Billing code 28575: Toe dislocationMedicare rate & RVUs in Alaska
Reports closed reduction of a single toe interphalangeal joint dislocation when manipulation is performed and anesthesia is required.
Medicare pays $487.02 for 28575 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28575 covers
This code covers closed treatment of a dislocated joint between the bones of one toe, using manipulation to restore alignment when anesthesia is required. An orthopedic surgeon, podiatrist, or other qualified physician may perform the reduction, commonly in a hospital or ambulatory surgery setting. The service is distinct from treating a metatarsophalangeal or tarsometatarsal dislocation, which involves a different joint.
Report one unit for the treated interphalangeal joint. Documentation should identify the affected toe and joint, describe the dislocation and manipulation, and support the anesthesia requirement. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
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.
28575 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $487.02 | $400.94 |
How the 28575 rate is calculated
Each of 28575’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 28575
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.40Practice expense 8.53Malpractice 0.72
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28575
28575 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28575
Toe dislocation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28575
Toe dislocation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28575 without 50 · national office
$422.52
Toe dislocation
28575-50 · Bilateral: 150%
$633.78
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28575 compared with similar codes
Compare codes
28575 vs 28570 vs 28576 vs 28540: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28570Foot dislocation
- Both concern a single toe interphalangeal dislocation treated closed. Choose 28575 when manipulation is performed and anesthesia is required; 28570 is for treatment without manipulation.
- 28576Foot dislocation
- Use 28575 for closed manipulation of the dislocated joint. Code 28576 describes open treatment of a single toe interphalangeal dislocation.
- 28540Tarsal dislocation
- Code 28540 concerns a tarsometatarsal joint dislocation in the midfoot, not an interphalangeal joint within a toe.
28575 billing questions
When should 28575 be selected instead of 28570?
Use 28575 for a single toe interphalangeal dislocation treated with manipulation when anesthesia is required. Code 28570 is the related closed-treatment option without manipulation.
Does this code cover a dislocation at the base of the toe?
No. This code concerns an interphalangeal joint within one toe. A metatarsophalangeal or tarsometatarsal dislocation involves a different joint and should be evaluated under the code for that site.
Is the reduction included in this service?
Yes. The closed manipulation to restore the single interphalangeal joint is the procedure represented by the code; do not separately report that same reduction.
What documentation supports reporting 28575?
Document the affected toe and interphalangeal joint, the dislocation, the manipulation performed, and why anesthesia was required.
How is bilateral treatment reported?
For qualifying treatment on both sides, CMS lists bilateral reporting with modifier 50 and payment at 150%. Documentation should identify the treated joint on each side.
Can an assistant surgeon or co-surgeon be reported?
An assistant at surgery is paid only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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