CPT code 28606: Foot dislocation2026 Medicare rate & RVUs in Georgia
Reports manipulation and percutaneous skeletal fixation of a dislocated tarsometatarsal joint, commonly used to stabilize a Lisfranc injury without open exposure.
CMS doesn’t publish an office rate for 28606 in Georgia.
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 28606 covers
This service treats a tarsometatarsal joint dislocation, often part of a Lisfranc injury, by manipulating the joint into alignment and stabilizing it with skeletal fixation placed percutaneously. An orthopedic foot-and-ankle surgeon or podiatrist typically performs the procedure in an operative setting. The fixation is placed through the skin rather than through an open surgical exposure; simple closed reduction without fixation is not this service.
Report the code when the record supports both manipulation and percutaneous skeletal fixation of the dislocated joint. Document the affected joint, reduction, and fixation method. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; 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 28606 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $396.84 |
| Rest Of Georgia | Unavailable | $372.42 |
How the 28606 rate is calculated
Each of 28606’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 · 28606
RVUs × geographic indexes × conversion factor
Work4.96
4.96 RVUs× 1.000 GPCI
Practice expense5.71
5.71 RVUs× 1.000 GPCI
Malpractice0.92
0.92 RVUs× 1.000 GPCI
Adjusted RVUs
11.5900
Conversion factor
$33.4009
Medicare rate
$387.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28606
28606 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28606
Foot 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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 · 28606
Foot 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 51 · payment effect
With and without the modifier
28606 without 51 · national facility
$387.12
Foot dislocation
28606-51 · Second procedure: 50%
$193.56
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%).
28606 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28600Foot reduction
- Use 28600 for closed treatment without manipulation. This code requires manipulation and percutaneous skeletal fixation.
- 28605Foot dislocation
- Use 28605 for closed treatment with manipulation but without skeletal fixation. This code includes percutaneous fixation.
- 28615Foot dislocation repair
- Use 28615 when the tarsometatarsal dislocation is treated through open exposure; this code describes percutaneous fixation.
28606 billing questions
How does this differ from 28605?
28606 includes percutaneous skeletal fixation after manipulation. Use 28605 for closed treatment with manipulation when skeletal fixation is not performed.
When would 28615 be reported instead?
28615 describes open treatment of the tarsometatarsal dislocation. This code is for manipulation and fixation placed percutaneously, without open exposure.
What documentation supports reporting 28606?
Document the tarsometatarsal dislocation, manipulation to reduce it, and the percutaneous skeletal fixation used to stabilize the joint.
Can modifier 50 be used for bilateral treatment?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is statutorily restricted, and 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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