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CPT code 28010: Toe tendon release, single tendon, percutaneous2026 Medicare rate & RVUs in Colorado

Reports percutaneous release of one toe tendon to relieve a tendon-driven deformity, such as a flexible hammertoe or claw toe.

CMS RVU26DEffective Oct 1, 2026One payment locality20.6K Medicare services in 2024

In Colorado, Medicare pays $243.05 for 28010 in the office and $203.25 when it’s performed in a hospital or facility.

$243.05Office (non-facility)
$203.25Hospital or facility
+3.2%vs the national office rate ($235.48)

Check a contract rate as a % of Medicare · 28010 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 28010 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 28010 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 28010 covers

A surgeon, commonly a podiatrist or orthopedic foot and ankle specialist, releases one tendon in a toe through a percutaneous approach. The procedure may be used for a flexible hammertoe or claw toe when tendon contracture contributes to the deformity. It is performed in office-based surgical settings and in facility operating rooms. This code identifies a single tendon in a toe, rather than a tendon in the foot or multiple toe tendons.

Report the service when documentation supports a percutaneous release of one toe tendon, including the treated toe, tendon, approach, and clinical indication. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; 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.

How Colorado compares for 28010

Across 109 of 109 payment localities, the office rate for 28010 runs from $212.94 in Arkansas to $299.53 in San Benito County, CA. Colorado pays $243.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

28010 in Colorado vs other payment areas
  1. Colorado · this page$243.05
  2. Los Angeles, CA · California$260.31+$17.26
  3. Washington, DC area · District of Columbia$264.82+$21.77
  4. Miami, FL · Florida$254.08+$11.03
  5. Chicago, IL · Illinois$248.05+$5.00
  6. Manhattan, NY · New York$267.81+$24.76
  7. Alaska · Alaska$288.45+$45.40

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

Every other payment area

28010 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$215.47$182.73
ArkansasArkansas$212.94$180.81
ArizonaArizona$230.20$193.95
Bakersfield, CACalifornia$246.39$205.39
Chico, CACalifornia$245.57$204.57
El Centro, CACalifornia$245.61$204.61
Fresno, CACalifornia$245.57$204.57
Hanford, CACalifornia$245.57$204.57

28010 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.

$212.94

$288.45

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

View every state and territory as a table
28010 office rate range by state
State / territoryOffice rate rangeLocalities
AK$288.451
AL$215.471
AR$212.941
AZ$230.201
CA$245.57–$299.5329
CO$243.051
CT$249.241
DC$264.821
DE$233.521
FL$234.13–$254.083
GA$223.11–$239.592
GU$249.621
HI$249.621
IA$219.201
ID$220.511
IL$229.06–$248.054
IN$221.531
KS$218.701
KY$220.321
LA$220.17–$228.992
MA$242.15–$263.702
MD$237.29–$264.823
ME$221.80–$231.102
MI$225.29–$236.892
MN$233.131
MO$217.32–$229.263
MS$215.151
MT$235.461
NC$223.641
ND$230.321
NE$220.071
NH$239.721
NJ$252.15–$262.962
NM$226.441
NV$234.161
NY$226.40–$273.675
OH$224.241
OK$219.641
OR$232.38–$249.232
PA$224.34–$244.222
PR$236.781
RI$240.671
SC$224.301
SD$229.711
TN$219.631
TX$223.17–$242.228
UT$226.791
VA$230.71–$264.822
VI$236.781
VT$229.891
WA$241.55–$268.222
WI$224.011
WV$222.201
WY$233.221

See 28010 in every payment locality

How the 28010 rate is calculated

Each of 28010’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 · 28010

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.90

2.90 RVUs× 1.000 GPCI

Practice expense3.89

3.89 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

7.0500

Conversion factor

$33.4009

Medicare rate

$235.48

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,092

Code
28010
Physician work
2.90
Practice expense
3.89
Malpractice
0.26

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office calculation for 28010 in Colorado
ComponentRVULocality factorAdjusted
Physician work2.90× 1.0122.9348
Practice expense3.89× 1.0644.1390
Malpractice0.26× 0.7810.2031
Total RVUs7.2768
Conversion factor× 33.4009

Office rate, Colorado$243.05

Office: (2.9 × 1.012 + 3.89 × 1.064 + 0.26 × 0.781) × $33.4009 = $243.05

Facility: (2.9 × 1.012 + 2.77 × 1.064 + 0.26 × 0.781) × $33.4009 = $203.25

Open 28010 in the RVU calculator

Payment rules and modifiers for 28010

28010 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28010

Toe tendon release, single tendon, percutaneous

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)0The 150% bilateral adjustment doesn’t apply.
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 · 28010

Toe tendon release, single tendon, percutaneous

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 51 · payment effect

With and without the modifier

28010 without 51 · national office

$235.48

Toe tendon release, single tendon, percutaneous

28010-51 · Second procedure: 50%

$117.74

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 28010

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

Codes related to 28010
CodeHow it relatesOffice range, Colorado
Same family
28011Toe tendon release, multiple tendonsPercutaneous toe tendon release when multiple tendons are treated.$330.05
28008Fascia release, foot fascia incisionPercutaneous single-tendon release for a tendon in the foot rather than a toe.$437.36
Used instead
28232Toe tendon incision, single flexor tendonOpen release of a toe flexor tendon; distinguish by operative approach.$388.88
28285Hammertoe repair, lesser-toe deformity correctionHammertoe correction when the procedure involves broader surgical correction rather than isolated percutaneous tendon release.$568.16

How 28010 has changed in Colorado

28010 · Office / nonfacility

$243.05

Effective 2026-10-01

The base rate is $6.01 higher than on 2025-10-01, moving from $237.04 to $243.05 (2.5%).

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

    $237.04changed to$243.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.97 changed to 2.90
    • Practice expense RVU 3.92 changed to 3.89
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.008 changed to 1.012
    • Practice expense GPCI 1.053 changed to 1.064
    • Malpractice GPCI 0.827 changed to 0.781

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $242.19changed to$237.04

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.87 changed to 3.92

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $238.23changed to$242.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $240.98changed to$238.23

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.74 changed to 3.87
    • Work GPCI 1.005 changed to 1.008
    • Practice expense GPCI 1.050 changed to 1.053
    • Malpractice GPCI 0.797 changed to 0.827

  5. January 1, 2023

    RVU23A

    $241.04changed to$240.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.63 changed to 3.74
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.047 changed to 1.050
    • Malpractice GPCI 0.767 changed to 0.797

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $241.22changed to$241.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.58 changed to 3.63

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $244.62changed to$241.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.45 changed to 3.58
    • Malpractice RVU 0.27 changed to 0.25
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.033 changed to 1.047
    • Malpractice GPCI 0.905 changed to 0.767

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $243.72changed to$244.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.48 changed to 3.45
    • Malpractice RVU 0.24 changed to 0.27
    • Practice expense GPCI 1.018 changed to 1.033
    • Malpractice GPCI 1.042 changed to 0.905

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $242.36changed to$243.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.45 changed to 3.48

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $241.44changed to$242.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.015 changed to 1.018
    • Malpractice GPCI 1.066 changed to 1.042

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $240.59changed to$241.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.011 changed to 1.015
    • Malpractice GPCI 1.090 changed to 1.066

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $241.88changed to$240.59

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.44 changed to 3.45
    • Malpractice RVU 0.26 changed to 0.24

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $240.67changed to$241.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $239.39changed to$240.67

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.43 changed to 3.44
    • Practice expense GPCI 1.008 changed to 1.011
    • Malpractice GPCI 0.981 changed to 1.090

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $236.81changed to$239.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.74 changed to 3.43
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 1.004 changed to 1.008
    • Malpractice GPCI 0.872 changed to 0.981

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $236.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$243.05$203.25RVU26D
2026-07-01$243.05$203.25RVU26C
2026-04-01$243.05$203.25RVU26B
2026-01-01$243.05$203.25RVU26A
2025-10-01$237.04$211.50RVU25D
2025-07-01$237.04$211.50RVU25C
2025-04-01$237.04$211.50RVU25B
2025-01-01$237.04$211.50RVU25A
2024-10-01$242.19$215.20RVU24D
2024-07-01$242.19$215.20RVU24C
2024-04-01$242.19$215.20RVU24B
2024-03-09$242.19$215.20RVU24AR
2024-01-01$238.23$211.69RVU24A
2023-10-01$240.98$213.58RVU23D
2023-07-01$240.98$213.58RVU23C
2023-04-01$240.98$213.58RVU23B
2023-01-01$240.98$213.58RVU23A
2022-10-01$241.04$213.14RVU22D
2022-07-01$241.04$213.14RVU22C
2022-04-01$241.04$213.14RVU22B
2022-01-01$241.04$213.14RVU22A
2021-10-01$241.22$213.08RVU21D
2021-07-01$241.22$213.08RVU21C
2021-04-01$241.22$213.08RVU21B
2021-01-01$241.22$213.08RVU21A
2020-10-01$244.62$218.53RVU20D
2020-07-01$244.62$218.53RVU20C
2020-04-01$244.62$218.53RVU20B
2020-01-01$244.62$218.53RVU20A
2019-10-01$243.72$218.04RVU19D
2019-07-01$243.72$218.04RVU19C
2019-04-01$243.72$218.04RVU19B
2019-01-01$243.72$218.04RVU19A
2018-10-01$242.36$217.80RVU18D
2018-07-01$242.36$217.80RVU18C
2018-04-01$242.36$217.80RVU18B
2018-01-01$242.36$217.80RVU18AR1
2017-10-01$241.44$217.40RVU17D
2017-07-01$241.44$217.40RVU17C
2017-04-01$241.44$217.40RVU17B
2017-01-01$241.44$217.40RVU17A
2016-10-01$240.59$216.70RVU16D
2016-07-01$240.59$216.70RVU16C
2016-04-01$240.59$216.70RVU16B
2016-01-01$240.59$216.70RVU16A
2015-10-01$241.88$218.26RVU15D
2015-07-01$241.88$218.26RVU15C
2015-04-01$240.67$217.18RVU15B
2015-01-01$240.67$217.18RVU15A
2014-10-01$239.39$215.91RVU14D
2014-07-01$239.39$215.91RVU14C
2014-04-01$239.39$215.91RVU14B
2014-01-01$239.39$215.91RVU14A
2013-10-01$236.81$212.22RVU13D
2013-07-01$236.81$212.22RVU13C
2013-04-01$236.81$212.22RVU13B
2013-01-01$236.81$212.22RVU13AR

Price 28010 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

28010 billing questions

When should 28011 be used instead?

Use 28010 for a percutaneous release of one toe tendon. Code 28011 is the related code for multiple tendons.

How does 28010 differ from 28008?

Both describe percutaneous tendon release, but 28010 is for a tendon in a toe; 28008 is for a tendon in the foot.

Can modifier 50 be reported for bilateral toe releases?

No. CMS identifies bilateral adjustment as inappropriate for 28010 because its descriptor or anatomy makes modifier 50 unsuitable.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

What documentation supports reporting 28010?

Document the treated toe and tendon, the percutaneous approach, and the tendon-related deformity or condition prompting the release.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 28010. Co-surgeons and team surgery 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 28010PPRRVU2026_Oct_nonQPP.csv, line 3,092 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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