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CPT code 28208: Tendon repair, foot extensor, no graft2026 Medicare rate & RVUs in Washington, DC area

Reports primary or secondary repair of a foot extensor tendon without a free graft, typically to restore extension after a tendon injury.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Washington, DC area, Medicare pays $567.61 for 28208 in the office and $345.30 when it’s performed in a hospital or facility.

$567.61Office (non-facility)
$345.30Hospital or facility
+13.9%vs the national office rate ($498.34)

Check a contract rate as a % of Medicare · 28208 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 28208 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 28208 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 28208 covers

This service repairs a damaged extensor tendon in the foot, such as a tendon that lifts a toe after a laceration or rupture. The surgeon brings the tendon ends together or reattaches the tendon as needed to restore its function; a free tendon graft is not used. Orthopedic and podiatric surgeons commonly perform the repair in an operating room. The service is for each tendon repaired, not each incision or foot.

Choose this code when the operative report supports repair of a foot extensor tendon without a free graft. Document the tendon repaired, the injury or defect, the repair performed, and the number of tendons. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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% reduction. Modifier 50 is inappropriate for this code. CMS 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 Washington, DC area compares for 28208

Across 109 of 109 payment localities, the office rate for 28208 runs from $442.36 in Arkansas to $652.87 in San Benito County, CA. Washington, DC area pays $567.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

28208 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$567.61
  2. Los Angeles, CA · California$558.96−$8.65
  3. Miami, FL · Florida$540.58−$27.03
  4. Chicago, IL · Illinois$525.26−$42.35
  5. Manhattan, NY · New York$572.60+$4.99
  6. Alaska · Alaska$585.05+$17.44
  7. Alabama · Alabama$448.64−$118.97

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

28208 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$442.36$280.26
ArizonaArizona$485.34$302.47
Bakersfield, CACalifornia$525.76$318.93
Chico, CACalifornia$524.10$317.27
El Centro, CACalifornia$524.19$317.36
Fresno, CACalifornia$524.10$317.27
Hanford, CACalifornia$524.10$317.27
Madera, CACalifornia$524.10$317.27

28208 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.

$442.36

$588.49

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

View every state and territory as a table
28208 office rate range by state
State / territoryOffice rate rangeLocalities
AK$585.051
AL$448.641
AR$442.361
AZ$485.341
CA$524.10–$652.8729
CO$517.301
CT$530.821
DC$567.611
DE$493.201
FL$493.11–$540.583
GA$466.00–$507.862
GU$536.041
HI$536.041
IA$458.791
ID$461.871
IL$479.93–$525.264
IN$464.441
KS$457.131
KY$459.821
LA$459.30–$481.262
MA$514.53–$566.852
MD$502.27–$567.613
ME$464.66–$488.452
MI$471.81–$499.532
MN$494.821
MO$451.95–$482.413
MS$447.221
MT$498.301
NC$469.301
ND$487.231
NE$461.091
NH$509.641
NJ$536.64–$562.102
NM$474.491
NV$495.551
NY$476.15–$586.655
OH$469.551
OK$458.571
OR$491.46–$532.832
PA$470.03–$518.242
PR$501.721
RI$510.091
SC$470.251
SD$485.921
TN$459.411
TX$467.07–$515.808
UT$476.471
VA$487.19–$567.612
VI$501.721
VT$485.771
WA$513.41–$577.782
WI$471.431
WV$462.821
WY$493.481

See 28208 in every payment locality

How the 28208 rate is calculated

Each of 28208’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 · 28208

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.40

4.40 RVUs× 1.000 GPCI

Practice expense9.96

9.96 RVUs× 1.000 GPCI

Malpractice0.56

0.56 RVUs× 1.000 GPCI

Adjusted RVUs

14.9200

Conversion factor

$33.4009

Medicare rate

$498.34

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,149

Code
28208
Physician work
4.40
Practice expense
9.96
Malpractice
0.56

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 28208 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.40× 1.0544.6376
Practice expense9.96× 1.17811.7329
Malpractice0.56× 1.1130.6233
Total RVUs16.9938
Conversion factor× 33.4009

Office rate, Washington, DC area$567.61

Office: (4.4 × 1.054 + 9.96 × 1.178 + 0.56 × 1.113) × $33.4009 = $567.61

Facility: (4.4 × 1.054 + 4.31 × 1.178 + 0.56 × 1.113) × $33.4009 = $345.30

Open 28208 in the RVU calculator

Payment rules and modifiers for 28208

28208 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28208

Tendon repair, foot extensor, no 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 · 28208

Tendon repair, foot extensor, no 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

28208 without 51 · national office

$498.34

Tendon repair, foot extensor, no graft

28208-51 · Second procedure: 50%

$249.17

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 28208

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

Codes related to 28208
CodeHow it relatesOffice range, Washington, DC area
Same family
28210Tendon repair, foot extensor, secondary with graftFoot extensor tendon repair when a free graft is used.$676.26
28200Foot tendon repair, flexor, without free graftFoot flexor tendon repair without a free graft.$573.78
28202Tendon repair, flexor tendon with graftFoot flexor tendon repair using a free graft.$686.72

How 28208 has changed in Washington, DC area

28208 · Office / nonfacility

$567.61

Effective 2026-10-01

The base rate is $30.96 higher than on 2025-10-01, moving from $536.65 to $567.61 (5.8%).

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

    $536.65changed to$567.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.51 changed to 4.40
    • Practice expense RVU 9.39 changed to 9.96
    • Malpractice RVU 0.54 changed to 0.56
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $557.42changed to$536.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.52 changed to 9.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $548.32changed to$557.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $573.51changed to$548.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.46 changed to 9.52
    • Malpractice RVU 0.55 changed to 0.54
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $584.38changed to$573.51

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.23 changed to 9.46
    • Malpractice RVU 0.56 changed to 0.55
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $593.45changed to$584.38

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.37 changed to 9.23
    • Malpractice RVU 0.52 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $585.56changed to$593.45

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.87 changed to 9.37
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $579.05changed to$585.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.91 changed to 8.87
    • Malpractice RVU 0.49 changed to 0.52
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $577.55changed to$579.05

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.89 changed to 8.91

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $571.65changed to$577.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.79 changed to 8.89
    • Malpractice RVU 0.48 changed to 0.49
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $566.61changed to$571.65

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.70 changed to 8.79
    • Malpractice RVU 0.47 changed to 0.48
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $570.87changed to$566.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.73 changed to 8.70
    • Malpractice RVU 0.49 changed to 0.47

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $568.03changed to$570.87

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $559.37changed to$568.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.58 changed to 8.73
    • Malpractice RVU 0.47 changed to 0.49
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $558.05changed to$559.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.28 changed to 8.58
    • Malpractice RVU 0.49 changed to 0.47
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $558.05

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$567.61$345.30RVU26D
2026-07-01$567.61$345.30RVU26C
2026-04-01$567.61$345.30RVU26B
2026-01-01$567.61$345.30RVU26A
2025-10-01$536.65$357.75RVU25D
2025-07-01$536.65$357.75RVU25C
2025-04-01$536.65$357.75RVU25B
2025-01-01$536.65$357.75RVU25A
2024-10-01$557.42$366.17RVU24D
2024-07-01$557.42$366.17RVU24C
2024-04-01$557.42$366.17RVU24B
2024-03-09$557.42$366.17RVU24AR
2024-01-01$548.32$360.19RVU24A
2023-10-01$573.51$372.75RVU23D
2023-07-01$573.51$372.75RVU23C
2023-04-01$573.51$372.75RVU23B
2023-01-01$573.51$372.75RVU23A
2022-10-01$584.38$375.21RVU22D
2022-07-01$584.38$375.21RVU22C
2022-04-01$584.38$375.21RVU22B
2022-01-01$584.38$375.21RVU22A
2021-10-01$593.45$373.50RVU21D
2021-07-01$593.45$373.50RVU21C
2021-04-01$593.45$373.50RVU21B
2021-01-01$593.45$373.50RVU21A
2020-10-01$585.56$374.49RVU20D
2020-07-01$585.56$374.49RVU20C
2020-04-01$585.56$374.49RVU20B
2020-01-01$585.56$374.49RVU20A
2019-10-01$579.05$369.74RVU19D
2019-07-01$579.05$369.74RVU19C
2019-04-01$579.05$369.74RVU19B
2019-01-01$579.05$369.74RVU19A
2018-10-01$577.55$368.46RVU18D
2018-07-01$577.55$368.46RVU18C
2018-04-01$577.55$368.46RVU18B
2018-01-01$577.55$368.46RVU18AR1
2017-10-01$571.65$366.24RVU17D
2017-07-01$571.65$366.24RVU17C
2017-04-01$571.65$366.24RVU17B
2017-01-01$571.65$366.24RVU17A
2016-10-01$566.61$362.97RVU16D
2016-07-01$566.61$362.97RVU16C
2016-04-01$566.61$362.97RVU16B
2016-01-01$566.61$362.97RVU16A
2015-10-01$570.87$365.20RVU15D
2015-07-01$570.87$365.20RVU15C
2015-04-01$568.03$363.38RVU15B
2015-01-01$568.03$363.38RVU15A
2014-10-01$559.37$359.58RVU14D
2014-07-01$559.37$359.58RVU14C
2014-04-01$559.37$359.58RVU14B
2014-01-01$559.37$359.58RVU14A
2013-10-01$558.05$350.99RVU13D
2013-07-01$558.05$350.99RVU13C
2013-04-01$558.05$350.99RVU13B
2013-01-01$558.05$350.99RVU13AR

Price 28208 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

28208 billing questions

How does this differ from 28210?

Both codes concern repair of a foot extensor tendon. Use 28208 for repair without a free graft and 28210 when the repair uses a free graft.

Can this code be used for a flexor tendon repair?

No. This code is for a foot extensor tendon; 28200 is the corresponding repair code for a foot flexor tendon without a free graft.

How should the number of tendons be reported?

The service is reported for each tendon repaired. The operative report should identify the tendon or tendons and support the number of units billed.

Should modifier 50 be appended for repairs on both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What postoperative care is included?

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

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 28208PPRRVU2026_Oct_nonQPP.csv, line 3,149 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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