Billing code 28605: Foot dislocationMedicare rate & RVUs in Ohio
Report this service for closed reduction of a tarsometatarsal joint dislocation when the clinician manipulates the joint to restore alignment.
Medicare pays $360.45 for 28605 in the office in Ohio (Ohio). 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 28605 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $360.45 | $295.20 |
How the 28605 rate is calculated
Each of 28605’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 · 28605
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.82Practice expense 8.08Malpractice 0.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28605
28605 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28605
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) | 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 · 28605
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
28605 without 51 · national office
$383.78
Foot dislocation
28605-51 · Second procedure: 50%
$191.89
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%).
28605 compared with similar codes
Compare codes
28605 vs 28600 vs 28606 vs 28615: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28600Foot reduction
- Choose 28600 for closed treatment without manipulation. 28605 applies when the clinician manipulates the tarsometatarsal joint to reduce the dislocation.
- 28606Foot dislocation
- 28606 includes percutaneous skeletal fixation with closed treatment. 28605 describes manipulation without that fixation.
- 28615Foot dislocation repair
- 28615 is for open treatment of a tarsometatarsal dislocation. 28605 is the closed reduction option when manipulation restores alignment without open exposure.
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 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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