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CPT code 28202: Tendon repair, flexor tendon with graft2026 Medicare rate & RVUs in Queens, NY

Reports operative reconstruction of a flexor tendon in the foot using a free graft when direct tendon repair alone is not performed.

CMS RVU26DEffective Oct 1, 2026One payment locality201 Medicare services in 2024

In Queens, NY, Medicare pays $698.68 for 28202 in the office and $460.22 when it’s performed in a hospital or facility.

$698.68Office (non-facility)
$460.22Hospital or facility
+14.8%vs the national office rate ($608.56)

Check a contract rate as a % of Medicare · 28202 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 28202 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 28202 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 28202 covers

This service reconstructs a flexor tendon in the foot with a free graft, such as when tendon damage or a chronic rupture leaves a defect that cannot be managed by direct repair alone. An orthopedic foot and ankle surgeon or podiatric surgeon typically performs the operation in a surgical facility. The graft is part of the reported service; this code is distinct from repair of an extensor tendon or flexor tendon repair without a graft.

Select the code when the operative report supports flexor tendon reconstruction using a graft, and document the affected tendon, injury or defect, and reconstructive work. The 90-day global period includes 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 Queens, NY compares for 28202

Across 109 of 109 payment localities, the office rate for 28202 runs from $546.59 in Arkansas to $778.45 in San Benito County, CA. Queens, NY pays $698.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

28202 in Queens, NY vs other payment areas
  1. Queens, NY · this page$698.68
  2. Manhattan, NY · New York$695.22−$3.46
  3. NYC suburbs and Long Island, NY · New York$711.55+$12.87
  4. Poughkeepsie and northern NYC suburbs, NY · New York$657.75−$40.93
  5. Rest of New York · New York$583.46−$115.22
  6. Los Angeles, CA · California$674.25−$24.43
  7. Washington, DC area · District of Columbia$686.72−$11.96

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

28202 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$661.36$451.34
Chicago, ILIllinois$644.38$441.63
AlaskaAlaska$735.35$520.50
AlabamaAlabama$553.52$377.00
ArkansasArkansas$546.59$373.29
ArizonaArizona$594.00$398.51
Bakersfield, CACalifornia$637.07$415.96
Chico, CACalifornia$634.78$413.67

28202 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.

$546.59

$735.35

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

View every state and territory as a table
28202 office rate range by state
State / territoryOffice rate rangeLocalities
AK$735.351
AL$553.521
AR$546.591
AZ$594.001
CA$634.78–$778.4529
CO$628.461
CT$645.641
DC$686.721
DE$602.941
FL$605.62–$661.363
GA$575.21–$619.942
GU$646.431
HI$646.431
IA$563.421
ID$567.091
IL$591.92–$644.384
IN$569.891
KS$562.211
KY$567.211
LA$566.87–$591.122
MA$625.89–$683.802
MD$613.05–$686.723
ME$570.82–$596.142
MI$581.05–$613.382
MN$601.181
MO$559.15–$591.653
MS$552.911
MT$608.511
NC$575.841
ND$593.681
NE$565.771
NH$619.921
NJ$652.71–$681.312
NM$584.271
NV$604.731
NY$583.46–$711.555
OH$578.021
OK$565.171
OR$599.71–$645.062
PA$578.21–$632.032
PR$612.081
RI$621.891
SC$577.951
SD$591.931
TN$564.811
TX$574.98–$626.678
UT$584.811
VA$595.19–$686.722
VI$612.081
VT$592.661
WA$624.30–$695.702
WI$576.391
WV$573.071
WY$602.051

See 28202 in every payment locality

How the 28202 rate is calculated

Each of 28202’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 · 28202

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.89

6.89 RVUs× 1.000 GPCI

Practice expense10.58

10.58 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

18.2200

Conversion factor

$33.4009

Medicare rate

$608.56

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,148

Code
28202
Physician work
6.89
Practice expense
10.58
Malpractice
0.75

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 28202 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work6.89× 1.0647.3310
Practice expense10.58× 1.18212.5056
Malpractice0.75× 1.4421.0815
Total RVUs20.9180
Conversion factor× 33.4009

Office rate, Queens, NY$698.68

Office: (6.89 × 1.064 + 10.58 × 1.182 + 0.75 × 1.442) × $33.4009 = $698.68

Facility: (6.89 × 1.064 + 4.54 × 1.182 + 0.75 × 1.442) × $33.4009 = $460.22

Open 28202 in the RVU calculator

Payment rules and modifiers for 28202

28202 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28202

Tendon repair, flexor tendon with 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)2Paid.
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 · 28202

Tendon repair, flexor tendon with 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

28202 without 51 · national office

$608.56

Tendon repair, flexor tendon with graft

28202-51 · Second procedure: 50%

$304.28

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 28202

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

Codes related to 28202
CodeHow it relatesOffice range, Queens, NY
Used instead
28200Foot tendon repair, flexor, without free graftFlexor tendon repair without a free graft.$582.80
28208Tendon repair, foot extensor, no graftExtensor tendon repair without a free graft, rather than flexor tendon reconstruction.$576.56
28210Tendon repair, foot extensor, secondary with graftExtensor tendon reconstruction with a free graft.$688.40

How 28202 has changed in Queens, NY

28202 · Office / nonfacility

$698.68

Effective 2026-10-01

The base rate is $24.19 higher than on 2025-10-01, moving from $674.49 to $698.68 (3.6%).

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

    $674.49changed to$698.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.07 changed to 6.89
    • Practice expense RVU 10.28 changed to 10.58
    • Malpractice RVU 0.71 changed to 0.75
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $688.37changed to$674.49

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.16 changed to 10.28
    • Malpractice RVU 0.69 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $677.13changed to$688.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $715.93changed to$677.13

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.12 changed to 10.16
    • Malpractice RVU 0.66 changed to 0.69
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $738.73changed to$715.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.83 changed to 10.12
    • Malpractice RVU 0.68 changed to 0.66
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $752.99changed to$738.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.02 changed to 9.83

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $751.73changed to$752.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.70 changed to 10.02
    • Malpractice RVU 0.67 changed to 0.68
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $740.79changed to$751.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.80 changed to 9.70
    • Malpractice RVU 0.64 changed to 0.67
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $731.64changed to$740.79

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.66 changed to 9.80
    • Malpractice RVU 0.61 changed to 0.64

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $720.74changed to$731.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.48 changed to 9.66
    • Malpractice RVU 0.59 changed to 0.61
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $723.91changed to$720.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.55 changed to 9.48
    • Malpractice RVU 0.61 changed to 0.59
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $721.78changed to$723.91

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.44 changed to 9.55

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $718.19changed to$721.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $711.75changed to$718.19

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.42 changed to 9.44
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $704.66changed to$711.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.25 changed to 9.42
    • Malpractice RVU 0.64 changed to 0.61
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $704.66

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$698.68$460.22RVU26D
2026-07-01$698.68$460.22RVU26C
2026-04-01$698.68$460.22RVU26B
2026-01-01$698.68$460.22RVU26A
2025-10-01$674.49$484.70RVU25D
2025-07-01$674.49$484.70RVU25C
2025-04-01$674.49$484.70RVU25B
2025-01-01$674.49$484.70RVU25A
2024-10-01$688.37$490.27RVU24D
2024-07-01$688.37$490.27RVU24C
2024-04-01$688.37$490.27RVU24B
2024-03-09$688.37$490.27RVU24AR
2024-01-01$677.13$482.27RVU24A
2023-10-01$715.93$508.93RVU23D
2023-07-01$715.93$508.93RVU23C
2023-04-01$715.93$508.93RVU23B
2023-01-01$715.93$508.93RVU23A
2022-10-01$738.73$525.82RVU22D
2022-07-01$738.73$525.82RVU22C
2022-04-01$738.73$525.82RVU22B
2022-01-01$738.73$525.82RVU22A
2021-10-01$752.99$529.32RVU21D
2021-07-01$752.99$529.32RVU21C
2021-04-01$752.99$529.32RVU21B
2021-01-01$752.99$529.32RVU21A
2020-10-01$751.73$532.67RVU20D
2020-07-01$751.73$532.67RVU20C
2020-04-01$751.73$532.67RVU20B
2020-01-01$751.73$532.67RVU20A
2019-10-01$740.79$521.52RVU19D
2019-07-01$740.79$521.52RVU19C
2019-04-01$740.79$521.52RVU19B
2019-01-01$740.79$521.52RVU19A
2018-10-01$731.64$514.34RVU18D
2018-07-01$731.64$514.34RVU18C
2018-04-01$731.64$514.34RVU18B
2018-01-01$731.64$514.34RVU18AR1
2017-10-01$720.74$508.43RVU17D
2017-07-01$720.74$508.43RVU17C
2017-04-01$720.74$508.43RVU17B
2017-01-01$720.74$508.43RVU17A
2016-10-01$723.91$510.98RVU16D
2016-07-01$723.91$510.98RVU16C
2016-04-01$723.91$510.98RVU16B
2016-01-01$723.91$510.98RVU16A
2015-10-01$721.78$508.95RVU15D
2015-07-01$721.78$508.95RVU15C
2015-04-01$718.19$506.41RVU15B
2015-01-01$718.19$506.41RVU15A
2014-10-01$711.75$502.50RVU14D
2014-07-01$711.75$502.50RVU14C
2014-04-01$711.75$502.50RVU14B
2014-01-01$711.75$502.50RVU14A
2013-10-01$704.66$485.92RVU13D
2013-07-01$704.66$485.92RVU13C
2013-04-01$704.66$485.92RVU13B
2013-01-01$704.66$485.92RVU13AR

Price 28202 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

28202 billing questions

How is 28202 different from 28200?

28202 is for flexor tendon reconstruction with a free graft. 28200 describes flexor tendon repair without a free graft.

Can the graft be billed separately?

The graft is included in the service described by 28202. The operative documentation should support the graft-based reconstruction.

Is modifier 50 appropriate when both feet are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50 to report bilateral treatment.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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 28202PPRRVU2026_Oct_nonQPP.csv, line 3,148 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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