$414.24–$449.81
Both involve manipulation of a tarsometatarsal dislocation. Choose 28576 when percutaneous skeletal fixation is performed; 28575 describes closed treatment without that fixation.
On this page
CMS RVU26D · Effective 2026-10-01
28576 Foot dislocation Medicare reimbursement rates in Oregon
Report this service for a tarsometatarsal joint dislocation reduced with manipulation and stabilized using percutaneous skeletal fixation. Compare 28576 office and facility rates across CMS payment localities in Oregon.
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 28576 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$376.11–$403.33
2 of 2 localities have a supported rate.
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 surgery
About 28576: Percutaneous fixation of tarsometatarsal dislocation
Report this service for a tarsometatarsal joint dislocation reduced with manipulation and stabilized using percutaneous skeletal fixation.
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.
CMS billing rules for 28576
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU4.49 · 39%
- Practice expense (office) RVU6.12 · 53%
- Malpractice RVU0.96 · 8%
25
Medicare services in 2024 · #5782 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.
28576 compared with similar codes
Office rates for Oregon, from the same CMS release.
$262.75–$286.87
28570 is closed treatment without manipulation. This code is for manipulation combined with percutaneous skeletal fixation.
$931.80–$1,001.31
Both treat a tarsometatarsal dislocation with operative stabilization. Choose 28585 for open treatment; choose 28576 for percutaneous skeletal fixation.
$628.67–$689.28
28546 concerns a talotarsal joint dislocation treated with percutaneous fixation. This code is for a tarsometatarsal joint dislocation.
Compare 28576 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.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$403.33
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$376.11
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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 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.
3,22828555,,Repair foot dislocation,A,,9.41,15.57,,7.42,,1.49,26.47,18.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22928570,,Treat foot dislocation,A,,1.72,5.91,,4.05,,0.37,8.00,6.14,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23028575,,Treat foot dislocation,A,,3.40,8.53,,6.11,,0.72,12.65,10.23,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,23128576,,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