Billing code 28600: Foot reductionMedicare rate & RVUs in Florida
Closed treatment of a tarsometatarsal joint dislocation without anesthesia, typically used to restore alignment and stabilize a Lisfranc-region injury.
Medicare pays $188.01–$203.94 for 28600 in the office in Florida, from Rest Of Florida to Miami. 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 28600 covers
This service treats a dislocation between the tarsal and metatarsal bones, including injuries in the Lisfranc region. The clinician restores alignment through a closed approach and stabilizes the foot as needed, without anesthesia. Orthopedic clinicians and podiatrists may perform the treatment in an emergency department, office, or facility setting.
Choose this code when the documented tarsometatarsal dislocation is managed closed and without anesthesia; distinguish it from treatment requiring anesthesia or percutaneous fixation. The record should identify the joint injury and support the closed treatment performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; 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.
Where 28600 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$188.01 to $203.94
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $196.52 | $163.70 |
| Miami | $203.94 | $170.21 |
| Rest Of Florida | $188.01 | $157.04 |
How the 28600 rate is calculated
Each of 28600’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 · 28600
RVUs × geographic indexes × conversion factor
Work1.97
1.97 RVUs× 1.000 GPCI
Practice expense3.56
3.56 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
5.7000
Conversion factor
$33.4009
Medicare rate
$190.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28600
28600 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28600
Foot reduction
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 28600
Foot reduction
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 51 · payment effect
With and without the modifier
28600 without 51 · national office
$190.39
Foot reduction
28600-51 · Second procedure: 50%
$95.20
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
28600 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28605Foot dislocation
- Both address closed treatment of a tarsometatarsal dislocation. Choose 28600 when treatment is without anesthesia and 28605 when anesthesia is required.
- 28606Foot dislocation
- Use 28606 when percutaneous skeletal fixation is part of closed treatment; 28600 represents treatment without anesthesia and without that fixation approach.
- 28615Foot dislocation repair
- 28615 describes open treatment of a tarsometatarsal dislocation. This code is for closed treatment without anesthesia.
28600 billing questions
How does this differ from 28605?
28600 is for closed treatment without anesthesia. Use 28605 when the closed treatment requires anesthesia.
When is 28606 used instead?
28606 applies when the closed treatment includes percutaneous skeletal fixation. This code describes treatment without anesthesia and without that fixation approach.
Can modifier 50 be reported for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When can an assistant at surgery be paid?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. 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 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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