Billing code 28570: Foot dislocationMedicare rate & RVUs in Texas
Reports closed care of a dislocated tarsal bone when the provider treats the injury without manipulating the bone.
Medicare pays $248.56–$277.36 for 28570 in the office in Texas, from Beaumont to Austin. 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 28570 covers
This code describes closed management of a dislocated tarsal bone when the provider does not manipulate the bone. An orthopedic surgeon or podiatrist may provide this care in a hospital or other setting, with immobilization and related management as clinically appropriate. The injured bone and the dislocation should be identified in the record; a dislocation of the tarsometatarsal joint belongs to a different code group.
Choose this service based on the treatment performed, not solely on the diagnosis: documentation should support closed care without manipulation. The 90-day global period includes 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% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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.
Where 28570 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$248.56 to $277.36
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $277.36 | $211.63 |
| Beaumont | $248.56 | $192.03 |
| Brazoria | $263.17 | $201.60 |
| Dallas | $265.18 | $203.30 |
| Fort Worth | $263.37 | $202.11 |
| Galveston | $264.16 | $202.47 |
| Houston | $270.93 | $209.24 |
| Rest Of Texas | $255.94 | $196.98 |
How the 28570 rate is calculated
Each of 28570’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 · 28570
RVUs × geographic indexes × conversion factor
Work1.72
1.72 RVUs× 1.000 GPCI
Practice expense5.91
5.91 RVUs× 1.000 GPCI
Malpractice0.37
0.37 RVUs× 1.000 GPCI
Adjusted RVUs
8.0000
Conversion factor
$33.4009
Medicare rate
$267.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28570
28570 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28570
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 · 28570
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
28570 without 50 · national office
$267.21
Foot dislocation
28570-50 · Bilateral: 150%
$400.82
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).
28570 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 28575Toe dislocation
- Use 28575 when the provider manipulates the dislocated tarsal bone during closed treatment; 28570 is for treatment without manipulation.
- 28576Foot dislocation
- Use 28576 for closed manipulation requiring anesthesia. Code 28570 describes closed treatment without manipulation.
- 28585Foot dislocation repair
- Code 28585 describes open treatment of a tarsal bone dislocation; 28570 is closed treatment without manipulation.
- 28540Tarsal dislocation
- Code 28540 is for closed treatment of a tarsometatarsal joint dislocation without manipulation. Code 28570 concerns a tarsal bone dislocation.
28570 billing questions
How does this differ from 28575?
Use 28570 when the tarsal bone is treated closed without manipulation. Code 28575 describes closed treatment with manipulation.
When is 28576 a better fit?
Choose 28576 when closed treatment includes manipulation requiring anesthesia. The treatment performed, rather than the diagnosis alone, distinguishes it from 28570.
Is routine follow-up reported separately?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How is bilateral treatment handled?
For bilateral treatment, report modifier 50; CMS pays the procedure at 150% under the stated bilateral rule.
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 for this code.
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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