$189.84
Choose 28600 for closed treatment without manipulation. 28605 applies when the clinician manipulates the tarsometatarsal joint to reduce the dislocation.
On this page
CMS RVU26D · Effective 2026-10-01
28605 Foot dislocation Medicare reimbursement rates in Minnesota
Report this service for closed reduction of a tarsometatarsal joint dislocation when the clinician manipulates the joint to restore alignment. Compare 28605 office and facility rates across CMS payment localities in Minnesota.
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 28605 in Minnesota?
Minnesota 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
$377.73
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$304.18
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Orthopedic procedure
About 28605: Closed tarsometatarsal dislocation reduction
Report this service for closed reduction of a tarsometatarsal joint dislocation when the clinician manipulates the joint to restore alignment.
This service is a closed reduction of a dislocated tarsometatarsal joint, including the Lisfranc joint complex, using manipulation to restore alignment without open surgical exposure. Orthopedic surgeons and podiatrists commonly perform it for traumatic midfoot dislocations in an emergency department, operating room, or other facility setting. The treatment may be followed by immobilization, such as a splint or cast, as clinically indicated.
Documentation should identify the affected joint, the dislocation, and the manipulation performed to reduce it; distinguish the service from reduction without manipulation or treatment involving 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 28605
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.82 · 25%
- Practice expense (office) RVU8.08 · 70%
- Malpractice RVU0.59 · 5%
67
Medicare services in 2024 · #5171 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.
28605 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
28606 includes percutaneous skeletal fixation with closed treatment. 28605 describes manipulation without that fixation.
No office rate
28615 is for open treatment of a tarsometatarsal dislocation. 28605 is the closed reduction option when manipulation restores alignment without open exposure.
Compare 28605 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
Minnesota →
Office / nonfacility
$377.73
Facility
$304.18
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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 28605 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
3,234
- Code
- 28605
- Physician work
- 2.82
- Practice expense
- 8.08
- Malpractice
- 0.59
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.82 | × 1.000 | 2.8200 |
| Practice expense | 8.08 | × 1.029 | 8.3143 |
| Malpractice | 0.59 | × 0.296 | 0.1746 |
| Total RVUs | 11.3090 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$377.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.82 | 1 |
| Practice expense | 8.08 | 1.029 |
| Malpractice | 0.59 | 0.296 |
(2.82 × 1 + 8.08 × 1.029 + 0.59 × 0.296) × $33.4009 = $377.73
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.82 | 1 |
| Practice expense | 5.94 | 1.029 |
| Malpractice | 0.59 | 0.296 |
(2.82 × 1 + 5.94 × 1.029 + 0.59 × 0.296) × $33.4009 = $304.18
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.
28605 billing questions
How does this differ from 28600?
28605 is for closed treatment of a tarsometatarsal dislocation with manipulation. Use 28600 when the closed treatment is performed without manipulation.
When is 28606 more appropriate?
28606 describes closed treatment with percutaneous skeletal fixation. Use 28605 when manipulation is performed without that percutaneous fixation.
Is modifier 50 appropriate for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy, so do not report modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.
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.
3,23128576,,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
3,23628615,,Repair foot dislocation,A,,10.43,11.48,NA,11.48,,1.84,23.75,23.75,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23728630,,Treat toe dislocation,A,,1.71,3.14,,1.32,,0.29,5.14,3.32,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002