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CPT code 28210: Tendon repair, foot extensor, secondary with graft2026 Medicare rate & RVUs in Virginia

Reports delayed or secondary reconstruction of a foot extensor tendon using a free graft, including the graft harvest, when direct repair is not performed.

CMS RVU26DEffective Oct 1, 2026One payment locality171 Medicare services in 2024

In Virginia, Medicare pays $584.11 for 28210 in the office and $387.11 when it’s performed in a hospital or facility.

$584.11Office (non-facility)
$387.11Hospital or facility
−2.3%vs the national office rate ($597.88)

Check a contract rate as a % of Medicare · 28210 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 28210 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 28210 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 28210 covers

This service reconstructs a foot extensor tendon during a secondary repair using a free tendon graft. It is used for a tendon that cannot be repaired directly in a delayed setting, such as after a prior injury has left a gap or deficient tendon tissue. An orthopedic foot and ankle surgeon or podiatric surgeon typically performs the reconstruction in an operating room. The graft harvest is part of the service.

Report 28210 when the operative record supports a secondary extensor tendon reconstruction with a free graft; distinguish it from a repair without graft and from graft repair of a flexor tendon. Document the involved tendon, the reason a secondary reconstruction was needed, and the graft use and harvest. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted. Modifier 50 is inappropriate for this code.

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 Virginia compares for 28210

Across 109 of 109 payment localities, the office rate for 28210 runs from $534.57 in Arkansas to $768.01 in San Benito County, CA. Virginia pays $584.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

28210 in Virginia vs other payment areas
  1. Virginia · this page$584.11
  2. Los Angeles, CA · California$663.60+$79.49
  3. Washington, DC area · District of Columbia$676.26+$92.15
  4. Miami, FL · Florida$652.45+$68.34
  5. Chicago, IL · Illinois$634.90+$50.79
  6. Manhattan, NY · New York$684.96+$100.85
  7. Alaska · Alaska$715.75+$131.64

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

Every other payment area

28210 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$541.65$366.29
ArkansasArkansas$534.57$362.42
ArizonaArizona$582.98$388.79
Bakersfield, CACalifornia$626.23$406.58
Chico, CACalifornia$623.90$404.26
El Centro, CACalifornia$624.03$404.39
Fresno, CACalifornia$623.90$404.26
Hanford, CACalifornia$623.90$404.26

28210 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.

$534.57

$715.75

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

View every state and territory as a table
28210 office rate range by state
State / territoryOffice rate rangeLocalities
AK$715.751
AL$541.651
AR$534.571
AZ$582.981
CA$623.90–$768.0129
CO$617.721
CT$635.271
DC$676.261
DE$591.991
FL$595.17–$652.453
GA$564.06–$609.502
GU$636.141
HI$636.141
IA$551.621
ID$555.391
IL$581.28–$634.904
IN$558.251
KS$550.451
KY$555.771
LA$555.45–$580.222
MA$615.03–$673.442
MD$602.18–$676.263
ME$559.28–$585.032
MI$569.97–$603.172
MN$589.961
MO$547.60–$580.683
MS$541.121
MT$597.821
NC$564.391
ND$582.401
NE$554.001
NH$609.351
NJ$641.96–$670.532
NM$573.281
NV$593.881
NY$572.17–$701.725
OH$566.821
OK$553.611
OR$588.70–$634.502
PA$566.97–$621.462
PR$601.441
RI$610.961
SC$566.651
SD$580.581
TN$553.111
TX$563.68–$616.188
UT$573.661
VA$584.11–$676.262
VI$601.441
VT$581.411
WA$613.46–$685.312
WI$564.751
WV$562.021
WY$591.101

See 28210 in every payment locality

How the 28210 rate is calculated

Each of 28210’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 · 28210

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.36

6.36 RVUs× 1.000 GPCI

Practice expense10.76

10.76 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

17.9000

Conversion factor

$33.4009

Medicare rate

$597.88

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,150

Code
28210
Physician work
6.36
Practice expense
10.76
Malpractice
0.78

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 28210 in Virginia
ComponentRVULocality factorAdjusted
Physician work6.36× 1.0006.3600
Practice expense10.76× 0.98310.5771
Malpractice0.78× 0.7060.5507
Total RVUs17.4878
Conversion factor× 33.4009

Office rate, Virginia$584.11

Office: (6.36 × 1 + 10.76 × 0.983 + 0.78 × 0.706) × $33.4009 = $584.11

Facility: (6.36 × 1 + 4.76 × 0.983 + 0.78 × 0.706) × $33.4009 = $387.11

Open 28210 in the RVU calculator

Payment rules and modifiers for 28210

28210 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28210

Tendon repair, foot extensor, secondary 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)0Not permitted.
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 · 28210

Tendon repair, foot extensor, secondary 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

28210 without 51 · national office

$597.88

Tendon repair, foot extensor, secondary with graft

28210-51 · Second procedure: 50%

$298.94

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 28210

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

Codes related to 28210
CodeHow it relatesOffice range, Virginia
Used instead
28208Tendon repair, foot extensor, no graftFoot extensor tendon repair without a free graft.$487.19
Same family
28202Tendon repair, flexor tendon with graftGraft repair counterpart for a foot flexor tendon.$595.19
28200Foot tendon repair, flexor, without free graftFoot flexor tendon repair without a free graft.$493.22

How 28210 has changed in Virginia

28210 · Office / nonfacility

$584.11

Effective 2026-10-01

The base rate is $25.61 higher than on 2025-10-01, moving from $558.50 to $584.11 (4.6%).

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

    $558.50changed to$584.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.52 changed to 6.36
    • Practice expense RVU 10.34 changed to 10.76
    • Malpractice RVU 0.74 changed to 0.78
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $582.13changed to$558.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.55 changed to 10.34
    • Malpractice RVU 0.76 changed to 0.74

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $572.63changed to$582.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $593.86changed to$572.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.49 changed to 10.55
    • Malpractice RVU 0.75 changed to 0.76
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $595.03changed to$593.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.07 changed to 10.49
    • Malpractice RVU 0.73 changed to 0.75
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $615.49changed to$595.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.49 changed to 10.07
    • Malpractice RVU 0.76 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $607.54changed to$615.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.77 changed to 10.49
    • Malpractice RVU 0.70 changed to 0.76
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $606.92changed to$607.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.85 changed to 9.77
    • Malpractice RVU 0.67 changed to 0.70
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $607.29changed to$606.92

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.87 changed to 9.85
    • Malpractice RVU 0.68 changed to 0.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $596.34changed to$607.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.67 changed to 9.87
    • Malpractice RVU 0.66 changed to 0.68
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $582.22changed to$596.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.39 changed to 9.67
    • Malpractice RVU 0.62 changed to 0.66
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $595.72changed to$582.22

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.83 changed to 9.39
    • Malpractice RVU 0.48 changed to 0.62

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $592.76changed to$595.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $568.28changed to$592.76

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.05 changed to 9.83
    • Malpractice RVU 0.61 changed to 0.48
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $583.45changed to$568.28

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.40 changed to 9.05
    • Malpractice RVU 0.64 changed to 0.61
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $583.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$584.11$387.11RVU26D
2026-07-01$584.11$387.11RVU26C
2026-04-01$584.11$387.11RVU26B
2026-01-01$584.11$387.11RVU26A
2025-10-01$558.50$406.36RVU25D
2025-07-01$558.50$406.36RVU25C
2025-04-01$558.50$406.36RVU25B
2025-01-01$558.50$406.36RVU25A
2024-10-01$582.13$418.69RVU24D
2024-07-01$582.13$418.69RVU24C
2024-04-01$582.13$418.69RVU24B
2024-03-09$582.13$418.69RVU24AR
2024-01-01$572.63$411.85RVU24A
2023-10-01$593.86$424.44RVU23D
2023-07-01$593.86$424.44RVU23C
2023-04-01$593.86$424.44RVU23B
2023-01-01$593.86$424.44RVU23A
2022-10-01$595.03$422.87RVU22D
2022-07-01$595.03$422.87RVU22C
2022-04-01$595.03$422.87RVU22B
2022-01-01$595.03$422.87RVU22A
2021-10-01$615.49$430.79RVU21D
2021-07-01$615.49$430.79RVU21C
2021-04-01$615.49$430.79RVU21B
2021-01-01$615.49$430.79RVU21A
2020-10-01$607.54$431.58RVU20D
2020-07-01$607.54$431.58RVU20C
2020-04-01$607.54$431.58RVU20B
2020-01-01$607.54$431.58RVU20A
2019-10-01$606.92$429.95RVU19D
2019-07-01$606.92$429.95RVU19C
2019-04-01$606.92$429.95RVU19B
2019-01-01$606.92$429.95RVU19A
2018-10-01$607.29$429.81RVU18D
2018-07-01$607.29$429.81RVU18C
2018-04-01$607.29$429.81RVU18B
2018-01-01$607.29$429.81RVU18AR1
2017-10-01$596.34$422.77RVU17D
2017-07-01$596.34$422.77RVU17C
2017-04-01$596.34$422.77RVU17B
2017-01-01$596.34$422.77RVU17A
2016-10-01$582.22$413.99RVU16D
2016-07-01$582.22$413.99RVU16C
2016-04-01$582.22$413.99RVU16B
2016-01-01$582.22$413.99RVU16A
2015-10-01$595.72$419.81RVU15D
2015-07-01$595.72$419.81RVU15C
2015-04-01$592.76$417.72RVU15B
2015-01-01$592.76$417.72RVU15A
2014-10-01$568.28$406.44RVU14D
2014-07-01$568.28$406.44RVU14C
2014-04-01$568.28$406.44RVU14B
2014-01-01$568.28$406.44RVU14A
2013-10-01$583.45$406.61RVU13D
2013-07-01$583.45$406.61RVU13C
2013-04-01$583.45$406.61RVU13B
2013-01-01$583.45$406.61RVU13AR

Price 28210 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

28210 billing questions

How does 28210 differ from 28208?

28210 is for secondary foot extensor tendon reconstruction with a free graft. 28208 describes extensor tendon repair without a free graft.

Does 28210 include obtaining the graft?

Yes. Graft harvest is included in this secondary repair service, rather than separately represented by 28210.

When is 28210 preferred to 28202?

Use 28210 for a foot extensor tendon reconstructed with a free graft. 28202 is the corresponding graft repair code for a flexor tendon.

Can modifier 50 be used for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not appropriate.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

What documentation supports reporting 28210?

Document the extensor tendon treated, why repair was secondary rather than primary, and the use and harvest of a free graft.

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 28210PPRRVU2026_Oct_nonQPP.csv, line 3,150 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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