CPT code 28208: Tendon repair, foot extensor, no graft2026 Medicare rate & RVUs in North Dakota

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 North Dakota, Medicare pays $487.23 for 28208 in the office and $298.52 when it’s performed in a hospital or facility.

$487.23Office (non-facility)
$298.52Hospital or facility
−2.2%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 North Dakota
  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 North Dakota 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. North Dakota pays $487.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

28208 in North Dakota vs other payment areas
  1. North Dakota · this page$487.23
  2. Los Angeles, CA · California$558.96+$71.73
  3. Washington, DC area · District of Columbia$567.61+$80.38
  4. Miami, FL · Florida$540.58+$53.35
  5. Chicago, IL · Illinois$525.26+$38.03
  6. Manhattan, NY · New York$572.60+$85.37
  7. Alaska · Alaska$585.05+$97.82

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

28208 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$448.64$283.51
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

28208 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.

$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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 28208 in North Dakota
ComponentRVULocality factorAdjusted
Physician work4.40× 1.0004.4000
Practice expense9.96× 1.0009.9600
Malpractice0.56× 0.4060.2274
Total RVUs14.5874
Conversion factor× 33.4009

Office rate, North Dakota$487.23

Office: (4.4 × 1 + 9.96 × 1 + 0.56 × 0.406) × $33.4009 = $487.23

Facility: (4.4 × 1 + 4.31 × 1 + 0.56 × 0.406) × $33.4009 = $298.52

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

How 28208 has changed in North Dakota

28208 · Office / nonfacility

$487.23

Effective 2026-10-01

The base rate is $28.58 higher than on 2025-10-01, moving from $458.65 to $487.23 (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

    $458.65changed to$487.23

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $476.32changed to$458.65

    • 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

    $468.54changed to$476.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $482.24changed to$468.54

    • 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
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $483.84changed to$482.24

    • 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
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $492.14changed to$483.84

    • 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

    $491.98changed to$492.14

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.87 changed to 9.37
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $493.18changed to$491.98

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $491.92changed to$493.18

    • 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

    $486.74changed to$491.92

    • 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
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $482.30changed to$486.74

    • 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
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $485.51changed to$482.30

    • 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

    $483.10changed to$485.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $477.94changed to$483.10

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $477.80changed to$477.94

    • 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
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $477.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$487.23$298.52RVU26D
2026-07-01$487.23$298.52RVU26C
2026-04-01$487.23$298.52RVU26B
2026-01-01$487.23$298.52RVU26A
2025-10-01$458.65$308.56RVU25D
2025-07-01$458.65$308.56RVU25C
2025-04-01$458.65$308.56RVU25B
2025-01-01$458.65$308.56RVU25A
2024-10-01$476.32$315.87RVU24D
2024-07-01$476.32$315.87RVU24C
2024-04-01$476.32$315.87RVU24B
2024-03-09$476.32$315.87RVU24AR
2024-01-01$468.54$310.72RVU24A
2023-10-01$482.24$316.87RVU23D
2023-07-01$482.24$316.87RVU23C
2023-04-01$482.24$316.87RVU23B
2023-01-01$482.24$316.87RVU23A
2022-10-01$483.84$314.62RVU22D
2022-07-01$483.84$314.62RVU22C
2022-04-01$483.84$314.62RVU22B
2022-01-01$483.84$314.62RVU22A
2021-10-01$492.14$314.18RVU21D
2021-07-01$492.14$314.18RVU21C
2021-04-01$492.14$314.18RVU21B
2021-01-01$492.14$314.18RVU21A
2020-10-01$491.98$319.11RVU20D
2020-07-01$491.98$319.11RVU20C
2020-04-01$491.98$319.11RVU20B
2020-01-01$491.98$319.11RVU20A
2019-10-01$493.18$319.47RVU19D
2019-07-01$493.18$319.47RVU19C
2019-04-01$493.18$319.47RVU19B
2019-01-01$493.18$319.47RVU19A
2018-10-01$491.92$318.40RVU18D
2018-07-01$491.92$318.40RVU18C
2018-04-01$491.92$318.40RVU18B
2018-01-01$491.92$318.40RVU18AR1
2017-10-01$486.74$316.27RVU17D
2017-07-01$486.74$316.27RVU17C
2017-04-01$486.74$316.27RVU17B
2017-01-01$486.74$316.27RVU17A
2016-10-01$482.30$313.30RVU16D
2016-07-01$482.30$313.30RVU16C
2016-04-01$482.30$313.30RVU16B
2016-01-01$482.30$313.30RVU16A
2015-10-01$485.51$314.83RVU15D
2015-07-01$485.51$314.83RVU15C
2015-04-01$483.10$313.26RVU15B
2015-01-01$483.10$313.26RVU15A
2014-10-01$477.94$311.73RVU14D
2014-07-01$477.94$311.73RVU14C
2014-04-01$477.94$311.73RVU14B
2014-01-01$477.94$311.73RVU14A
2013-10-01$477.80$304.96RVU13D
2013-07-01$477.80$304.96RVU13C
2013-04-01$477.80$304.96RVU13B
2013-01-01$477.80$304.96RVU13AR

Price 28208 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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