$180.32–$197.54
Use 28600 for closed treatment without manipulation. This code requires manipulation and percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
28606 Foot dislocation Medicare reimbursement rates in Pennsylvania
Reports manipulation and percutaneous skeletal fixation of a dislocated tarsometatarsal joint, commonly used to stabilize a Lisfranc injury without open exposure. Compare 28606 office and facility rates across CMS payment localities in Pennsylvania.
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 28606 in Pennsylvania?
Pennsylvania 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
$369.79–$403.85
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 28606: Percutaneous fixation of tarsometatarsal dislocation
Reports manipulation and percutaneous skeletal fixation of a dislocated tarsometatarsal joint, commonly used to stabilize a Lisfranc injury without open exposure.
This service treats a tarsometatarsal joint dislocation, often part of a Lisfranc injury, by manipulating the joint into alignment and stabilizing it with skeletal fixation placed percutaneously. An orthopedic foot-and-ankle surgeon or podiatrist typically performs the procedure in an operative setting. The fixation is placed through the skin rather than through an open surgical exposure; simple closed reduction without fixation is not this service.
Report the code when the record supports both manipulation and percutaneous skeletal fixation of the dislocated joint. Document the affected joint, reduction, and fixation method. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 28606
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.96 · 43%
- Practice expense (office) RVU5.71 · 49%
- Malpractice RVU0.92 · 8%
193
Medicare services in 2024 · #4353 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.
28606 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$360.56–$400.34
Use 28605 for closed treatment with manipulation but without skeletal fixation. This code includes percutaneous fixation.
No office rate
Use 28615 when the tarsometatarsal dislocation is treated through open exposure; this code describes percutaneous fixation.
Compare 28606 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$403.85
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$369.79
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28606 billing questions
How does this differ from 28605?
28606 includes percutaneous skeletal fixation after manipulation. Use 28605 for closed treatment with manipulation when skeletal fixation is not performed.
When would 28615 be reported instead?
28615 describes open treatment of the tarsometatarsal dislocation. This code is for manipulation and fixation placed percutaneously, without open exposure.
What documentation supports reporting 28606?
Document the tarsometatarsal dislocation, manipulation to reduce it, and the percutaneous skeletal fixation used to stabilize the joint.
Can modifier 50 be used for bilateral treatment?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is statutorily restricted, and 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.
3,23228585,,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
3,23828635,,Treat toe dislocation,A,,1.91,3.10,,1.55,,0.22,5.23,3.68,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00