Billing code 28576: Foot dislocationMedicare rate & RVUs in Ohio
Report this service for a tarsometatarsal joint dislocation reduced with manipulation and stabilized using percutaneous skeletal fixation.
CMS doesn’t publish an office rate for 28576 in Ohio.
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 28576 covers
This procedure treats a dislocated tarsometatarsal joint, including Lisfranc joint injuries, by manipulating the joint into position and stabilizing it with skeletal fixation placed through the skin. An orthopedic surgeon or podiatric surgeon typically performs the procedure in an operating room when the injury requires fixation but is treated percutaneously rather than through open exposure.
Select this code when the documented injury is a tarsometatarsal dislocation and the surgeon performs both manipulation and percutaneous skeletal fixation. The operative report should identify the affected joint, describe the reduction and fixation, and support the dislocation diagnosis. The code has a 90-day global period, including 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 are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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.
28576 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $368.92 |
How the 28576 rate is calculated
Each of 28576’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 · 28576
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.49Practice expense 6.12Malpractice 0.96
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28576
28576 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28576
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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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 · 28576
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 50 · payment effect
With and without the modifier
28576 without 50 · national facility
$386.45
Foot dislocation
28576-50 · Bilateral: 150%
$579.68
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28576 compared with similar codes
Compare codes
28576 vs 28575 vs 28570 vs 28585 vs 28546: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28575Toe dislocation
- Both involve manipulation of a tarsometatarsal dislocation. Choose 28576 when percutaneous skeletal fixation is performed; 28575 describes closed treatment without that fixation.
- 28570Foot dislocation
- 28570 is closed treatment without manipulation. This code is for manipulation combined with percutaneous skeletal fixation.
- 28585Foot dislocation repair
- Both treat a tarsometatarsal dislocation with operative stabilization. Choose 28585 for open treatment; choose 28576 for percutaneous skeletal fixation.
- 28546Tarsal dislocation
- 28546 concerns a talotarsal joint dislocation treated with percutaneous fixation. This code is for a tarsometatarsal joint dislocation.
28576 billing questions
How is this different from 28575?
Use 28575 for closed treatment of a tarsometatarsal dislocation with manipulation. This code requires percutaneous skeletal fixation as well as manipulation.
When is 28570 a better fit?
28570 describes closed treatment of a tarsometatarsal dislocation without manipulation. This code describes manipulation with percutaneous skeletal fixation.
Does this code include the reduction and fixation?
Yes. The service includes manipulation of the dislocated joint and its percutaneous skeletal fixation; document both in the operative report.
What global period applies?
The code has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
How is bilateral treatment reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS facts for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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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