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CPT code 28200: Foot tendon repair, flexor, without free graft2026 Medicare rate & RVUs in South Carolina

Reports repair of a flexor tendon in the foot without a free graft, whether performed as a primary repair or a secondary repair.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In South Carolina, Medicare pays $476.37 for 28200 in the office and $299.52 when it’s performed in a hospital or facility.

$476.37Office (non-facility)
$299.52Hospital or facility
−5.5%vs the national office rate ($504.35)

Check a contract rate as a % of Medicare · 28200 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 28200 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 28200 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 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.

How South Carolina compares for 28200

Across 109 of 109 payment localities, the office rate for 28200 runs from $448.56 in Arkansas to $659.10 in San Benito County, CA. South Carolina pays $476.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

28200 in South Carolina vs other payment areas
  1. South Carolina · this page$476.37
  2. Los Angeles, CA · California$565.03+$88.66
  3. Washington, DC area · District of Columbia$573.78+$97.41
  4. Miami, FL · Florida$546.54+$70.17
  5. Chicago, IL · Illinois$531.31+$54.94
  6. Manhattan, NY · New York$578.87+$102.50
  7. Alaska · Alaska$594.65+$118.28

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

Every other payment area

28200 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$454.82$287.35
ArkansasArkansas$448.56$284.16
ArizonaArizona$491.39$305.93
Bakersfield, CACalifornia$531.78$322.02
Chico, CACalifornia$530.11$320.35
El Centro, CACalifornia$530.20$320.44
Fresno, CACalifornia$530.11$320.35
Hanford, CACalifornia$530.11$320.35

28200 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.

$448.56

$594.65

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

View every state and territory as a table
28200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$594.651
AL$454.821
AR$448.561
AZ$491.391
CA$530.11–$659.1029
CO$523.311
CT$536.881
DC$573.781
DE$499.261
FL$499.18–$546.543
GA$472.16–$513.882
GU$541.871
HI$541.871
IA$464.911
ID$467.991
IL$486.06–$531.314
IN$470.551
KS$463.271
KY$465.991
LA$465.46–$487.352
MA$520.59–$572.902
MD$508.34–$573.783
ME$470.78–$494.472
MI$477.94–$505.592
MN$500.791
MO$458.14–$488.493
MS$453.421
MT$504.321
NC$475.401
ND$493.241
NE$467.211
NH$515.601
NJ$542.82–$568.362
NM$480.611
NV$501.561
NY$482.23–$592.885
OH$475.681
OK$464.731
OR$497.47–$538.812
PA$476.16–$524.332
PR$507.721
RI$516.201
SC$476.371
SD$491.931
TN$465.541
TX$473.21–$521.758
UT$482.571
VA$493.22–$573.782
VI$507.721
VT$491.801
WA$519.45–$583.862
WI$477.491
WV$469.011
WY$499.491

See 28200 in every payment locality

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

Office or facility?

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.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,147

Code
28200
Physician work
4.62
Practice expense
9.92
Malpractice
0.56

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 28200 in South Carolina
ComponentRVULocality factorAdjusted
Physician work4.62× 1.0004.6200
Practice expense9.92× 0.9249.1661
Malpractice0.56× 0.8500.4760
Total RVUs14.2621
Conversion factor× 33.4009

Office rate, South Carolina$476.37

Office: (4.62 × 1 + 9.92 × 0.924 + 0.56 × 0.85) × $33.4009 = $476.37

Facility: (4.62 × 1 + 4.19 × 0.924 + 0.56 × 0.85) × $33.4009 = $299.52

Open 28200 in the RVU calculator

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

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)1Permitted with supporting documentation.
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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 28200

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

Codes related to 28200
CodeHow it relatesOffice range, South Carolina
Same family
28202Tendon repair, flexor tendon with graftFlexor tendon repair counterpart when a free graft is used.$577.95
Used instead
28208Tendon repair, foot extensor, no graftRepair code for an extensor tendon of the foot, rather than a flexor tendon.$470.25
28210Tendon repair, foot extensor, secondary with graftExtensor tendon repair code when a free graft is used.$566.65

How 28200 has changed in South Carolina

28200 · Office / nonfacility

$476.37

Effective 2026-10-01

The base rate is $27.63 higher than on 2025-10-01, moving from $448.74 to $476.37 (6.2%).

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

    $448.74changed to$476.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.74 changed to 4.62
    • Practice expense RVU 9.52 changed to 9.92
    • Malpractice RVU 0.54 changed to 0.56
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $463.01changed to$448.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.56 changed to 9.52

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $455.45changed to$463.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $465.23changed to$455.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.45 changed to 9.56
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $471.25changed to$465.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.40 changed to 9.45
    • Malpractice RVU 0.56 changed to 0.54
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $475.13changed to$471.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.43 changed to 9.40
    • Malpractice RVU 0.52 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $476.72changed to$475.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.98 changed to 9.43
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $477.71changed to$476.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.04 changed to 8.98
    • Malpractice RVU 0.49 changed to 0.52
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $477.39changed to$477.71

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $474.53changed to$477.39

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.96 changed to 9.04
    • Malpractice RVU 0.49 changed to 0.50
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $473.20changed to$474.53

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.91 changed to 8.96
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $474.51changed to$473.20

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.89 changed to 8.91
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $472.15changed to$474.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $464.87changed to$472.15

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.75 changed to 8.89
    • Malpractice RVU 0.43 changed to 0.50
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $465.20changed to$464.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.57 changed to 8.75
    • Malpractice RVU 0.45 changed to 0.43
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $465.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$476.37$299.52RVU26D
2026-07-01$476.37$299.52RVU26C
2026-04-01$476.37$299.52RVU26B
2026-01-01$476.37$299.52RVU26A
2025-10-01$448.74$306.99RVU25D
2025-07-01$448.74$306.99RVU25C
2025-04-01$448.74$306.99RVU25B
2025-01-01$448.74$306.99RVU25A
2024-10-01$463.01$313.18RVU24D
2024-07-01$463.01$313.18RVU24C
2024-04-01$463.01$313.18RVU24B
2024-03-09$463.01$313.18RVU24AR
2024-01-01$455.45$308.07RVU24A
2023-10-01$465.23$312.61RVU23D
2023-07-01$465.23$312.61RVU23C
2023-04-01$465.23$312.61RVU23B
2023-01-01$465.23$312.61RVU23A
2022-10-01$471.25$313.44RVU22D
2022-07-01$471.25$313.44RVU22C
2022-04-01$471.25$313.44RVU22B
2022-01-01$471.25$313.44RVU22A
2021-10-01$475.13$311.28RVU21D
2021-07-01$475.13$311.28RVU21C
2021-04-01$475.13$311.28RVU21B
2021-01-01$475.13$311.28RVU21A
2020-10-01$476.72$316.00RVU20D
2020-07-01$476.72$316.00RVU20C
2020-04-01$476.72$316.00RVU20B
2020-01-01$476.72$316.00RVU20A
2019-10-01$477.71$315.02RVU19D
2019-07-01$477.71$315.02RVU19C
2019-04-01$477.71$315.02RVU19B
2019-01-01$477.71$315.02RVU19A
2018-10-01$477.39$314.22RVU18D
2018-07-01$477.39$314.22RVU18C
2018-04-01$477.39$314.22RVU18B
2018-01-01$477.39$314.22RVU18AR1
2017-10-01$474.53$313.49RVU17D
2017-07-01$474.53$313.49RVU17C
2017-04-01$474.53$313.49RVU17B
2017-01-01$474.53$313.49RVU17A
2016-10-01$473.20$313.52RVU16D
2016-07-01$473.20$313.52RVU16C
2016-04-01$473.20$313.52RVU16B
2016-01-01$473.20$313.52RVU16A
2015-10-01$474.51$313.60RVU15D
2015-07-01$474.51$313.60RVU15C
2015-04-01$472.15$312.04RVU15B
2015-01-01$472.15$312.04RVU15A
2014-10-01$464.87$308.23RVU14D
2014-07-01$464.87$308.23RVU14C
2014-04-01$464.87$308.23RVU14B
2014-01-01$464.87$308.23RVU14A
2013-10-01$465.20$301.29RVU13D
2013-07-01$465.20$301.29RVU13C
2013-04-01$465.20$301.29RVU13B
2013-01-01$465.20$301.29RVU13AR

Price 28200 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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
RVUs for 28200PPRRVU2026_Oct_nonQPP.csv, line 3,147 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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