Billing code 28675: Toe dislocation repairMedicare rate & RVUs in Maine
Reports open surgical reduction of a dislocated toe interphalangeal joint when exposure is needed to restore alignment, with stabilization when performed.
Medicare pays $548.50–$575.80 for 28675 in the office in Maine, from Rest Of Maine to Southern Maine. 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 28675 covers
This code describes operative exposure and reduction of a dislocated joint between toe phalanges. An orthopedic surgeon or podiatric surgeon may perform the procedure when the joint cannot be adequately reduced or kept aligned with closed treatment, such as when soft tissue blocks reduction or the joint remains unstable. It is generally performed in a surgical setting, and fixation may be used when needed to maintain the reduction.
Select the code based on the joint involved and the operative method: this code is for open treatment of an interphalangeal joint, not an open metatarsophalangeal joint procedure or a closed or percutaneous treatment. The operative report should identify the affected toe and joint, describe the open approach and reduction, and document any stabilization. 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 is restricted, and 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 28675 pays more and less in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Maine | $548.50 | $370.28 |
| Southern Maine | $575.80 | $383.81 |
How the 28675 rate is calculated
Each of 28675’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 · 28675
RVUs × geographic indexes × conversion factor
Work5.48
5.48 RVUs× 1.000 GPCI
Practice expense11.42
11.42 RVUs× 1.000 GPCI
Malpractice0.70
0.70 RVUs× 1.000 GPCI
Adjusted RVUs
17.6000
Conversion factor
$33.4009
Medicare rate
$587.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28675
28675 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28675
Toe dislocation repair
| 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 · 28675
Toe dislocation repair
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
28675 without 51 · national office
$587.86
Toe dislocation repair
28675-51 · Second procedure: 50%
$293.93
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%).
28675 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 28645Toe dislocation repair
- Both describe open treatment of a toe dislocation, but 28645 is for the metatarsophalangeal joint; this code is for an interphalangeal joint.
- 28660Toe dislocation
- 28660 describes closed treatment of an interphalangeal toe dislocation without anesthesia. Use this code when the joint is treated through an open approach.
- 28665Toe dislocation
- 28665 is closed treatment of an interphalangeal toe dislocation with anesthesia, rather than open operative treatment.
- 28666Toe reduction
- 28666 describes percutaneous skeletal fixation of an interphalangeal toe dislocation. This code applies to open treatment.
28675 billing questions
When should this code be selected instead of 28645?
Use this code for open treatment of a dislocation between toe phalanges. Code 28645 is for open treatment of a metatarsophalangeal joint dislocation.
How does this differ from 28660, 28665, or 28666?
Those codes describe closed or percutaneous treatment of an interphalangeal toe joint dislocation. This code is for open treatment.
Does the 90-day global include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for dislocations on both feet?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant surgeon or co-surgeon be reported?
Medicare payment for an assistant at surgery is restricted for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting this code?
Document the affected toe and interphalangeal joint, the open operative approach, the reduction performed, and any stabilization used.
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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