FeeBase
Log inGet started
Menu

CPT code 28210: Tendon repair, foot extensor, secondary with graft2026 Medicare rate & RVUs in West 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 West Virginia, Medicare pays $562.02 for 28210 in the office and $387.87 when it’s performed in a hospital or facility.

$562.02Office (non-facility)
$387.87Hospital or facility
−6.0%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 West 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 West 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. West Virginia pays $562.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

28210 in West Virginia vs other payment areas
  1. West Virginia · this page$562.02
  2. Los Angeles, CA · California$663.60+$101.58
  3. Washington, DC area · District of Columbia$676.26+$114.24
  4. Miami, FL · Florida$652.45+$90.43
  5. Chicago, IL · Illinois$634.90+$72.88
  6. Manhattan, NY · New York$684.96+$122.94
  7. Alaska · Alaska$715.75+$153.73

Other areas in West 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 West 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

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 28210 in West Virginia
ComponentRVULocality factorAdjusted
Physician work6.36× 1.0006.3600
Practice expense10.76× 0.8699.3504
Malpractice0.78× 1.4311.1162
Total RVUs16.8266
Conversion factor× 33.4009

Office rate, West Virginia$562.02

Office: (6.36 × 1 + 10.76 × 0.869 + 0.78 × 1.431) × $33.4009 = $562.02

Facility: (6.36 × 1 + 4.76 × 0.869 + 0.78 × 1.431) × $33.4009 = $387.87

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, West Virginia
Used instead
28208Tendon repair, foot extensor, no graftFoot extensor tendon repair without a free graft.$462.82
Same family
28202Tendon repair, flexor tendon with graftGraft repair counterpart for a foot flexor tendon.$573.07
28200Foot tendon repair, flexor, without free graftFoot flexor tendon repair without a free graft.$469.01

How 28210 has changed in West Virginia

28210 · Office / nonfacility

$562.02

Effective 2026-10-01

The base rate is $30.91 higher than on 2025-10-01, moving from $531.11 to $562.02 (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

    $531.11changed to$562.02

    • 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
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $553.48changed to$531.11

    • 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

    $544.44changed to$553.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $558.83changed to$544.44

    • 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
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $554.90changed to$558.83

    • 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 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $573.33changed to$554.90

    • 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

    $568.98changed to$573.33

    • 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 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $570.49changed to$568.98

    • 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
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $570.95changed to$570.49

    • 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

    $558.47changed to$570.95

    • 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 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $542.97changed to$558.47

    • 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 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $551.70changed to$542.97

    • 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

    $548.95changed to$551.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $530.74changed to$548.95

    • 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 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $541.57changed to$530.74

    • 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 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $541.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$562.02$387.87RVU26D
2026-07-01$562.02$387.87RVU26C
2026-04-01$562.02$387.87RVU26B
2026-01-01$562.02$387.87RVU26A
2025-10-01$531.11$397.83RVU25D
2025-07-01$531.11$397.83RVU25C
2025-04-01$531.11$397.83RVU25B
2025-01-01$531.11$397.83RVU25A
2024-10-01$553.48$410.30RVU24D
2024-07-01$553.48$410.30RVU24C
2024-04-01$553.48$410.30RVU24B
2024-03-09$553.48$410.30RVU24AR
2024-01-01$544.44$403.60RVU24A
2023-10-01$558.83$411.66RVU23D
2023-07-01$558.83$411.66RVU23C
2023-04-01$558.83$411.66RVU23B
2023-01-01$558.83$411.66RVU23A
2022-10-01$554.90$406.44RVU22D
2022-07-01$554.90$406.44RVU22C
2022-04-01$554.90$406.44RVU22B
2022-01-01$554.90$406.44RVU22A
2021-10-01$573.33$414.05RVU21D
2021-07-01$573.33$414.05RVU21C
2021-04-01$573.33$414.05RVU21B
2021-01-01$573.33$414.05RVU21A
2020-10-01$568.98$416.81RVU20D
2020-07-01$568.98$416.81RVU20C
2020-04-01$568.98$416.81RVU20B
2020-01-01$568.98$416.81RVU20A
2019-10-01$570.49$416.68RVU19D
2019-07-01$570.49$416.68RVU19C
2019-04-01$570.49$416.68RVU19B
2019-01-01$570.49$416.68RVU19A
2018-10-01$570.95$416.69RVU18D
2018-07-01$570.95$416.69RVU18C
2018-04-01$570.95$416.69RVU18B
2018-01-01$570.95$416.69RVU18AR1
2017-10-01$558.47$409.22RVU17D
2017-07-01$558.47$409.22RVU17C
2017-04-01$558.47$409.22RVU17B
2017-01-01$558.47$409.22RVU17A
2016-10-01$542.97$399.89RVU16D
2016-07-01$542.97$399.89RVU16C
2016-04-01$542.97$399.89RVU16B
2016-01-01$542.97$399.89RVU16A
2015-10-01$551.70$402.09RVU15D
2015-07-01$551.70$402.09RVU15C
2015-04-01$548.95$400.09RVU15B
2015-01-01$548.95$400.09RVU15A
2014-10-01$530.74$393.34RVU14D
2014-07-01$530.74$393.34RVU14C
2014-04-01$530.74$393.34RVU14B
2014-01-01$530.74$393.34RVU14A
2013-10-01$541.57$391.70RVU13D
2013-07-01$541.57$391.70RVU13C
2013-04-01$541.57$391.70RVU13B
2013-01-01$541.57$391.70RVU13AR

Price 28210 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West 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 West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 28210 pays in West Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 28210 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist