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

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 Utah, Medicare pays $226.79 for 28010 in the office and $191.63 when it’s performed in a hospital or facility.

$226.79Office (non-facility)
$191.63Hospital or facility
−3.7%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 Utah
  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 Utah 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. Utah pays $226.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

28010 in Utah vs other payment areas
  1. Utah · this page$226.79
  2. Los Angeles, CA · California$260.31+$33.52
  3. Washington, DC area · District of Columbia$264.82+$38.03
  4. Miami, FL · Florida$254.08+$27.29
  5. Chicago, IL · Illinois$248.05+$21.26
  6. Manhattan, NY · New York$267.81+$41.02
  7. Alaska · Alaska$288.45+$61.66

Other areas in Utah 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.

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 28010 in Utah
ComponentRVULocality factorAdjusted
Physician work2.90× 1.0002.9000
Practice expense3.89× 0.9403.6566
Malpractice0.26× 0.8980.2335
Total RVUs6.7901
Conversion factor× 33.4009

Office rate, Utah$226.79

Office: (2.9 × 1 + 3.89 × 0.94 + 0.26 × 0.898) × $33.4009 = $226.79

Facility: (2.9 × 1 + 2.77 × 0.94 + 0.26 × 0.898) × $33.4009 = $191.63

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

How 28010 has changed in Utah

28010 · Office / nonfacility

$226.79

Effective 2026-10-01

The base rate is $4.90 higher than on 2025-10-01, moving from $221.89 to $226.79 (2.2%).

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

    $221.89changed to$226.79

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $226.79changed to$221.89

    • 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

    $223.09changed to$226.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $225.33changed to$223.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.74 changed to 3.87
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $225.14changed to$225.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.63 changed to 3.74
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $225.40changed to$225.14

    • 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

    $231.68changed to$225.40

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $233.37changed to$231.68

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $232.12changed to$233.37

    • 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

    $231.17changed to$232.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $230.27changed to$231.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $231.61changed to$230.27

    • 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

    $230.46changed to$231.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $229.89changed to$230.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.43 changed to 3.44
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $227.73changed to$229.89

    • 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 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $227.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$226.79$191.63RVU26D
2026-07-01$226.79$191.63RVU26C
2026-04-01$226.79$191.63RVU26B
2026-01-01$226.79$191.63RVU26A
2025-10-01$221.89$199.26RVU25D
2025-07-01$221.89$199.26RVU25C
2025-04-01$221.89$199.26RVU25B
2025-01-01$221.89$199.26RVU25A
2024-10-01$226.79$202.88RVU24D
2024-07-01$226.79$202.88RVU24C
2024-04-01$226.79$202.88RVU24B
2024-03-09$226.79$202.88RVU24AR
2024-01-01$223.09$199.57RVU24A
2023-10-01$225.33$201.17RVU23D
2023-07-01$225.33$201.17RVU23C
2023-04-01$225.33$201.17RVU23B
2023-01-01$225.33$201.17RVU23A
2022-10-01$225.14$200.65RVU22D
2022-07-01$225.14$200.65RVU22C
2022-04-01$225.14$200.65RVU22B
2022-01-01$225.14$200.65RVU22A
2021-10-01$225.40$200.71RVU21D
2021-07-01$225.40$200.71RVU21C
2021-04-01$225.40$200.71RVU21B
2021-01-01$225.40$200.71RVU21A
2020-10-01$231.68$208.36RVU20D
2020-07-01$231.68$208.36RVU20C
2020-04-01$231.68$208.36RVU20B
2020-01-01$231.68$208.36RVU20A
2019-10-01$233.37$209.99RVU19D
2019-07-01$233.37$209.99RVU19C
2019-04-01$233.37$209.99RVU19B
2019-01-01$233.37$209.99RVU19A
2018-10-01$232.12$209.76RVU18D
2018-07-01$232.12$209.76RVU18C
2018-04-01$232.12$209.76RVU18B
2018-01-01$232.12$209.76RVU18AR1
2017-10-01$231.17$209.26RVU17D
2017-07-01$231.17$209.26RVU17C
2017-04-01$231.17$209.26RVU17B
2017-01-01$231.17$209.26RVU17A
2016-10-01$230.27$208.49RVU16D
2016-07-01$230.27$208.49RVU16C
2016-04-01$230.27$208.49RVU16B
2016-01-01$230.27$208.49RVU16A
2015-10-01$231.61$210.08RVU15D
2015-07-01$231.61$210.08RVU15C
2015-04-01$230.46$209.03RVU15B
2015-01-01$230.46$209.03RVU15A
2014-10-01$229.89$208.50RVU14D
2014-07-01$229.89$208.50RVU14C
2014-04-01$229.89$208.50RVU14B
2014-01-01$229.89$208.50RVU14A
2013-10-01$227.73$205.29RVU13D
2013-07-01$227.73$205.29RVU13C
2013-04-01$227.73$205.29RVU13B
2013-01-01$227.73$205.29RVU13AR

Price 28010 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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