$197.51
Use 28555 for open talotarsal dislocation repair. Use 28540 for closed treatment of that joint dislocation without anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
28555 Foot dislocation repair Medicare reimbursement rates in Wyoming
Report open surgical repair of a talotarsal joint dislocation, including internal fixation when performed, rather than closed treatment of the dislocation. Compare 28555 office and facility rates across CMS payment localities in Wyoming.
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 28555 in Wyoming?
Wyoming 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
$871.18
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$598.96
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 28555: Open talotarsal dislocation repair
Report open surgical repair of a talotarsal joint dislocation, including internal fixation when performed, rather than closed treatment of the dislocation.
This code describes open surgery to reduce a dislocation at the talotarsal joint. The surgeon exposes the joint to restore alignment and may use internal fixation to maintain the reduction. Orthopedic foot and ankle surgeons typically perform the procedure in a hospital or ambulatory surgery center when the injury requires operative treatment.
Select the code based on the documented joint and open approach, not merely the presence of fixation. The operative report should identify the talotarsal dislocation, describe the open reduction, and document any fixation. 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% reduction. Modifier 50 receives bilateral payment at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 28555
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.41 · 36%
- Practice expense (office) RVU15.57 · 59%
- Malpractice RVU1.49 · 6%
435
Medicare services in 2024 · #3667 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.
28555 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$935.81
Both describe open treatment in the foot dislocation family, but 28585 applies to a different tarsal dislocation category. Base selection on the documented anatomy.
$342.77
Code 28545 addresses closed treatment of a tarsometatarsal dislocation without anesthesia, not open treatment of a talotarsal dislocation.
Compare 28555 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
Wyoming** →
Office / nonfacility
$871.18
Facility
$598.96
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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 28555 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,228
- Code
- 28555
- Physician work
- 9.41
- Practice expense
- 15.57
- Malpractice
- 1.49
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.41 | × 1.000 | 9.4100 |
| Practice expense | 15.57 | × 1.000 | 15.5700 |
| Malpractice | 1.49 | × 0.740 | 1.1026 |
| Total RVUs | 26.0826 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$871.18
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.41 | 1 |
| Practice expense | 15.57 | 1 |
| Malpractice | 1.49 | 0.74 |
(9.41 × 1 + 15.57 × 1 + 1.49 × 0.74) × $33.4009 = $871.18
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.41 | 1 |
| Practice expense | 7.42 | 1 |
| Malpractice | 1.49 | 0.74 |
(9.41 × 1 + 7.42 × 1 + 1.49 × 0.74) × $33.4009 = $598.96
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.
28555 billing questions
How is this code different from 28540?
Code 28555 describes open treatment of a talotarsal joint dislocation. Code 28540 is for closed treatment of a talotarsal dislocation without anesthesia.
Is internal fixation separately reported?
Internal fixation used to treat the dislocation is included in this open-treatment service. Document the reduction and any fixation in the operative report.
What documentation supports reporting this code?
Document the talotarsal joint involved, the dislocation, the open surgical approach, and the reduction performed. Include fixation details when fixation is used.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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.
3,22528540,,Treat foot dislocation,A,,2.14,3.64,,2.80,,0.18,5.96,5.12,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,22628545,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,