No office rate
Both codes address nonunion or malunion repair, but 28320 applies to tarsal bones; 28322 applies to metatarsals.
On this page
CMS RVU26D · Effective 2026-10-01
28322 Metatarsal repair Medicare reimbursement rates in Delaware
Repair a metatarsal fracture that has failed to unite or healed in poor alignment, with or without bone grafting. Compare 28322 office and facility rates across CMS payment localities in Delaware.
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 28322 in Delaware?
Delaware 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
$805.04
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$534.77
1 of 1 localities have a supported rate.
Payment area: Delaware
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 28322: Metatarsal nonunion or malunion repair
Repair a metatarsal fracture that has failed to unite or healed in poor alignment, with or without bone grafting.
This surgery addresses a metatarsal fracture that has not united or has healed in a position that needs correction. The foot and ankle surgeon exposes the affected bone, addresses the nonunion or malunion, restores alignment when needed, and stabilizes the repair. Bone graft may be used; the service covers repair with or without grafting. These cases generally follow an earlier fracture and differ from treatment of a new, acute metatarsal fracture.
Report the code when the operative record supports repair of a metatarsal nonunion or malunion. Document the affected bone, the fracture-healing problem, the corrective work, and any grafting or fixation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28322
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.32 · 34%
- Practice expense (office) RVU14.74 · 60%
- Malpractice RVU1.31 · 5%
900
Medicare services in 2024 · #3041 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.
28322 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
28485 describes open treatment of an acute metatarsal fracture. Choose 28322 when the service repairs an established nonunion or malunion.
$579.50
28308 is a metatarsal osteotomy used for a different indication. Use 28322 when the operative problem is fracture nonunion or malunion.
Compare 28322 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
Delaware →
Office / nonfacility
$805.04
Facility
$534.77
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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 28322 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,192
- Code
- 28322
- Physician work
- 8.32
- Practice expense
- 14.74
- Malpractice
- 1.31
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.32 | × 1.005 | 8.3616 |
| Practice expense | 14.74 | × 0.988 | 14.5631 |
| Malpractice | 1.31 | × 0.899 | 1.1777 |
| Total RVUs | 24.1024 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$805.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.32 | 1.005 |
| Practice expense | 14.74 | 0.988 |
| Malpractice | 1.31 | 0.899 |
(8.32 × 1.005 + 14.74 × 0.988 + 1.31 × 0.899) × $33.4009 = $805.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.32 | 1.005 |
| Practice expense | 6.55 | 0.988 |
| Malpractice | 1.31 | 0.899 |
(8.32 × 1.005 + 6.55 × 0.988 + 1.31 × 0.899) × $33.4009 = $534.77
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.
28322 billing questions
When is this code appropriate instead of an acute fracture treatment code?
Use 28322 for repair of a metatarsal fracture nonunion or malunion. Acute fracture treatment codes describe treatment of a new fracture, not repair of a fracture-healing problem.
Does the code include bone grafting?
Yes. The repair may be performed with or without bone grafting.
Can modifier 50 be used for repair of metatarsals on both feet?
No. CMS identifies bilateral adjustment as inapplicable and modifier 50 as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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.
3,18928313,,Repair deformity of toe,A,,5.02,10.62,,4.66,,0.70,16.34,10.38,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19028315,,Removal of sesamoid bone,A,,4.88,8.99,,3.89,,0.54,14.41,9.31,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19128320,,Repair of foot bones,A,,9.14,6.77,NA,6.77,,1.39,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19228322,,Repair of metatarsals,A,,8.32,14.74,,6.55,,1.31,24.37,16.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19328340,,Resect enlarged toe tissue,A,,6.97,9.12,,3.84,,0.59,16.68,11.40,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19428341,,Resect enlarged toe,A,,8.50,10.18,,4.27,,0.72,19.40,13.49,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19528344,,Repair extra toe(s),A,,4.29,7.62,,3.24,,0.37,12.28,7.90,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503