$407.79
Use 28575 when the provider manipulates the dislocated tarsal bone during closed treatment; 28570 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
28570 Foot dislocation Medicare reimbursement rates in Vermont
Reports closed care of a dislocated tarsal bone when the provider treats the injury without manipulating the bone. Compare 28570 office and facility rates across CMS payment localities in Vermont.
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 28570 in Vermont?
Vermont 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
$259.13
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$197.62
1 of 1 localities have a supported rate.
Payment area: Vermont
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 28570: Closed tarsal dislocation care
Reports closed care of a dislocated tarsal bone when the provider treats the injury without manipulating the bone.
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.
CMS billing rules for 28570
- 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 RVU1.72 · 22%
- Practice expense (office) RVU5.91 · 74%
- Malpractice RVU0.37 · 5%
12
Medicare services in 2024 · #6143 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.
28570 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 28576 for closed manipulation requiring anesthesia. Code 28570 describes closed treatment without manipulation.
$918.64
Code 28585 describes open treatment of a tarsal bone dislocation; 28570 is closed treatment without manipulation.
$194.88
Code 28540 is for closed treatment of a tarsometatarsal joint dislocation without manipulation. Code 28570 concerns a tarsal bone dislocation.
Compare 28570 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
Vermont →
Office / nonfacility
$259.13
Facility
$197.62
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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 28570 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,229
- Code
- 28570
- Physician work
- 1.72
- Practice expense
- 5.91
- Malpractice
- 0.37
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.72 | × 1.000 | 1.7200 |
| Practice expense | 5.91 | × 0.990 | 5.8509 |
| Malpractice | 0.37 | × 0.506 | 0.1872 |
| Total RVUs | 7.7581 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$259.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.72 | 1 |
| Practice expense | 5.91 | 0.99 |
| Malpractice | 0.37 | 0.506 |
(1.72 × 1 + 5.91 × 0.99 + 0.37 × 0.506) × $33.4009 = $259.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.72 | 1 |
| Practice expense | 4.05 | 0.99 |
| Malpractice | 0.37 | 0.506 |
(1.72 × 1 + 4.05 × 0.99 + 0.37 × 0.506) × $33.4009 = $197.62
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.
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 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.
3,22628545,,Treat foot dislocation,A,,2.54,7.33,,5.23,,0.53,10.40,8.30,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22728546,,Treat foot dislocation,A,,3.32,15.07,,6.69,,0.70,19.09,10.71,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22828555,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817