CPT code 28088: Tendon sheath surgery, extensor tendon sheath2026 Medicare rate & RVUs in South Dakota
Removal of diseased tissue from an extensor tendon sheath in the foot, typically reported for operative treatment of sheath inflammation or thickening.
In South Dakota, Medicare pays $470.55 for 28088 in the office and $274.15 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28088 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 28088 covers
This operation removes abnormal synovial tissue from around an extensor tendon in the foot, a procedure also known as extensor tenosynovectomy. A podiatrist or orthopedic foot and ankle surgeon may perform it when the tendon sheath is persistently inflamed or thickened and operative removal is indicated. The operative report should make clear that the tissue treated surrounds an extensor tendon, rather than a flexor tendon or a foot joint.
Report the service for the sheath excision itself, supported by documentation of the affected tendon and side, the operative findings, and the tissue removed. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documented medical necessity; 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 South Dakota compares for 28088
Across 109 of 109 payment localities, the office rate for 28088 runs from $426.26 in Arkansas to $636.37 in San Benito County, CA. South Dakota pays $470.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$470.55
- Los Angeles, CA · California$542.71+$72.16
- Washington, DC area · District of Columbia$550.22+$79.67
- Miami, FL · Florida$520.93+$50.38
- Chicago, IL · Illinois$505.85+$35.30
- Manhattan, NY · New York$554.05+$83.50
- Alaska · Alaska$560.74+$90.19
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $432.47 | $260.63 |
| ArkansasArkansas | $426.26 | $257.55 |
| ArizonaArizona | $468.84 | $278.53 |
| Bakersfield, CACalifornia | $509.77 | $294.52 |
| Chico, CACalifornia | $508.29 | $293.04 |
| El Centro, CACalifornia | $508.37 | $293.12 |
| Fresno, CACalifornia | $508.29 | $293.04 |
| Hanford, CACalifornia | $508.29 | $293.04 |
| Madera, CACalifornia | $508.29 | $293.04 |
| Merced, CACalifornia | $508.29 | $293.04 |
| Modesto, CACalifornia | $508.29 | $293.04 |
| Napa, CACalifornia | $588.23 | $329.38 |
| Oxnard, CACalifornia | $540.01 | $307.86 |
| Redding, CACalifornia | $508.29 | $293.04 |
| Rest of CaliforniaCalifornia | $508.29 | $293.04 |
| Riverside, CACalifornia | $513.71 | $298.46 |
| Sacramento, CACalifornia | $533.22 | $304.81 |
| Salinas, CACalifornia | $531.23 | $303.60 |
| San Diego, CACalifornia | $543.61 | $308.72 |
| Marin County, CACalifornia | $622.41 | $345.49 |
| San Francisco, CACalifornia | $621.84 | $344.92 |
| San Benito County, CACalifornia | $636.37 | $353.17 |
| Santa Clara County, CACalifornia | $634.05 | $350.84 |
| San Luis Obispo, CACalifornia | $522.71 | $299.01 |
| Santa Cruz, CACalifornia | $548.71 | $310.09 |
| Santa Maria, CACalifornia | $533.19 | $304.19 |
| Santa Rosa, CACalifornia | $554.24 | $313.06 |
| Stockton, CACalifornia | $508.29 | $293.04 |
| Vallejo, CACalifornia | $587.41 | $328.56 |
| Visalia, CACalifornia | $508.29 | $293.04 |
| Yuba City, CACalifornia | $508.29 | $293.04 |
| ColoradoColorado | $501.00 | $292.03 |
| ConnecticutConnecticut | $513.56 | $302.04 |
| DelawareDelaware | $476.58 | $282.54 |
| Fort Lauderdale, FLFlorida | $499.49 | $300.54 |
| Rest of FloridaFlorida | $475.29 | $287.53 |
| Atlanta, GAGeorgia | $490.75 | $291.21 |
| Rest of GeorgiaGeorgia | $448.63 | $273.44 |
| Hawaii, Guam, HIHawaii | $520.55 | $297.25 |
| IowaIowa | $443.07 | $263.36 |
| IdahoIdaho | $446.01 | $265.33 |
| East St. Louis, ILIllinois | $471.75 | $291.06 |
| Rest of IllinoisIllinois | $461.87 | $282.56 |
| Suburban Chicago, ILIllinois | $504.50 | $302.80 |
| IndianaIndiana | $448.58 | $266.52 |
| KansasKansas | $441.16 | $263.62 |
| KentuckyKentucky | $443.00 | $268.40 |
| New Orleans, LALouisiana | $464.13 | $279.32 |
| Rest of LouisianaLouisiana | $442.37 | $268.56 |
| Metropolitan Boston, MAMassachusetts | $550.17 | $315.68 |
| Rest of MassachusettsMassachusetts | $498.10 | $291.29 |
| Baltimore area, MDMaryland | $512.15 | $301.42 |
| Rest of MarylandMaryland | $485.59 | $286.84 |
| Rest of MaineMaine | $448.50 | $267.82 |
| Southern Maine, MEMaine | $472.46 | $277.83 |
| Detroit, MIMichigan | $481.36 | $291.84 |
| Rest of MichiganMichigan | $454.62 | $275.31 |
| MinnesotaMinnesota | $479.61 | $277.52 |
| Metropolitan Kansas City, MOMissouri | $460.80 | $276.38 |
| Metropolitan St. Louis, MOMissouri | $465.58 | $278.61 |
| Rest of MissouriMissouri | $434.93 | $265.63 |
| MississippiMississippi | $430.67 | $261.57 |
| MontanaMontana | $481.61 | $285.21 |
| North CarolinaNorth Carolina | $453.14 | $269.91 |
| North DakotaNorth Dakota | $471.72 | $275.32 |
| NebraskaNebraska | $445.43 | $264.16 |
| New HampshireNew Hampshire | $493.30 | $288.85 |
| Northern New JerseyNew Jersey | $544.60 | $316.78 |
| Rest of New JerseyNew Jersey | $519.30 | $304.83 |
| New MexicoNew Mexico | $457.16 | $277.07 |
| NevadaNevada | $479.19 | $282.59 |
| NYC suburbs and Long Island, NYNew York | $567.63 | $334.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $522.84 | $307.78 |
| Queens, NYNew York | $558.35 | $326.21 |
| Rest of New YorkNew York | $459.91 | $273.34 |
| OhioOhio | $452.60 | $273.29 |
| OklahomaOklahoma | $442.03 | $266.65 |
| Portland, OROregon | $516.66 | $298.47 |
| Rest of OregonOregon | $475.34 | $279.73 |
| Metropolitan Philadelphia, PAPennsylvania | $500.95 | $296.50 |
| Rest of PennsylvaniaPennsylvania | $453.22 | $272.93 |
| Puerto RicoPuerto Rico | $485.08 | $286.52 |
| Rhode IslandRhode Island | $493.37 | $290.49 |
| South CarolinaSouth Carolina | $453.65 | $272.18 |
| TennesseeTennessee | $443.39 | $264.87 |
| Austin, TXTexas | $499.45 | $291.66 |
| Beaumont, TXTexas | $450.27 | $271.55 |
| Brazoria, TXTexas | $475.99 | $281.36 |
| Dallas, TXTexas | $479.09 | $283.48 |
| Fort Worth, TXTexas | $475.96 | $282.31 |
| Galveston, TXTexas | $477.46 | $282.44 |
| Houston, TXTexas | $486.61 | $291.59 |
| Rest of TexasTexas | $462.92 | $276.54 |
| UtahUtah | $459.82 | $275.20 |
| VirginiaVirginia | $471.03 | $277.97 |
| Virgin Islands, VIUnited States Virgin Islands | $485.08 | $286.52 |
| VermontVermont | $470.04 | $275.60 |
| Rest of WashingtonWashington | $497.11 | $290.30 |
| King County, WAWashington | $561.19 | $320.21 |
| WisconsinWisconsin | $456.00 | $267.85 |
| West VirginiaWest Virginia | $444.91 | $274.24 |
| WyomingWyoming | $477.30 | $280.90 |
28088 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.
$426.26
$572.33
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 | $560.74 | 1 |
| AL | $432.47 | 1 |
| AR | $426.26 | 1 |
| AZ | $468.84 | 1 |
| CA | $508.29–$636.37 | 29 |
| CO | $501.00 | 1 |
| CT | $513.56 | 1 |
| DC | $550.22 | 1 |
| DE | $476.58 | 1 |
| FL | $475.29–$520.93 | 3 |
| GA | $448.63–$490.75 | 2 |
| GU | $520.55 | 1 |
| HI | $520.55 | 1 |
| IA | $443.07 | 1 |
| ID | $446.01 | 1 |
| IL | $461.87–$505.85 | 4 |
| IN | $448.58 | 1 |
| KS | $441.16 | 1 |
| KY | $443.00 | 1 |
| LA | $442.37–$464.13 | 2 |
| MA | $498.10–$550.17 | 2 |
| MD | $485.59–$550.22 | 3 |
| ME | $448.50–$472.46 | 2 |
| MI | $454.62–$481.36 | 2 |
| MN | $479.61 | 1 |
| MO | $434.93–$465.58 | 3 |
| MS | $430.67 | 1 |
| MT | $481.61 | 1 |
| NC | $453.14 | 1 |
| ND | $471.72 | 1 |
| NE | $445.43 | 1 |
| NH | $493.30 | 1 |
| NJ | $519.30–$544.60 | 2 |
| NM | $457.16 | 1 |
| NV | $479.19 | 1 |
| NY | $459.91–$567.63 | 5 |
| OH | $452.60 | 1 |
| OK | $442.03 | 1 |
| OR | $475.34–$516.66 | 2 |
| PA | $453.22–$500.95 | 2 |
| PR | $485.08 | 1 |
| RI | $493.37 | 1 |
| SC | $453.65 | 1 |
| SD | $470.55 | 1 |
| TN | $443.39 | 1 |
| TX | $450.27–$499.45 | 8 |
| UT | $459.82 | 1 |
| VA | $471.03–$550.22 | 2 |
| VI | $485.08 | 1 |
| VT | $470.04 | 1 |
| WA | $497.11–$561.19 | 2 |
| WI | $456.00 | 1 |
| WV | $444.91 | 1 |
| WY | $477.30 | 1 |
How the 28088 rate is calculated
Each of 28088’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 · 28088
RVUs × geographic indexes × conversion factor
Work3.88
3.88 RVUs× 1.000 GPCI
Practice expense10.04
10.04 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
14.4200
Conversion factor
$33.4009
Medicare rate
$481.64
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
3,114
- Code
- 28088
- Physician work
- 3.88
- Practice expense
- 10.04
- Malpractice
- 0.50
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.88 | × 1.000 | 3.8800 |
| Practice expense | 10.04 | × 1.000 | 10.0400 |
| Malpractice | 0.50 | × 0.336 | 0.1680 |
| Total RVUs | 14.0880 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$470.55
Office: (3.88 × 1 + 10.04 × 1 + 0.5 × 0.336) × $33.4009 = $470.55
Facility: (3.88 × 1 + 4.16 × 1 + 0.5 × 0.336) × $33.4009 = $274.15
Payment rules and modifiers for 28088
28088 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28088
Tendon sheath surgery, extensor tendon 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 28088
Tendon sheath surgery, extensor tendon 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
28088 without 50 · national office
$481.64
Tendon sheath surgery, extensor tendon sheath
28088-50 · Bilateral: 150%
$722.46
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 28088 has changed in South Dakota
28088 · Office / nonfacility
$470.55
Effective 2026-10-01
The base rate is $31.90 higher than on 2025-10-01, moving from $438.65 to $470.55 (7.3%).
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
$438.65changed to$470.55
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.98 changed to 3.88
- Practice expense RVU 9.39 changed to 10.04
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$454.49changed to$438.65
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.49 changed to 9.39
- Malpractice RVU 0.48 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$447.07changed to$454.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$454.34changed to$447.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.26 changed to 9.49
- Malpractice RVU 0.46 changed to 0.48
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$456.89changed to$454.34
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.07 changed to 9.26
- Malpractice RVU 0.44 changed to 0.46
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$453.01changed to$456.89
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 8.85 changed to 9.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$441.08changed to$453.01
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 8.08 changed to 8.85
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$459.38changed to$441.08
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 8.58 changed to 8.08
- Malpractice RVU 0.48 changed to 0.44
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$456.94changed to$459.38
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 8.53 changed to 8.58
- Malpractice RVU 0.47 changed to 0.48
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$453.05changed to$456.94
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 8.47 changed to 8.53
- Malpractice RVU 0.44 changed to 0.47
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$453.28changed to$453.05
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 8.50 changed to 8.47
- Malpractice RVU 0.45 changed to 0.44
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$448.67changed to$453.28
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 8.39 changed to 8.50
- Malpractice RVU 0.29 changed to 0.45
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$446.43changed to$448.67
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$467.36changed to$446.43
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 8.85 changed to 8.39
- Malpractice RVU 0.52 changed to 0.29
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$495.83changed to$467.36
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 10.36 changed to 8.85
- Malpractice RVU 0.54 changed to 0.52
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $495.83
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $470.55 | $274.15 | RVU26D |
| 2026-07-01 | $470.55 | $274.15 | RVU26C |
| 2026-04-01 | $470.55 | $274.15 | RVU26B |
| 2026-01-01 | $470.55 | $274.15 | RVU26A |
| 2025-10-01 | $438.65 | $282.09 | RVU25D |
| 2025-07-01 | $438.65 | $282.09 | RVU25C |
| 2025-04-01 | $438.65 | $282.09 | RVU25B |
| 2025-01-01 | $438.65 | $282.09 | RVU25A |
| 2024-10-01 | $454.49 | $287.38 | RVU24D |
| 2024-07-01 | $454.49 | $287.38 | RVU24C |
| 2024-04-01 | $454.49 | $287.38 | RVU24B |
| 2024-03-09 | $454.49 | $287.38 | RVU24AR |
| 2024-01-01 | $447.07 | $282.69 | RVU24A |
| 2023-10-01 | $454.34 | $285.24 | RVU23D |
| 2023-07-01 | $454.34 | $285.24 | RVU23C |
| 2023-04-01 | $454.34 | $285.24 | RVU23B |
| 2023-01-01 | $454.34 | $285.24 | RVU23A |
| 2022-10-01 | $456.89 | $283.17 | RVU22D |
| 2022-07-01 | $456.89 | $283.17 | RVU22C |
| 2022-04-01 | $456.89 | $283.17 | RVU22B |
| 2022-01-01 | $456.89 | $283.17 | RVU22A |
| 2021-10-01 | $453.01 | $277.49 | RVU21D |
| 2021-07-01 | $453.01 | $277.49 | RVU21C |
| 2021-04-01 | $453.01 | $277.49 | RVU21B |
| 2021-01-01 | $453.01 | $277.49 | RVU21A |
| 2020-10-01 | $441.08 | $275.79 | RVU20D |
| 2020-07-01 | $441.08 | $275.79 | RVU20C |
| 2020-04-01 | $441.08 | $275.79 | RVU20B |
| 2020-01-01 | $441.08 | $275.79 | RVU20A |
| 2019-10-01 | $459.38 | $285.67 | RVU19D |
| 2019-07-01 | $459.38 | $285.67 | RVU19C |
| 2019-04-01 | $459.38 | $285.67 | RVU19B |
| 2019-01-01 | $459.38 | $285.67 | RVU19A |
| 2018-10-01 | $456.94 | $283.78 | RVU18D |
| 2018-07-01 | $456.94 | $283.78 | RVU18C |
| 2018-04-01 | $456.94 | $283.78 | RVU18B |
| 2018-01-01 | $456.94 | $283.78 | RVU18AR1 |
| 2017-10-01 | $453.05 | $281.86 | RVU17D |
| 2017-07-01 | $453.05 | $281.86 | RVU17C |
| 2017-04-01 | $453.05 | $281.86 | RVU17B |
| 2017-01-01 | $453.05 | $281.86 | RVU17A |
| 2016-10-01 | $453.28 | $281.42 | RVU16D |
| 2016-07-01 | $453.28 | $281.42 | RVU16C |
| 2016-04-01 | $453.28 | $281.42 | RVU16B |
| 2016-01-01 | $453.28 | $281.42 | RVU16A |
| 2015-10-01 | $448.67 | $277.26 | RVU15D |
| 2015-07-01 | $448.67 | $277.26 | RVU15C |
| 2015-04-01 | $446.43 | $275.88 | RVU15B |
| 2015-01-01 | $446.43 | $275.88 | RVU15A |
| 2014-10-01 | $467.36 | $290.39 | RVU14D |
| 2014-07-01 | $467.36 | $290.39 | RVU14C |
| 2014-04-01 | $467.36 | $290.39 | RVU14B |
| 2014-01-01 | $467.36 | $290.39 | RVU14A |
| 2013-10-01 | $495.83 | $298.83 | RVU13D |
| 2013-07-01 | $495.83 | $298.83 | RVU13C |
| 2013-04-01 | $495.83 | $298.83 | RVU13B |
| 2013-01-01 | $495.83 | $298.83 | 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
28088 billing questions
How is 28088 different from 28086?
28088 is for excision of an extensor tendon sheath in the foot. Use 28086 for the corresponding flexor tendon sheath procedure.
Does 28088 cover removal of tissue from a foot joint?
No. This code concerns tissue surrounding an extensor tendon. Removal of joint lining is a different service, such as the applicable foot-joint synovectomy code.
What should the operative report document?
Document the foot and side, the extensor tendon sheath involved, the abnormal findings, and the excision performed. The record should distinguish sheath tissue from joint lining or a separate soft-tissue lesion.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported, and can an assistant be paid?
Modifier 50 applies to bilateral procedures, with payment at 150%. Assistant-at-surgery payment requires documentation of medical necessity.
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
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