CPT code 28086: Tendon sheath excision, single sheath2026 Medicare rate & RVUs in South Dakota
Surgical excision of diseased foot tendon sheath tissue, commonly for a sheath-associated ganglion, when the surgeon removes one tendon sheath.
In South Dakota, Medicare pays $526.01 for 28086 in the office and $321.26 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28086 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28086 covers
This procedure removes abnormal tissue from a tendon sheath in the foot, often when a ganglion arises from or involves the sheath. An orthopedic surgeon or podiatric surgeon typically performs the excision in an operating room or ambulatory surgery setting. The operative report should identify the tendon and foot location, describe the sheath tissue removed, and clarify whether the target was a sheath-associated lesion rather than a joint, nerve, or separate soft-tissue mass.
Report 28086 for the primary tendon sheath excision; 28088 is the add-on code for an additional sheath. The service has 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is 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 South Dakota compares for 28086
Across 109 of 109 payment localities, the office rate for 28086 runs from $479.36 in Arkansas to $706.40 in San Benito County, CA. South Dakota pays $526.01. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$526.01
- Los Angeles, CA · California$605.29+$79.28
- Washington, DC area · District of Columbia$615.33+$89.32
- Miami, FL · Florida$588.32+$62.31
- Chicago, IL · Illinois$571.46+$45.45
- Manhattan, NY · New York$621.47+$95.46
- Alaska · Alaska$634.14+$108.13
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $486.21 | $307.05 |
| ArkansasArkansas | $479.36 | $303.49 |
| ArizonaArizona | $526.19 | $327.79 |
| Bakersfield, CACalifornia | $569.39 | $344.99 |
| Chico, CACalifornia | $567.48 | $343.08 |
| El Centro, CACalifornia | $567.59 | $343.19 |
| Fresno, CACalifornia | $567.48 | $343.08 |
| Hanford, CACalifornia | $567.48 | $343.08 |
| Madera, CACalifornia | $567.48 | $343.08 |
| Merced, CACalifornia | $567.48 | $343.08 |
| Modesto, CACalifornia | $567.48 | $343.08 |
| Napa, CACalifornia | $653.81 | $383.96 |
| Oxnard, CACalifornia | $601.96 | $359.95 |
| Redding, CACalifornia | $567.48 | $343.08 |
| Rest of CaliforniaCalifornia | $567.48 | $343.08 |
| Riverside, CACalifornia | $574.53 | $350.12 |
| Sacramento, CACalifornia | $594.54 | $356.42 |
| Salinas, CACalifornia | $592.31 | $355.00 |
| San Diego, CACalifornia | $605.54 | $360.66 |
| Marin County, CACalifornia | $690.85 | $402.16 |
| San Francisco, CACalifornia | $690.11 | $401.42 |
| San Benito County, CACalifornia | $706.40 | $411.15 |
| Santa Clara County, CACalifornia | $703.38 | $408.13 |
| San Luis Obispo, CACalifornia | $582.89 | $349.69 |
| Santa Cruz, CACalifornia | $610.77 | $362.01 |
| Santa Maria, CACalifornia | $594.33 | $355.60 |
| Santa Rosa, CACalifornia | $616.88 | $365.45 |
| Stockton, CACalifornia | $567.48 | $343.08 |
| Vallejo, CACalifornia | $652.75 | $382.89 |
| Visalia, CACalifornia | $567.48 | $343.08 |
| Yuba City, CACalifornia | $567.48 | $343.08 |
| ColoradoColorado | $560.53 | $342.68 |
| ConnecticutConnecticut | $575.79 | $355.28 |
| DelawareDelaware | $534.73 | $332.44 |
| Fort Lauderdale, FLFlorida | $562.63 | $355.22 |
| Rest of FloridaFlorida | $535.58 | $339.84 |
| Atlanta, GAGeorgia | $551.01 | $342.98 |
| Rest of GeorgiaGeorgia | $505.89 | $323.25 |
| Hawaii, Guam, HIHawaii | $580.39 | $347.59 |
| IowaIowa | $496.87 | $309.53 |
| IdahoIdaho | $500.31 | $311.95 |
| East St. Louis, ILIllinois | $533.77 | $345.40 |
| Rest of IllinoisIllinois | $521.47 | $334.54 |
| Suburban Chicago, ILIllinois | $567.99 | $357.71 |
| IndianaIndiana | $503.10 | $313.30 |
| KansasKansas | $495.25 | $310.16 |
| KentuckyKentucky | $498.80 | $316.78 |
| New Orleans, LALouisiana | $522.23 | $329.57 |
| Rest of LouisianaLouisiana | $498.30 | $317.10 |
| Metropolitan Boston, MAMassachusetts | $614.14 | $369.67 |
| Rest of MassachusettsMassachusetts | $557.58 | $341.98 |
| Baltimore area, MDMaryland | $574.30 | $354.61 |
| Rest of MarylandMaryland | $544.55 | $337.35 |
| Rest of MaineMaine | $503.55 | $315.18 |
| Southern Maine, MEMaine | $529.19 | $326.29 |
| Detroit, MIMichigan | $542.78 | $345.19 |
| Rest of MichiganMichigan | $512.05 | $325.11 |
| MinnesotaMinnesota | $535.54 | $324.85 |
| Metropolitan Kansas City, MOMissouri | $518.07 | $325.81 |
| Metropolitan St. Louis, MOMissouri | $523.27 | $328.35 |
| Rest of MissouriMissouri | $490.40 | $313.91 |
| MississippiMississippi | $484.94 | $308.66 |
| MontanaMontana | $540.38 | $335.64 |
| North CarolinaNorth Carolina | $508.58 | $317.55 |
| North DakotaNorth Dakota | $527.53 | $322.78 |
| NebraskaNebraska | $499.33 | $310.34 |
| New HampshireNew Hampshire | $552.41 | $339.26 |
| Northern New JerseyNew Jersey | $609.35 | $371.84 |
| Rest of New JerseyNew Jersey | $581.92 | $358.33 |
| New MexicoNew Mexico | $515.04 | $327.29 |
| NevadaNevada | $537.16 | $332.21 |
| NYC suburbs and Long Island, NYNew York | $637.03 | $393.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $586.25 | $362.05 |
| Queens, NYNew York | $625.51 | $383.50 |
| Rest of New YorkNew York | $516.06 | $321.55 |
| OhioOhio | $509.42 | $322.49 |
| OklahomaOklahoma | $497.24 | $314.40 |
| Portland, OROregon | $577.22 | $349.74 |
| Rest of OregonOregon | $532.54 | $328.62 |
| Metropolitan Philadelphia, PAPennsylvania | $562.20 | $349.05 |
| Rest of PennsylvaniaPennsylvania | $509.84 | $321.89 |
| Puerto RicoPuerto Rico | $544.04 | $337.04 |
| Rhode IslandRhode Island | $552.95 | $341.45 |
| South CarolinaSouth Carolina | $509.93 | $320.75 |
| TennesseeTennessee | $497.76 | $311.65 |
| Austin, TXTexas | $559.06 | $342.44 |
| Beaumont, TXTexas | $506.63 | $320.31 |
| Brazoria, TXTexas | $533.71 | $330.80 |
| Dallas, TXTexas | $537.35 | $333.42 |
| Fort Worth, TXTexas | $534.05 | $332.17 |
| Galveston, TXTexas | $535.47 | $332.15 |
| Houston, TXTexas | $547.36 | $344.05 |
| Rest of TexasTexas | $520.04 | $325.74 |
| UtahUtah | $516.71 | $324.25 |
| VirginiaVirginia | $527.95 | $326.68 |
| Virgin Islands, VIUnited States Virgin Islands | $544.04 | $337.04 |
| VermontVermont | $526.12 | $323.42 |
| Rest of WashingtonWashington | $556.32 | $340.72 |
| King County, WAWashington | $625.82 | $374.60 |
| WisconsinWisconsin | $510.35 | $314.20 |
| West VirginiaWest Virginia | $502.83 | $324.91 |
| WyomingWyoming | $534.78 | $330.03 |
28086 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.
$479.36
$636.94
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $634.14 | 1 |
| AL | $486.21 | 1 |
| AR | $479.36 | 1 |
| AZ | $526.19 | 1 |
| CA | $567.48–$706.40 | 29 |
| CO | $560.53 | 1 |
| CT | $575.79 | 1 |
| DC | $615.33 | 1 |
| DE | $534.73 | 1 |
| FL | $535.58–$588.32 | 3 |
| GA | $505.89–$551.01 | 2 |
| GU | $580.39 | 1 |
| HI | $580.39 | 1 |
| IA | $496.87 | 1 |
| ID | $500.31 | 1 |
| IL | $521.47–$571.46 | 4 |
| IN | $503.10 | 1 |
| KS | $495.25 | 1 |
| KY | $498.80 | 1 |
| LA | $498.30–$522.23 | 2 |
| MA | $557.58–$614.14 | 2 |
| MD | $544.55–$615.33 | 3 |
| ME | $503.55–$529.19 | 2 |
| MI | $512.05–$542.78 | 2 |
| MN | $535.54 | 1 |
| MO | $490.40–$523.27 | 3 |
| MS | $484.94 | 1 |
| MT | $540.38 | 1 |
| NC | $508.58 | 1 |
| ND | $527.53 | 1 |
| NE | $499.33 | 1 |
| NH | $552.41 | 1 |
| NJ | $581.92–$609.35 | 2 |
| NM | $515.04 | 1 |
| NV | $537.16 | 1 |
| NY | $516.06–$637.03 | 5 |
| OH | $509.42 | 1 |
| OK | $497.24 | 1 |
| OR | $532.54–$577.22 | 2 |
| PA | $509.84–$562.20 | 2 |
| PR | $544.04 | 1 |
| RI | $552.95 | 1 |
| SC | $509.93 | 1 |
| SD | $526.01 | 1 |
| TN | $497.76 | 1 |
| TX | $506.63–$559.06 | 8 |
| UT | $516.71 | 1 |
| VA | $527.95–$615.33 | 2 |
| VI | $544.04 | 1 |
| VT | $526.12 | 1 |
| WA | $556.32–$625.82 | 2 |
| WI | $510.35 | 1 |
| WV | $502.83 | 1 |
| WY | $534.78 | 1 |
How the 28086 rate is calculated
Each of 28086’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 · 28086
RVUs × geographic indexes × conversion factor
Work4.80
4.80 RVUs× 1.000 GPCI
Practice expense10.73
10.73 RVUs× 1.000 GPCI
Malpractice0.65
0.65 RVUs× 1.000 GPCI
Adjusted RVUs
16.1800
Conversion factor
$33.4009
Medicare rate
$540.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,113
- Code
- 28086
- Physician work
- 4.80
- Practice expense
- 10.73
- Malpractice
- 0.65
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.80 | × 1.000 | 4.8000 |
| Practice expense | 10.73 | × 1.000 | 10.7300 |
| Malpractice | 0.65 | × 0.336 | 0.2184 |
| Total RVUs | 15.7484 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$526.01
Office: (4.8 × 1 + 10.73 × 1 + 0.65 × 0.336) × $33.4009 = $526.01
Facility: (4.8 × 1 + 4.6 × 1 + 0.65 × 0.336) × $33.4009 = $321.26
Payment rules and modifiers for 28086
28086 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28086
Tendon sheath excision, single sheath
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28086
Tendon sheath excision, single sheath
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28086 without 50 · national office
$540.43
Tendon sheath excision, single sheath
28086-50 · Bilateral: 150%
$810.64
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).
How 28086 has changed in South Dakota
28086 · Office / nonfacility
$526.01
Effective 2026-10-01
The base rate is $36.26 higher than on 2025-10-01, moving from $489.75 to $526.01 (7.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$489.75changed to$526.01
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.92 changed to 4.80
- Practice expense RVU 9.98 changed to 10.73
- Malpractice RVU 0.63 changed to 0.65
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$511.11changed to$489.75
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 10.19 changed to 9.98
- Malpractice RVU 0.64 changed to 0.63
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$502.77changed to$511.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$523.44changed to$502.77
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.29 changed to 10.19
- Malpractice RVU 0.65 changed to 0.64
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$535.79changed to$523.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.33 changed to 10.29
- Malpractice RVU 0.67 changed to 0.65
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$546.50changed to$535.79
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.52 changed to 10.33
- Malpractice RVU 0.64 changed to 0.67
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$543.84changed to$546.50
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.91 changed to 10.52
- Malpractice RVU 0.65 changed to 0.64
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$551.92changed to$543.84
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.13 changed to 9.91
- Malpractice RVU 0.68 changed to 0.65
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$553.12changed to$551.92
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.18 changed to 10.13
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$550.48changed to$553.12
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 10.15 changed to 10.18
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$551.53changed to$550.48
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 10.20 changed to 10.15
- Malpractice RVU 0.71 changed to 0.68
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$557.04changed to$551.53
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 10.29 changed to 10.20
- Malpractice RVU 0.73 changed to 0.71
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$554.27changed to$557.04
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$545.48changed to$554.27
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 10.02 changed to 10.29
- Malpractice RVU 0.69 changed to 0.73
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$555.29changed to$545.48
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 11.09 changed to 10.02
- Malpractice RVU 0.72 changed to 0.69
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $555.29
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $526.01 | $321.26 | RVU26D |
| 2026-07-01 | $526.01 | $321.26 | RVU26C |
| 2026-04-01 | $526.01 | $321.26 | RVU26B |
| 2026-01-01 | $526.01 | $321.26 | RVU26A |
| 2025-10-01 | $489.75 | $330.93 | RVU25D |
| 2025-07-01 | $489.75 | $330.93 | RVU25C |
| 2025-04-01 | $489.75 | $330.93 | RVU25B |
| 2025-01-01 | $489.75 | $330.93 | RVU25A |
| 2024-10-01 | $511.11 | $340.35 | RVU24D |
| 2024-07-01 | $511.11 | $340.35 | RVU24C |
| 2024-04-01 | $511.11 | $340.35 | RVU24B |
| 2024-03-09 | $511.11 | $340.35 | RVU24AR |
| 2024-01-01 | $502.77 | $334.79 | RVU24A |
| 2023-10-01 | $523.44 | $344.86 | RVU23D |
| 2023-07-01 | $523.44 | $344.86 | RVU23C |
| 2023-04-01 | $523.44 | $344.86 | RVU23B |
| 2023-01-01 | $523.44 | $344.86 | RVU23A |
| 2022-10-01 | $535.79 | $348.57 | RVU22D |
| 2022-07-01 | $535.79 | $348.57 | RVU22C |
| 2022-04-01 | $535.79 | $348.57 | RVU22B |
| 2022-01-01 | $535.79 | $348.57 | RVU22A |
| 2021-10-01 | $546.50 | $349.70 | RVU21D |
| 2021-07-01 | $546.50 | $349.70 | RVU21C |
| 2021-04-01 | $546.50 | $349.70 | RVU21B |
| 2021-01-01 | $546.50 | $349.70 | RVU21A |
| 2020-10-01 | $543.84 | $353.65 | RVU20D |
| 2020-07-01 | $543.84 | $353.65 | RVU20C |
| 2020-04-01 | $543.84 | $353.65 | RVU20B |
| 2020-01-01 | $543.84 | $353.65 | RVU20A |
| 2019-10-01 | $551.92 | $358.03 | RVU19D |
| 2019-07-01 | $551.92 | $358.03 | RVU19C |
| 2019-04-01 | $551.92 | $358.03 | RVU19B |
| 2019-01-01 | $551.92 | $358.03 | RVU19A |
| 2018-10-01 | $553.12 | $358.00 | RVU18D |
| 2018-07-01 | $553.12 | $358.00 | RVU18C |
| 2018-04-01 | $553.12 | $358.00 | RVU18B |
| 2018-01-01 | $553.12 | $358.00 | RVU18AR1 |
| 2017-10-01 | $550.48 | $357.04 | RVU17D |
| 2017-07-01 | $550.48 | $357.04 | RVU17C |
| 2017-04-01 | $550.48 | $357.04 | RVU17B |
| 2017-01-01 | $550.48 | $357.04 | RVU17A |
| 2016-10-01 | $551.53 | $357.47 | RVU16D |
| 2016-07-01 | $551.53 | $357.47 | RVU16C |
| 2016-04-01 | $551.53 | $357.47 | RVU16B |
| 2016-01-01 | $551.53 | $357.47 | RVU16A |
| 2015-10-01 | $557.04 | $360.13 | RVU15D |
| 2015-07-01 | $557.04 | $360.13 | RVU15C |
| 2015-04-01 | $554.27 | $358.33 | RVU15B |
| 2015-01-01 | $554.27 | $358.33 | RVU15A |
| 2014-10-01 | $545.48 | $355.61 | RVU14D |
| 2014-07-01 | $545.48 | $355.61 | RVU14C |
| 2014-04-01 | $545.48 | $355.61 | RVU14B |
| 2014-01-01 | $545.48 | $355.61 | RVU14A |
| 2013-10-01 | $555.29 | $353.53 | RVU13D |
| 2013-07-01 | $555.29 | $353.53 | RVU13C |
| 2013-04-01 | $555.29 | $353.53 | RVU13B |
| 2013-01-01 | $555.29 | $353.53 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
28086 billing questions
When is 28086 used instead of 28088?
Use 28086 for the primary tendon sheath excision. Use 28088 for each additional sheath excised in the same operative session.
Is a tendon sheath ganglion included in this procedure?
Yes, a ganglion arising from or involving a foot tendon sheath is a typical reason for excision. The operative note should establish the sheath relationship and tissue removed.
How does 28086 differ from tendon incision codes 28010 and 28011?
28086 reports excision of tendon sheath tissue. Codes 28010 and 28011 describe tendon incision or release, not removal of the sheath.
What documentation supports reporting 28086?
Document the foot and tendon location, the sheath or sheath-associated lesion excised, and the extent of removal. If another sheath is excised, identify it to support the additional-sheath code.
What global and multiple-procedure payment rules apply?
The code has a 90-day global period. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can modifier 50 or an assistant-at-surgery service be reported?
Bilateral reporting with modifier 50 is paid at 150%, and assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.
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
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