CPT code 28238: Tendon revision, foot tendon2026 Medicare rate & RVUs in Tennessee
Reports operative revision of a foot tendon when the documented procedure revises previously treated tendon tissue rather than performing a straightforward primary repair.
In Tennessee, Medicare pays $634.80 for 28238 in the office and $429.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28238 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28238 covers
CPT 28238 covers operative revision of a tendon in the foot. An orthopedic foot-and-ankle surgeon or podiatric surgeon may perform the procedure when the tendon requires revision after prior treatment. The specific tendon, side, and operative approach depend on the patient’s condition and the surgeon’s findings. The operative report should make clear that the work is a revision of the foot tendon, not simply a new primary repair or a tendon release.
Select the code based on the procedure actually performed and documented. Identify the affected tendon and side, the reason for revision, and the revision work in the operative report. This major surgery has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Tennessee compares for 28238
Across 109 of 109 payment localities, the office rate for 28238 runs from $614.38 in Arkansas to $873.53 in San Benito County, CA. Tennessee pays $634.80. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$634.80
- Los Angeles, CA · California$757.54+$122.74
- Washington, DC area · District of Columbia$773.18+$138.38
- Miami, FL · Florida$750.08+$115.28
- Chicago, IL · Illinois$730.26+$95.46
- Manhattan, NY · New York$784.47+$149.67
- Alaska · Alaska$826.38+$191.58
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $622.31 | $424.45 |
| ArkansasArkansas | $614.38 | $420.14 |
| ArizonaArizona | $668.59 | $449.47 |
| Bakersfield, CACalifornia | $715.77 | $467.94 |
| Chico, CACalifornia | $712.94 | $465.11 |
| El Centro, CACalifornia | $713.10 | $465.26 |
| Fresno, CACalifornia | $712.94 | $465.11 |
| Hanford, CACalifornia | $712.94 | $465.11 |
| Madera, CACalifornia | $712.94 | $465.11 |
| Merced, CACalifornia | $712.94 | $465.11 |
| Modesto, CACalifornia | $712.94 | $465.11 |
| Napa, CACalifornia | $811.54 | $513.51 |
| Oxnard, CACalifornia | $752.47 | $485.20 |
| Redding, CACalifornia | $712.94 | $465.11 |
| Rest of CaliforniaCalifornia | $712.94 | $465.11 |
| Riverside, CACalifornia | $723.26 | $475.42 |
| Sacramento, CACalifornia | $744.29 | $481.31 |
| Salinas, CACalifornia | $741.42 | $479.34 |
| San Diego, CACalifornia | $755.94 | $485.50 |
| Marin County, CACalifornia | $854.57 | $535.74 |
| San Francisco, CACalifornia | $853.49 | $534.66 |
| San Benito County, CACalifornia | $873.53 | $547.46 |
| Santa Clara County, CACalifornia | $869.12 | $543.05 |
| San Luis Obispo, CACalifornia | $729.90 | $472.34 |
| Santa Cruz, CACalifornia | $760.92 | $486.18 |
| Santa Maria, CACalifornia | $743.40 | $479.74 |
| Santa Rosa, CACalifornia | $768.38 | $490.70 |
| Stockton, CACalifornia | $712.94 | $465.11 |
| Vallejo, CACalifornia | $809.99 | $511.96 |
| Visalia, CACalifornia | $712.94 | $465.11 |
| Yuba City, CACalifornia | $712.94 | $465.11 |
| ColoradoColorado | $706.79 | $466.20 |
| ConnecticutConnecticut | $727.61 | $484.07 |
| DelawareDelaware | $678.74 | $455.33 |
| Fort Lauderdale, FLFlorida | $716.15 | $487.09 |
| Rest of FloridaFlorida | $683.99 | $467.82 |
| Atlanta, GAGeorgia | $698.85 | $469.11 |
| Rest of GeorgiaGeorgia | $648.88 | $447.17 |
| Hawaii, Guam, HIHawaii | $726.07 | $468.97 |
| IowaIowa | $632.72 | $425.82 |
| IdahoIdaho | $637.11 | $429.07 |
| East St. Louis, ILIllinois | $686.00 | $477.97 |
| Rest of IllinoisIllinois | $668.93 | $462.48 |
| Suburban Chicago, ILIllinois | $722.35 | $490.12 |
| IndianaIndiana | $640.28 | $430.66 |
| KansasKansas | $631.78 | $427.36 |
| KentuckyKentucky | $638.90 | $437.88 |
| New Orleans, LALouisiana | $666.43 | $453.65 |
| Rest of LouisianaLouisiana | $638.69 | $438.57 |
| Metropolitan Boston, MAMassachusetts | $769.05 | $499.06 |
| Rest of MassachusettsMassachusetts | $704.00 | $465.89 |
| Baltimore area, MDMaryland | $725.85 | $483.22 |
| Rest of MarylandMaryland | $690.11 | $461.27 |
| Rest of MaineMaine | $641.84 | $433.80 |
| Southern Maine, MEMaine | $670.13 | $446.04 |
| Detroit, MIMichigan | $693.35 | $475.14 |
| Rest of MichiganMichigan | $655.16 | $448.71 |
| MinnesotaMinnesota | $674.49 | $441.81 |
| Metropolitan Kansas City, MOMissouri | $660.59 | $448.26 |
| Metropolitan St. Louis, MOMissouri | $666.52 | $451.25 |
| Rest of MissouriMissouri | $630.13 | $435.21 |
| MississippiMississippi | $622.27 | $427.58 |
| MontanaMontana | $685.32 | $459.20 |
| North CarolinaNorth Carolina | $647.50 | $436.53 |
| North DakotaNorth Dakota | $666.54 | $440.41 |
| NebraskaNebraska | $635.28 | $426.56 |
| New HampshireNew Hampshire | $697.59 | $462.20 |
| Northern New JerseyNew Jersey | $766.99 | $504.68 |
| Rest of New JerseyNew Jersey | $735.12 | $488.20 |
| New MexicoNew Mexico | $659.02 | $451.67 |
| NevadaNevada | $680.48 | $454.13 |
| NYC suburbs and Long Island, NYNew York | $803.72 | $534.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $741.19 | $493.58 |
| Queens, NYNew York | $787.79 | $520.51 |
| Rest of New YorkNew York | $656.24 | $441.42 |
| OhioOhio | $651.32 | $444.87 |
| OklahomaOklahoma | $636.10 | $434.17 |
| Portland, OROregon | $725.20 | $473.97 |
| Rest of OregonOregon | $674.38 | $449.16 |
| Metropolitan Philadelphia, PAPennsylvania | $712.35 | $476.95 |
| Rest of PennsylvaniaPennsylvania | $651.30 | $443.71 |
| Puerto RicoPuerto Rico | $689.25 | $460.64 |
| Rhode IslandRhode Island | $699.90 | $466.32 |
| South CarolinaSouth Carolina | $650.65 | $441.71 |
| South DakotaSouth Dakota | $664.32 | $438.19 |
| Austin, TXTexas | $705.17 | $465.93 |
| Beaumont, TXTexas | $647.63 | $441.86 |
| Brazoria, TXTexas | $676.93 | $452.84 |
| Dallas, TXTexas | $681.64 | $456.42 |
| Fort Worth, TXTexas | $678.10 | $455.15 |
| Galveston, TXTexas | $679.24 | $454.70 |
| Houston, TXTexas | $696.63 | $472.09 |
| Rest of TexasTexas | $662.19 | $447.60 |
| UtahUtah | $658.48 | $445.93 |
| VirginiaVirginia | $669.35 | $447.07 |
| Virgin Islands, VIUnited States Virgin Islands | $689.25 | $460.64 |
| VermontVermont | $665.77 | $441.90 |
| Rest of WashingtonWashington | $702.08 | $463.97 |
| King County, WAWashington | $782.08 | $504.63 |
| WisconsinWisconsin | $646.86 | $430.23 |
| West VirginiaWest Virginia | $647.39 | $450.89 |
| WyomingWyoming | $677.14 | $451.01 |
28238 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.
$614.38
$826.38
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $826.38 | 1 |
| AL | $622.31 | 1 |
| AR | $614.38 | 1 |
| AZ | $668.59 | 1 |
| CA | $712.94–$873.53 | 29 |
| CO | $706.79 | 1 |
| CT | $727.61 | 1 |
| DC | $773.18 | 1 |
| DE | $678.74 | 1 |
| FL | $683.99–$750.08 | 3 |
| GA | $648.88–$698.85 | 2 |
| GU | $726.07 | 1 |
| HI | $726.07 | 1 |
| IA | $632.72 | 1 |
| ID | $637.11 | 1 |
| IL | $668.93–$730.26 | 4 |
| IN | $640.28 | 1 |
| KS | $631.78 | 1 |
| KY | $638.90 | 1 |
| LA | $638.69–$666.43 | 2 |
| MA | $704.00–$769.05 | 2 |
| MD | $690.11–$773.18 | 3 |
| ME | $641.84–$670.13 | 2 |
| MI | $655.16–$693.35 | 2 |
| MN | $674.49 | 1 |
| MO | $630.13–$666.52 | 3 |
| MS | $622.27 | 1 |
| MT | $685.32 | 1 |
| NC | $647.50 | 1 |
| ND | $666.54 | 1 |
| NE | $635.28 | 1 |
| NH | $697.59 | 1 |
| NJ | $735.12–$766.99 | 2 |
| NM | $659.02 | 1 |
| NV | $680.48 | 1 |
| NY | $656.24–$803.72 | 5 |
| OH | $651.32 | 1 |
| OK | $636.10 | 1 |
| OR | $674.38–$725.20 | 2 |
| PA | $651.30–$712.35 | 2 |
| PR | $689.25 | 1 |
| RI | $699.90 | 1 |
| SC | $650.65 | 1 |
| SD | $664.32 | 1 |
| TN | $634.80 | 1 |
| TX | $647.63–$705.17 | 8 |
| UT | $658.48 | 1 |
| VA | $669.35–$773.18 | 2 |
| VI | $689.25 | 1 |
| VT | $665.77 | 1 |
| WA | $702.08–$782.08 | 2 |
| WI | $646.86 | 1 |
| WV | $647.39 | 1 |
| WY | $677.14 | 1 |
How the 28238 rate is calculated
Each of 28238’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 · 28238
RVUs × geographic indexes × conversion factor
Work7.76
7.76 RVUs× 1.000 GPCI
Practice expense11.81
11.81 RVUs× 1.000 GPCI
Malpractice0.95
0.95 RVUs× 1.000 GPCI
Adjusted RVUs
20.5200
Conversion factor
$33.4009
Medicare rate
$685.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Tennessee inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,158
- Code
- 28238
- Physician work
- 7.76
- Practice expense
- 11.81
- Malpractice
- 0.95
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.76 | × 1.000 | 7.7600 |
| Practice expense | 11.81 | × 0.909 | 10.7353 |
| Malpractice | 0.95 | × 0.537 | 0.5101 |
| Total RVUs | 19.0054 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$634.80
Office: (7.76 × 1 + 11.81 × 0.909 + 0.95 × 0.537) × $33.4009 = $634.80
Facility: (7.76 × 1 + 5.04 × 0.909 + 0.95 × 0.537) × $33.4009 = $429.25
Payment rules and modifiers for 28238
28238 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28238
Tendon revision, foot tendon
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28238
Tendon revision, foot tendon
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28238 without 50 · national office
$685.39
Tendon revision, foot tendon
28238-50 · Bilateral: 150%
$1,028.09
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 28238 has changed in Tennessee
28238 · Office / nonfacility
$634.80
Effective 2026-10-01
The base rate is $39.39 higher than on 2025-10-01, moving from $595.41 to $634.80 (6.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$595.41changed to$634.80
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.96 changed to 7.76
- Practice expense RVU 11.15 changed to 11.81
- Malpractice RVU 0.84 changed to 0.95
- Practice expense GPCI 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$618.48changed to$595.41
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 11.30 changed to 11.15
- Malpractice RVU 0.91 changed to 0.84
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$608.38changed to$618.48
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$625.88changed to$608.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 11.24 changed to 11.30
- Malpractice RVU 0.89 changed to 0.91
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$629.73changed to$625.88
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.98 changed to 11.24
- Malpractice RVU 0.90 changed to 0.89
- Practice expense GPCI 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$630.67changed to$629.73
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.87 changed to 10.98
- Malpractice RVU 0.85 changed to 0.90
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$639.38changed to$630.67
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.40 changed to 10.87
- Malpractice RVU 0.84 changed to 0.85
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$645.58changed to$639.38
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.58 changed to 10.40
- Malpractice RVU 0.80 changed to 0.84
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$646.31changed to$645.58
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.63 changed to 10.58
- Malpractice RVU 0.79 changed to 0.80
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$646.31
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $634.80 | $429.25 | RVU26D |
| 2026-07-01 | $634.80 | $429.25 | RVU26C |
| 2026-04-01 | $634.80 | $429.25 | RVU26B |
| 2026-01-01 | $634.80 | $429.25 | RVU26A |
| 2025-10-01 | $595.41 | $444.70 | RVU25D |
| 2025-07-01 | $595.41 | $444.70 | RVU25C |
| 2025-04-01 | $595.41 | $444.70 | RVU25B |
| 2025-01-01 | $595.41 | $444.70 | RVU25A |
| 2024-10-01 | $618.48 | $458.01 | RVU24D |
| 2024-07-01 | $618.48 | $458.01 | RVU24C |
| 2024-04-01 | $618.48 | $458.01 | RVU24B |
| 2024-03-09 | $618.48 | $458.01 | RVU24AR |
| 2024-01-01 | $608.38 | $450.54 | RVU24A |
| 2023-10-01 | $625.88 | $461.38 | RVU23D |
| 2023-07-01 | $625.88 | $461.38 | RVU23C |
| 2023-04-01 | $625.88 | $461.38 | RVU23B |
| 2023-01-01 | $625.88 | $461.38 | RVU23A |
| 2022-10-01 | $629.73 | $462.11 | RVU22D |
| 2022-07-01 | $629.73 | $462.11 | RVU22C |
| 2022-04-01 | $629.73 | $462.11 | RVU22B |
| 2022-01-01 | $629.73 | $462.11 | RVU22A |
| 2021-10-01 | $630.67 | $458.24 | RVU21D |
| 2021-07-01 | $630.67 | $458.24 | RVU21C |
| 2021-04-01 | $630.67 | $458.24 | RVU21B |
| 2021-01-01 | $630.67 | $458.24 | RVU21A |
| 2020-10-01 | $639.38 | $470.07 | RVU20D |
| 2020-07-01 | $639.38 | $470.07 | RVU20C |
| 2020-04-01 | $639.38 | $470.07 | RVU20B |
| 2020-01-01 | $639.38 | $470.07 | RVU20A |
| 2019-10-01 | $645.58 | $472.51 | RVU19D |
| 2019-07-01 | $645.58 | $472.51 | RVU19C |
| 2019-04-01 | $645.58 | $472.51 | RVU19B |
| 2019-01-01 | $645.58 | $472.51 | RVU19A |
| 2018-10-01 | $646.31 | $471.80 | RVU18D |
| 2018-07-01 | $646.31 | $471.80 | RVU18C |
| 2018-04-01 | $646.31 | $471.80 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
28238 billing questions
How does 28238 differ from a foot tendon repair code?
Use 28238 for a documented revision of a foot tendon. Codes such as 28200 or 28208 describe tendon repair services, with the code choice depending on the tendon and repair details.
Can tendon release or adhesion work be reported as 28238?
Choose the code for the work actually performed. A tendon release or adhesion procedure is distinct from revising the tendon itself.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 28238 paid when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction at 50%.
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.
How should bilateral surgery be reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
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
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