$243.25
Choose 28450 for closed tarsal fracture treatment without manipulation; choose 28455 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
28450 Tarsal fracture care Medicare reimbursement rates in Kentucky
Report 28450 for closed treatment of an individual tarsal bone fracture, such as a navicular or cuboid fracture, when no manipulation is performed. Compare 28450 office and facility rates across CMS payment localities in Kentucky.
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 28450 in Kentucky?
Kentucky 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
$213.36
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$180.40
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Fracture care
About 28450: Closed tarsal fracture treatment without manipulation
Report 28450 for closed treatment of an individual tarsal bone fracture, such as a navicular or cuboid fracture, when no manipulation is performed.
An orthopedist or podiatrist reports this service for definitive closed care of a tarsal bone fracture other than a talus or calcaneus fracture, when the bone is treated without manipulating it to restore alignment. Examples include navicular, cuboid, and cuneiform fractures. Care may involve immobilization and a treatment plan with follow-up in an office, emergency department, or facility setting.
Select the code for each tarsal bone treated, and document the specific bone, fracture, and that treatment did not involve manipulation. This code has a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate; the code is reported by bone treated. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 28450
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.98 · 29%
- Practice expense (office) RVU4.67 · 67%
- Malpractice RVU0.28 · 4%
1.5K
Medicare services in 2024 · #2684 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.
28450 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
28456 describes percutaneous skeletal fixation with manipulation. 28450 is closed treatment without manipulation or percutaneous fixation.
No office rate
28465 is for open treatment of a tarsal bone fracture. 28450 is closed treatment without manipulation.
$244.69
28430 is for closed treatment without manipulation of a talus fracture. 28450 is for another tarsal bone, such as the navicular or cuboid.
Compare 28450 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
Kentucky →
Office / nonfacility
$213.36
Facility
$180.40
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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 28450 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
3,208
- Code
- 28450
- Physician work
- 1.98
- Practice expense
- 4.67
- Malpractice
- 0.28
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.98 | × 1.000 | 1.9800 |
| Practice expense | 4.67 | × 0.889 | 4.1516 |
| Malpractice | 0.28 | × 0.915 | 0.2562 |
| Total RVUs | 6.3878 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$213.36
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.98 | 1 |
| Practice expense | 4.67 | 0.889 |
| Malpractice | 0.28 | 0.915 |
(1.98 × 1 + 4.67 × 0.889 + 0.28 × 0.915) × $33.4009 = $213.36
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.98 | 1 |
| Practice expense | 3.56 | 0.889 |
| Malpractice | 0.28 | 0.915 |
(1.98 × 1 + 3.56 × 0.889 + 0.28 × 0.915) × $33.4009 = $180.40
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.
28450 billing questions
How is 28450 different from 28455?
Both address closed treatment of a tarsal bone fracture other than the talus or calcaneus. Use 28450 when no manipulation is performed; 28455 is for treatment with manipulation.
How many units should be reported?
The code is reported for each tarsal bone treated. Document the bone involved and the treatment provided for each fracture.
Can modifier 50 be used for fractures on both sides?
No. Modifier 50 is inappropriate for this code; its descriptor identifies treatment by each bone.
Is related fracture follow-up separately reported during the global period?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
What documentation supports reporting 28450?
Document the specific tarsal bone and fracture, the closed treatment plan, and that no manipulation was performed.
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.
3,20528436,,Prq skel fix talus fx w/mnpj,A,,4.78,9.07,NA,9.07,,1.03,14.88,14.88,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,20628445,,Optx talus fracture,A,,15.37,11.08,NA,11.08,,2.78,29.23,29.23,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,20728446,,Opn osteochondrl agrft talus,A,,17.27,12.76,NA,12.76,,3.67,33.70,33.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,20828450,,Tx tarsal b1 fx w/o mnpj ea,A,,1.98,4.67,,3.56,,0.28,6.93,5.82,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,20928455,,Tx tarsal b1 fx w/mnpj each,A,,3.16,4.37,,3.20,,0.26,7.79,6.62,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21028456,,Prq skel fix tarsl fx w/mnpj,A,,2.79,8.10,NA,8.10,,0.59,11.48,11.48,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,21128465,,Optx tarsal bone fx each,A,,8.58,8.61,NA,8.61,,1.36,18.55,18.55,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631