$248.26–$273.02
Code 28570 describes closed treatment of an intertarsal dislocation without anesthesia; 28585 describes open surgical treatment.
On this page
CMS RVU26D · Effective 2026-10-01
28585 Foot dislocation repair Medicare reimbursement rates in Georgia
Report this code for open surgical reduction of an intertarsal joint dislocation, with internal fixation when needed, such as a subtalar dislocation. Compare 28585 office and facility rates across CMS payment localities in Georgia.
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 28585 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$900.71–$968.72
2 of 2 localities have a supported rate.
Facility setting
$656.99–$691.13
2 of 2 localities have a supported rate.
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.
Orthopedic surgery
About 28585: Open intertarsal dislocation repair
Report this code for open surgical reduction of an intertarsal joint dislocation, with internal fixation when needed, such as a subtalar dislocation.
This code describes open surgical treatment of a dislocation between tarsal bones, such as a subtalar joint dislocation. The surgeon exposes the joint and restores the bones to alignment; internal fixation may be used when needed. Orthopedic and foot-and-ankle surgeons commonly perform the procedure in a hospital operating room or another surgical setting. This is distinct from surgery for a tarsometatarsal dislocation, such as a Lisfranc injury.
Report the code when the operative documentation supports open treatment of an intertarsal dislocation, rather than closed manipulation or percutaneous fixation. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 28585
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.85 · 38%
- Practice expense (office) RVU16.05 · 56%
- Malpractice RVU1.51 · 5%
289
Medicare services in 2024 · #4024 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.
28585 compared with similar codes
Office rates for Georgia, from the same CMS release.
$396.37–$432.25
Code 28575 describes closed treatment of an intertarsal dislocation requiring anesthesia. Choose 28585 when the surgeon treats the dislocation through an open approach.
No office rate
Code 28576 is for percutaneous skeletal fixation of an intertarsal dislocation; 28585 is for open surgical treatment.
$837.51–$903.39
Code 28555 is for open treatment of a tarsometatarsal dislocation, not an intertarsal dislocation.
Compare 28585 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$968.72
Facility
$691.13
Rest Of Georgia →
Office / nonfacility
$900.71
Facility
$656.99
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28585 billing questions
How does this code differ from 28555?
This code is for open treatment of an intertarsal dislocation. Code 28555 describes open treatment of a tarsometatarsal dislocation, including a Lisfranc joint injury.
When is this code chosen over 28576?
Use this code for open surgical treatment. Code 28576 is for percutaneous skeletal fixation of an intertarsal dislocation.
How does closed treatment differ?
Codes 28570 and 28575 describe closed treatment of an intertarsal dislocation, without and with anesthesia, respectively. This code describes open surgical treatment.
What documentation supports reporting this code?
The operative report should identify the intertarsal joint and dislocation, document the open surgical approach and reduction, and describe any fixation performed.
How is bilateral treatment reported?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support treatment of both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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.
3,22928570,,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
3,23128576,,Treat foot dislocation,A,,4.49,6.12,NA,6.12,,0.96,11.57,11.57,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23228585,,Repair foot dislocation,A,,10.85,16.05,,7.87,,1.51,28.41,20.23,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23328600,,Treat foot dislocation,A,,1.97,3.56,,2.59,,0.17,5.70,4.73,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23428605,,Treat foot dislocation,A,,2.82,8.08,,5.94,,0.59,11.49,9.35,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23528606,,Treat foot dislocation,A,,4.96,5.71,NA,5.71,,0.92,11.59,11.59,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00