.62RVU26B
2026-01-01$342.77$272.62RVU26A
2025-10-01$310.90$272.09RVU25D
2025-07-01$310.90$272.09RVU25C
2025-04-01$310.90$272.09RVU25B
2025-01-01$310.90$272.09RVU25A

28545 billing questions

How does this differ from 28540?

Use 28545 when reduction requires manipulation. Code 28540 is for closed treatment of a tarsal joint dislocation without manipulation.

When would 28546 be more appropriate?

Code 28546 describes closed treatment of a tarsal joint dislocation requiring manipulation with anesthesia. Distinguish it from 28545 based on the service and anesthesia documented.

Is open repair included in this code?

No. This code describes closed treatment. Open treatment of a tarsal joint dislocation is represented by 28555.

What postoperative care is included?

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

How is bilateral treatment paid?

CMS identifies this as a bilateral procedure; when both sides are treated and modifier 50 is reported, payment is at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. 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 28545PPRRVU2026_Oct_nonQPP.csv, line 3,226 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet