CPT code 28200: Foot tendon repair, flexor, without free graft2026 Medicare rate & RVUs in California
Reports repair of a flexor tendon in the foot without a free graft, whether performed as a primary repair or a secondary repair.
Medicare pays $530.11–$659.10 for 28200 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 28200 covers
This service repairs a flexor tendon in the foot without using a free graft. A podiatrist or orthopedic foot and ankle surgeon may perform it for a tendon laceration or rupture requiring surgical repair. The operative report should identify the tendon and foot site, describe the injury and repair, and support that no free graft was used. The code is reported for each tendon repaired; it is not the code for extensor tendon repair or tendon release.
The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons are paid only with 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.
Where 28200 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$530.11 to $659.10
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $531.78 | $322.02 |
| Chico, CA | $530.11 | $320.35 |
| El Centro, CA | $530.20 | $320.44 |
| Fresno, CA | $530.11 | $320.35 |
| Hanford, CA | $530.11 | $320.35 |
| Los Angeles, CA | $565.03 | $338.62 |
| Madera, CA | $530.11 | $320.35 |
| Marin County, CA | $644.74 | $374.89 |
| Merced, CA | $530.11 | $320.35 |
| Modesto, CA | $530.11 | $320.35 |
| Napa, CA | $610.24 | $357.99 |
| Oxnard, CA | $561.93 | $335.71 |
| Redding, CA | $530.11 | $320.35 |
| Rest of California | $530.11 | $320.35 |
| Riverside, CA | $536.19 | $326.43 |
| Sacramento, CA | $555.24 | $332.65 |
| Salinas, CA | $553.14 | $331.32 |
| San Benito County, CA | $659.10 | $383.12 |
| San Diego, CA | $565.36 | $336.46 |
| San Francisco, CA | $644.11 | $374.25 |
| San Luis Obispo, CA | $544.35 | $326.36 |
| Santa Clara County, CA | $656.50 | $380.52 |
| Santa Cruz, CA | $570.15 | $337.62 |
| Santa Maria, CA | $555.00 | $331.84 |
| Santa Rosa, CA | $575.85 | $340.83 |
| Stockton, CA | $530.11 | $320.35 |
| Vallejo, CA | $609.32 | $357.07 |
| Visalia, CA | $530.11 | $320.35 |
| Yuba City, CA | $530.11 | $320.35 |
How the 28200 rate is calculated
Each of 28200’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 · 28200
RVUs × geographic indexes × conversion factor
Work4.62
4.62 RVUs× 1.000 GPCI
Practice expense9.92
9.92 RVUs× 1.000 GPCI
Malpractice0.56
0.56 RVUs× 1.000 GPCI
Adjusted RVUs
15.1000
Conversion factor
$33.4009
Medicare rate
$504.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28200
28200 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28200
Foot tendon repair, flexor, without free graft
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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 · 28200
Foot tendon repair, flexor, without free graft
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 51 · payment effect
With and without the modifier
28200 without 51 · national office
$504.35
Foot tendon repair, flexor, without free graft
28200-51 · Second procedure: 50%
$252.18
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%).
28200 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28202Tendon repairFlexor tendon with graft
- Both codes address flexor tendon repair in the foot. Choose 28200 for a repair without a free graft and 28202 when a free graft is used.
- 28208Tendon repairFoot extensor, no graft
- This code is for repair of a flexor tendon. Code 28208 is for repair of an extensor tendon without a free graft.
- 28210Tendon repairFoot extensor, secondary with graft
- This code is for flexor tendon repair without a free graft. Code 28210 is for extensor tendon repair using a free graft.
28200 billing questions
How does this differ from 28202?
Both concern flexor tendon repair in the foot. Use 28200 when the repair does not use a free graft; 28202 is the graft-repair counterpart.
Can this code report an extensor tendon repair?
No. This code is for a flexor tendon. Use the corresponding extensor repair code when the repaired tendon is an extensor tendon.
How many units should be reported?
Report one unit for each flexor tendon repaired. The operative documentation should identify the tendon or tendons treated.
Does the code include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral repairs?
No. The descriptor or anatomy makes modifier 50 inappropriate for this code.
How are assistant and co-surgeon claims handled?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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
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