$179.01
28540 covers closed treatment of a tarsal bone dislocation without anesthesia or manipulation; 28546 involves percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
28546 Tarsal dislocation Medicare reimbursement rates in Arkansas
Report percutaneous skeletal fixation when a dislocated tarsal bone, other than at the talotarsal joint, requires stabilization through a percutaneous approach. Compare 28546 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 28546 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$555.31
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$314.88
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Foot surgery
About 28546: Percutaneous fixation of tarsal dislocation
Report percutaneous skeletal fixation when a dislocated tarsal bone, other than at the talotarsal joint, requires stabilization through a percutaneous approach.
This service covers stabilizing a dislocated tarsal bone with percutaneous skeletal fixation, such as pins or wires placed through the skin after reduction. Orthopedic foot and ankle surgeons and podiatric surgeons typically perform it in an operating room for an unstable tarsal dislocation that needs fixation. The code is not for a talotarsal dislocation or for a tarsometatarsal joint dislocation, which has distinct coding options.
Choose the code based on the affected joint and the treatment performed: percutaneous fixation supports 28546, while closed treatment with manipulation is reported with 28545. Document the specific tarsal bone and joint, the dislocation, the reduction and fixation method, and laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with 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 28546
- 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 RVU3.32 · 17%
- Practice expense (office) RVU15.07 · 79%
- Malpractice RVU0.70 · 4%
22
Medicare services in 2024 · #5861 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.
28546 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$304.26
28545 is closed treatment with manipulation. Choose 28546 when the dislocated tarsal bone is stabilized by percutaneous skeletal fixation.
$786.66
28555 is for open treatment of a tarsometatarsal joint dislocation. 28546 is for percutaneous fixation of a tarsal bone dislocation outside that joint group.
No office rate
28576 addresses percutaneous fixation of an interphalangeal joint dislocation; 28546 concerns a tarsal bone dislocation.
Compare 28546 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$555.31
Facility
$314.88
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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 28546 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,227
- Code
- 28546
- Physician work
- 3.32
- Practice expense
- 15.07
- Malpractice
- 0.70
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.32 | × 1.000 | 3.3200 |
| Practice expense | 15.07 | × 0.859 | 12.9451 |
| Malpractice | 0.70 | × 0.515 | 0.3605 |
| Total RVUs | 16.6256 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$555.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.32 | 1 |
| Practice expense | 15.07 | 0.859 |
| Malpractice | 0.7 | 0.515 |
(3.32 × 1 + 15.07 × 0.859 + 0.7 × 0.515) × $33.4009 = $555.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.32 | 1 |
| Practice expense | 6.69 | 0.859 |
| Malpractice | 0.7 | 0.515 |
(3.32 × 1 + 6.69 × 0.859 + 0.7 × 0.515) × $33.4009 = $314.88
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.
28546 billing questions
How does 28546 differ from 28545?
28546 is for percutaneous skeletal fixation of a tarsal bone dislocation other than at the talotarsal joint. Use 28545 for closed treatment with manipulation when percutaneous fixation is not performed.
Can 28546 be used for a tarsometatarsal dislocation?
No. Tarsometatarsal joint dislocations have separate codes, including 28550 for closed treatment and 28555 for open treatment.
Can the reduction be billed separately from the fixation?
Do not separately report the reduction that is part of treating and stabilizing the same dislocation. The record should describe the reduction and percutaneous fixation performed.
What documentation supports 28546?
Document the dislocation site and laterality, the tarsal bone involved, and the percutaneous skeletal fixation performed. The record should distinguish the treated joint from the talotarsal and tarsometatarsal joints.
How does Medicare handle bilateral reporting and other procedures in the same session?
Modifier 50 for a bilateral procedure is paid at 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
3,22428531,,Treat sesamoid bone fracture,A,,2.51,6.96,,2.51,,0.21,9.68,5.23,0,090,0.10,0.69,0.21,2,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22528540,,Treat foot dislocation,A,,2.14,3.64,,2.80,,0.18,5.96,5.12,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22628545,,Treat foot dislocation,A,,2.54,7.33,,5.23,,0.53,10.40,8.30,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22728546,,Treat foot dislocation,A,,3.32,15.07,,6.69,,0.70,19.09,10.71,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22828555,,Repair foot dislocation,A,,9.41,15.57,,7.42,,1.49,26.47,18.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22928570,,Treat foot dislocation,A,,1.72,5.91,,4.05,,0.37,8.00,6.14,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23028575,,Treat foot dislocation,A,,3.40,8.53,,6.11,,0.72,12.65,10.23,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541