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CPT code 28008: Fascia release, foot fascia incision2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports surgical incision and release of foot fascia, commonly a plantar fasciotomy for persistent plantar fascial symptoms when the fascia is released rather than excised.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $451.51 for 28008 in the office and $285.55 when it’s performed in a hospital or facility.

$451.51Office (non-facility)
$285.55Hospital or facility
+6.9%vs the national office rate ($422.19)

Check a contract rate as a % of Medicare · 28008 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 28008 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 28008 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 28008 covers

This service involves surgically incising foot fascia to release tension; a familiar example is plantar fasciotomy for persistent plantar fasciitis. An orthopedic foot and ankle surgeon or podiatric surgeon typically performs it in an operating room or ambulatory surgery setting. The operative technique is a release, not removal of a portion or all of the plantar fascia.

Select the code when the operative report supports an incision or release of fascia and identifies the treated site and side. Document the indication and the actual procedure performed; distinguish release from partial or more extensive fascial excision. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing 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.

How Hawaii, Guam, HI compares for 28008

Across 109 of 109 payment localities, the office rate for 28008 runs from $378.82 in Arkansas to $546.10 in San Benito County, CA. Hawaii, Guam, HI pays $451.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

28008 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$451.51
  2. Los Angeles, CA · California$470.75+$19.24
  3. Washington, DC area · District of Columbia$477.85+$26.34
  4. Miami, FL · Florida$454.73+$3.22
  5. Chicago, IL · Illinois$443.13−$8.38
  6. Manhattan, NY · New York$482.01+$30.50
  7. Alaska · Alaska$507.34+$55.83

Other areas in Hawaii first, then benchmark localities. Bars start at $0.

Every other payment area

28008 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$383.68$255.96
ArkansasArkansas$378.82$253.44
ArizonaArizona$412.12$270.68
Bakersfield, CACalifornia$444.20$284.23
Chico, CACalifornia$442.85$282.88
El Centro, CACalifornia$442.92$282.95
Fresno, CACalifornia$442.85$282.88
Hanford, CACalifornia$442.85$282.88

28008 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$378.82

$507.34

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28008 office rate range by state
State / territoryOffice rate rangeLocalities
AK$507.341
AL$383.681
AR$378.821
AZ$412.121
CA$442.85–$546.1029
CO$437.361
CT$448.081
DC$477.851
DE$418.391
FL$418.05–$454.733
GA$397.06–$429.652
GU$451.511
HI$451.511
IA$391.581
ID$393.961
IL$407.81–$443.134
IN$395.961
KS$390.281
KY$392.311
LA$391.89–$408.912
MA$435.35–$476.832
MD$425.60–$477.853
ME$396.10–$414.562
MI$401.58–$423.002
MN$419.561
MO$386.18–$409.823
MS$382.551
MT$422.161
NC$399.701
ND$413.661
NE$393.371
NH$430.981
NJ$453.32–$473.902
NM$403.641
NV$420.051
NY$405.01–$492.875
OH$399.841
OK$391.361
OR$416.89–$449.562
PA$400.23–$438.242
PR$424.811
RI$432.001
SC$400.411
SD$412.651
TN$392.041
TX$397.93–$435.828
UT$405.231
VA$413.58–$477.852
VI$424.811
VT$412.511
WA$434.38–$485.652
WI$401.401
WV$394.551
WY$418.451

See 28008 in every payment locality

How the 28008 rate is calculated

Each of 28008’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 · 28008

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.48

4.48 RVUs× 1.000 GPCI

Practice expense7.73

7.73 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

12.6400

Conversion factor

$33.4009

Medicare rate

$422.19

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,091

Code
28008
Physician work
4.48
Practice expense
7.73
Malpractice
0.43

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 28008 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work4.48× 1.0004.4800
Practice expense7.73× 1.1378.7890
Malpractice0.43× 0.5790.2490
Total RVUs13.5180
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$451.51

Office: (4.48 × 1 + 7.73 × 1.137 + 0.43 × 0.579) × $33.4009 = $451.51

Facility: (4.48 × 1 + 3.36 × 1.137 + 0.43 × 0.579) × $33.4009 = $285.55

Open 28008 in the RVU calculator

Payment rules and modifiers for 28008

28008 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28008

Fascia release, foot fascia incision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28008

Fascia release, foot fascia incision

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28008 without 50 · national office

$422.19

Fascia release, foot fascia incision

28008-50 · Bilateral: 150%

$633.29

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).

When to use modifier 50

Codes related to 28008

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 28008
CodeHow it relatesOffice range, Hawaii, Guam, HI
Used instead
28060Plantar fascia surgery, partial excisionPartial plantar fasciectomy removes fascia rather than releasing it through an incision.$561.51
28062Plantar fasciectomy, radical excisionMore extensive plantar fascia removal, rather than an incision-and-release procedure.$625.50
28250Foot fascia surgery, fascial revisionPlantar fascia and muscle division associated with procedures such as Steindler stripping.$638.79

How 28008 has changed in Hawaii, Guam, HI

28008 · Office / nonfacility

$451.51

Effective 2026-10-01

The base rate is $5.89 higher than on 2025-10-01, moving from $445.62 to $451.51 (1.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $445.62changed to$451.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.59 changed to 4.48
    • Practice expense RVU 7.79 changed to 7.73
    • Malpractice RVU 0.42 changed to 0.43
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $459.92changed to$445.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.83 changed to 7.79
    • Malpractice RVU 0.41 changed to 0.42

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $452.42changed to$459.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $465.56changed to$452.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.75 changed to 7.83
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $473.39changed to$465.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.67 changed to 7.75
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $484.17changed to$473.39

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.83 changed to 7.67
    • Malpractice RVU 0.43 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $485.64changed to$484.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.49 changed to 7.83
    • Malpractice RVU 0.42 changed to 0.43
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $485.21changed to$485.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.53 changed to 7.49
    • Malpractice RVU 0.39 changed to 0.42
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $484.04changed to$485.21

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.52 changed to 7.53
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $484.71changed to$484.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.51 changed to 7.52
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $484.03changed to$484.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.47 changed to 7.51
    • Malpractice RVU 0.38 changed to 0.39
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $487.28changed to$484.03

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.49 changed to 7.47
    • Malpractice RVU 0.41 changed to 0.38

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $484.85changed to$487.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $480.11changed to$484.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.38 changed to 7.49
    • Malpractice RVU 0.39 changed to 0.41
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $482.39changed to$480.11

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.06 changed to 7.38
    • Malpractice RVU 0.41 changed to 0.39
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$482.39

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$451.51$285.55RVU26D
2026-07-01$451.51$285.55RVU26C
2026-04-01$451.51$285.55RVU26B
2026-01-01$451.51$285.55RVU26A
2025-10-01$445.62$304.38RVU25D
2025-07-01$445.62$304.38RVU25C
2025-04-01$445.62$304.38RVU25B
2025-01-01$445.62$304.38RVU25A
2024-10-01$459.92$309.99RVU24D
2024-07-01$459.92$309.99RVU24C
2024-04-01$459.92$309.99RVU24B
2024-03-09$459.92$309.99RVU24AR
2024-01-01$452.42$304.93RVU24A
2023-10-01$465.56$311.39RVU23D
2023-07-01$465.56$311.39RVU23C
2023-04-01$465.56$311.39RVU23B
2023-01-01$465.56$311.39RVU23A
2022-10-01$473.39$314.38RVU22D
2022-07-01$473.39$314.38RVU22C
2022-04-01$473.39$314.38RVU22B
2022-01-01$473.39$314.38RVU22A
2021-10-01$484.17$315.87RVU21D
2021-07-01$484.17$315.87RVU21C
2021-04-01$484.17$315.87RVU21B
2021-01-01$484.17$315.87RVU21A
2020-10-01$485.64$320.08RVU20D
2020-07-01$485.64$320.08RVU20C
2020-04-01$485.64$320.08RVU20B
2020-01-01$485.64$320.08RVU20A
2019-10-01$485.21$317.94RVU19D
2019-07-01$485.21$317.94RVU19C
2019-04-01$485.21$317.94RVU19B
2019-01-01$485.21$317.94RVU19A
2018-10-01$484.04$316.96RVU18D
2018-07-01$484.04$316.96RVU18C
2018-04-01$484.04$316.96RVU18B
2018-01-01$484.04$316.96RVU18AR1
2017-10-01$484.71$317.39RVU17D
2017-07-01$484.71$317.39RVU17C
2017-04-01$484.71$317.39RVU17B
2017-01-01$484.71$317.39RVU17A
2016-10-01$484.03$316.78RVU16D
2016-07-01$484.03$316.78RVU16C
2016-04-01$484.03$316.78RVU16B
2016-01-01$484.03$316.78RVU16A
2015-10-01$487.28$318.59RVU15D
2015-07-01$487.28$318.59RVU15C
2015-04-01$484.85$317.00RVU15B
2015-01-01$484.85$317.00RVU15A
2014-10-01$480.11$315.83RVU14D
2014-07-01$480.11$315.83RVU14C
2014-04-01$480.11$315.83RVU14B
2014-01-01$480.11$315.83RVU14A
2013-10-01$482.39$311.20RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28008 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

28008 billing questions

How is this code different from 28060?

This code represents incision and release of foot fascia. 28060 represents partial removal of plantar fascia, so the operative technique—not just the diagnosis—determines the choice.

What documentation supports reporting the release?

The operative report should identify the fascia and side treated and describe the incision or release performed. It should make clear that fascia was released rather than excised.

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.

How should bilateral procedures and other same-session procedures be handled?

CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing 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 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
RVUs for 28008PPRRVU2026_Oct_nonQPP.csv, line 3,091 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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