CPT code 28250: Foot fascia surgery, fascial revision2026 Medicare rate & RVUs in Alabama

Reports surgical revision of foot fascia, typically the plantar fascia, when operative treatment is needed for an abnormal or restrictive fascial band.

CMS RVU26DEffective Oct 1, 2026One payment locality335 Medicare services in 2024

In Alabama, Medicare pays $540.42 for 28250 in the office and $354.54 when it’s performed in a hospital or facility.

$540.42Office (non-facility)
$354.54Hospital or facility
−9.8%vs the national office rate ($599.21)

Check a contract rate as a % of Medicare · 28250 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 28250 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 28250 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 28250 covers

A foot and ankle orthopedic surgeon or podiatric surgeon revises or releases fascia in the foot, most often the plantar fascia, to address an abnormal or restrictive fascial band. The service is performed in an operative setting and involves direct surgical work on fascia rather than repair or release of a tendon or joint capsule.

Select this code when the operative report supports revision of foot fascia; document the treated site, side, indication, and work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 Alabama compares for 28250

Across 109 of 109 payment localities, the office rate for 28250 runs from $533.02 in Arkansas to $773.41 in San Benito County, CA. Alabama pays $540.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

28250 in Alabama vs other payment areas
  1. Alabama · this page$540.42
  2. Los Angeles, CA · California$666.45+$126.03
  3. Washington, DC area · District of Columbia$679.59+$139.17
  4. Miami, FL · Florida$656.94+$116.52
  5. Chicago, IL · Illinois$638.37+$97.95
  6. Manhattan, NY · New York$688.69+$148.27
  7. Alaska · Alaska$709.78+$169.36

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

Every other payment area

28250 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$533.02$350.54
ArizonaArizona$583.62$377.78
Bakersfield, CACalifornia$628.04$395.21
Chico, CACalifornia$625.62$392.79
El Centro, CACalifornia$625.76$392.93
Fresno, CACalifornia$625.62$392.79
Hanford, CACalifornia$625.62$392.79
Madera, CACalifornia$625.62$392.79

28250 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.

$533.02

$709.78

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

View every state and territory as a table
28250 office rate range by state
State / territoryOffice rate rangeLocalities
AK$709.781
AL$540.421
AR$533.021
AZ$583.621
CA$625.62–$773.4129
CO$619.451
CT$637.791
DC$679.591
DE$592.911
FL$596.70–$656.943
GA$564.13–$611.362
GU$638.791
HI$638.791
IA$550.701
ID$554.681
IL$582.27–$638.374
IN$557.651
KS$549.551
KY$555.331
LA$555.03–$580.912
MA$616.57–$676.832
MD$603.40–$679.593
ME$558.81–$585.622
MI$570.24–$605.142
MN$590.541
MO$546.87–$581.313
MS$539.981
MT$599.161
NC$564.141
ND$582.741
NE$553.161
NH$611.081
NJ$644.21–$673.392
NM$573.731
NV$594.961
NY$572.27–$706.315
OH$566.891
OK$553.001
OR$589.48–$636.802
PA$567.01–$623.452
PR$602.911
RI$612.311
SC$566.621
SD$580.801
TN$552.331
TX$563.58–$618.148
UT$573.941
VA$584.70–$679.592
VI$602.911
VT$581.781
WA$614.98–$688.932
WI$564.321
WV$562.151
WY$592.001

See 28250 in every payment locality

How the 28250 rate is calculated

Each of 28250’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 · 28250

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.91

5.91 RVUs× 1.000 GPCI

Practice expense11.20

11.20 RVUs× 1.000 GPCI

Malpractice0.83

0.83 RVUs× 1.000 GPCI

Adjusted RVUs

17.9400

Conversion factor

$33.4009

Medicare rate

$599.21

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,160

Code
28250
Physician work
5.91
Practice expense
11.20
Malpractice
0.83

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 28250 in Alabama
ComponentRVULocality factorAdjusted
Physician work5.91× 1.0005.9100
Practice expense11.20× 0.8759.8000
Malpractice0.83× 0.5660.4698
Total RVUs16.1798
Conversion factor× 33.4009

Office rate, Alabama$540.42

Office: (5.91 × 1 + 11.2 × 0.875 + 0.83 × 0.566) × $33.4009 = $540.42

Facility: (5.91 × 1 + 4.84 × 0.875 + 0.83 × 0.566) × $33.4009 = $354.54

Open 28250 in the RVU calculator

Payment rules and modifiers for 28250

28250 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28250

Foot fascia surgery, fascial revision

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
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 · 28250

Foot fascia surgery, fascial revision

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 50 · payment effect

With and without the modifier

28250 without 50 · national office

$599.21

Foot fascia surgery, fascial revision

28250-50 · Bilateral: 150%

$898.82

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).

When to use modifier 50

How 28250 has changed in Alabama

28250 · Office / nonfacility

$540.42

Effective 2026-10-01

The base rate is $24.92 higher than on 2025-10-01, moving from $515.50 to $540.42 (4.8%).

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

    $515.50changed to$540.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.06 changed to 5.91
    • Practice expense RVU 10.81 changed to 11.20
    • Malpractice RVU 0.84 changed to 0.83
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $530.31changed to$515.50

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.83 changed to 0.84

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $521.65changed to$530.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $542.71changed to$521.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.64 changed to 10.81
    • Malpractice RVU 0.82 changed to 0.83
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $552.01changed to$542.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.34 changed to 10.64
    • Malpractice RVU 0.77 changed to 0.82
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $556.24changed to$552.01

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.36 changed to 10.34
    • Malpractice RVU 0.74 changed to 0.77

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $556.62changed to$556.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.92 changed to 10.36
    • Malpractice RVU 0.77 changed to 0.74
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $549.02changed to$556.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.91 changed to 9.92
    • Malpractice RVU 0.72 changed to 0.77
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $552.62changed to$549.02

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.03 changed to 9.91
    • Malpractice RVU 0.74 changed to 0.72

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$552.62

    Held through RVU18C, RVU18D.

  11. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$540.42$354.54RVU26D
2026-07-01$540.42$354.54RVU26C
2026-04-01$540.42$354.54RVU26B
2026-01-01$540.42$354.54RVU26A
2025-10-01$515.50$373.27RVU25D
2025-07-01$515.50$373.27RVU25C
2025-04-01$515.50$373.27RVU25B
2025-01-01$515.50$373.27RVU25A
2024-10-01$530.31$379.89RVU24D
2024-07-01$530.31$379.89RVU24C
2024-04-01$530.31$379.89RVU24B
2024-03-09$530.31$379.89RVU24AR
2024-01-01$521.65$373.69RVU24A
2023-10-01$542.71$387.11RVU23D
2023-07-01$542.71$387.11RVU23C
2023-04-01$542.71$387.11RVU23B
2023-01-01$542.71$387.11RVU23A
2022-10-01$552.01$391.59RVU22D
2022-07-01$552.01$391.59RVU22C
2022-04-01$552.01$391.59RVU22B
2022-01-01$552.01$391.59RVU22A
2021-10-01$556.24$389.54RVU21D
2021-07-01$556.24$389.54RVU21C
2021-04-01$556.24$389.54RVU21B
2021-01-01$556.24$389.54RVU21A
2020-10-01$556.62$393.31RVU20D
2020-07-01$556.62$393.31RVU20C
2020-04-01$556.62$393.31RVU20B
2020-01-01$556.62$393.31RVU20A
2019-10-01$549.02$385.44RVU19D
2019-07-01$549.02$385.44RVU19C
2019-04-01$549.02$385.44RVU19B
2019-01-01$549.02$385.44RVU19A
2018-10-01$552.62$387.30RVU18D
2018-07-01$552.62$387.30RVU18C
2018-04-01$552.62$387.30RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28250 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

28250 billing questions

How is this different from a plantar fasciectomy?

This code represents revision of foot fascia. Codes 28060 and 28062 describe partial and radical plantar fasciectomy, respectively, so choose based on the documented procedure and extent.

Can this be reported with a foot tendon procedure?

The fascia work and tendon work involve different structures. Report both only when the operative documentation supports distinct, separately performed procedures and applicable coding rules permit it.

What documentation supports this code?

Document the fascial site and side, the condition treated, and the specific revision or release performed. The report should distinguish fascial work from tendon repair or joint-capsule release.

How does the global period affect postoperative visits?

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

How are bilateral and multiple procedures handled?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 28250PPRRVU2026_Oct_nonQPP.csv, line 3,160 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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