$176.94
This code is for open repair of a tarsometatarsal dislocation; 28600 describes closed treatment without anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
28615 Foot dislocation repair Medicare reimbursement rates in Tennessee
Open repair of a tarsometatarsal, or Lisfranc, joint dislocation is reported when the surgeon exposes and reduces the displaced joint, with fixation as needed. Compare 28615 office and facility rates across CMS payment localities in Tennessee.
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 28615 in Tennessee?
Tennessee 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
No supported rate
Facility setting
$729.92
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 surgery
About 28615: Open tarsometatarsal dislocation repair
Open repair of a tarsometatarsal, or Lisfranc, joint dislocation is reported when the surgeon exposes and reduces the displaced joint, with fixation as needed.
This code covers operative repair of a dislocated tarsometatarsal joint, the joint complex commonly called the Lisfranc joint. An orthopedic or podiatric surgeon exposes the dislocation, restores joint alignment, and may stabilize it with internal fixation. The procedure is generally performed in a hospital or other surgical facility when the injury requires open rather than closed or percutaneous treatment.
Report the code when the operative approach is open; fixation performed as part of the dislocation repair is included. The operative report should identify the tarsometatarsal dislocation and document the open reduction and any stabilization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Bilateral adjustment does not apply. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28615
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.43 · 44%
- Practice expense (office) RVU11.48 · 48%
- Malpractice RVU1.84 · 8%
2.3K
Medicare services in 2024 · #2354 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.
28615 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$350.09
Use 28605 for closed treatment of the tarsometatarsal dislocation with anesthesia. Choose 28615 when the surgeon uses an open approach.
No office rate
28606 describes percutaneous skeletal fixation of a tarsometatarsal dislocation. This code applies when the repair is performed through an open approach.
$616.56
28645 concerns open repair of a toe dislocation. This code is for a dislocation at the tarsometatarsal joint.
Compare 28615 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$729.92
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 28615 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
3,236
- Code
- 28615
- Physician work
- 10.43
- Practice expense
- 11.48
- Malpractice
- 1.84
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.43 | × 1.000 | 10.4300 |
| Practice expense | 11.48 | × 0.909 | 10.4353 |
| Malpractice | 1.84 | × 0.537 | 0.9881 |
| Total RVUs | 21.8534 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$729.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.43 | 1 |
| Practice expense | 11.48 | 0.909 |
| Malpractice | 1.84 | 0.537 |
(10.43 × 1 + 11.48 × 0.909 + 1.84 × 0.537) × $33.4009 = $729.92
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.
28615 billing questions
When should this code be chosen instead of a closed-treatment code?
Use this code when the surgeon performs an open approach to reduce the tarsometatarsal dislocation. Closed treatment and percutaneous fixation are represented by different codes.
Is internal fixation separately reported with this repair?
Fixation performed as part of the open dislocation repair is included. The operative record should show whether and how the joint was stabilized.
Does modifier 50 apply when both feet are treated?
CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
3,23328600,,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
3,23928636,,Treat toe dislocation,A,,2.70,8.35,,3.24,,0.57,11.62,6.51,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780