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CPT code 28250: Foot fascia surgery, fascial revision2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $679.59 for 28250 in the office and $429.35 when it’s performed in a hospital or facility.

$679.59Office (non-facility)
$429.35Hospital or facility
+13.4%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $679.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

28250 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$679.59
  2. Los Angeles, CA · California$666.45−$13.14
  3. Miami, FL · Florida$656.94−$22.65
  4. Chicago, IL · Illinois$638.37−$41.22
  5. Manhattan, NY · New York$688.69+$9.10
  6. Alaska · Alaska$709.78+$30.19
  7. Alabama · Alabama$540.42−$139.17

Other areas in District of Columbia 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.

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.

$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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 28250 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work5.91× 1.0546.2291
Practice expense11.20× 1.17813.1936
Malpractice0.83× 1.1130.9238
Total RVUs20.3465
Conversion factor× 33.4009

Office rate, Washington, DC area$679.59

Office: (5.91 × 1.054 + 11.2 × 1.178 + 0.83 × 1.113) × $33.4009 = $679.59

Facility: (5.91 × 1.054 + 4.84 × 1.178 + 0.83 × 1.113) × $33.4009 = $429.35

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

Codes related to 28250

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

Codes related to 28250
CodeHow it relatesOffice range, Washington, DC area
Used instead
28060Plantar fascia surgery, partial excisionPartial plantar fasciectomy is a distinct option when the documented service is partial fascial excision.$595.37
28062Plantar fasciectomy, radical excisionRadical plantar fasciectomy describes a different, more extensive excision service.$663.27
28238Tendon revision, foot tendonThis code concerns foot tendon revision rather than revision of fascia.$773.18
28270Foot contracture release, midfoot joint, each jointFoot contracture release is a different service when the operative target is contracture rather than fascia.$554.63

How 28250 has changed in Washington, DC area

28250 · Office / nonfacility

$679.59

Effective 2026-10-01

The base rate is $23.86 higher than on 2025-10-01, moving from $655.73 to $679.59 (3.6%).

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

    $655.73changed to$679.59

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $674.42changed to$655.73

    • 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

    $663.41changed to$674.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $688.78changed to$663.41

    • 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
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $697.79changed to$688.78

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $703.09changed to$697.79

    • 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

    $702.03changed to$703.09

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $691.31changed to$702.03

    • 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
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $696.66changed to$691.31

    • 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. January 1, 2018

    RVU18AR1

    $689.36changed to$696.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.90 changed to 10.03
    • Malpractice RVU 0.73 changed to 0.74
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $693.45changed to$689.36

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.98 changed to 9.90
    • Malpractice RVU 0.76 changed to 0.73
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $695.57changed to$693.45

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.95 changed to 9.98
    • Malpractice RVU 0.78 changed to 0.76

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $692.11changed to$695.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $681.43changed to$692.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.80 changed to 9.95
    • Malpractice RVU 0.73 changed to 0.78
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $684.48changed to$681.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.77 changed to 9.80
    • Malpractice RVU 0.76 changed to 0.73
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $684.48

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$679.59$429.35RVU26D
2026-07-01$679.59$429.35RVU26C
2026-04-01$679.59$429.35RVU26B
2026-01-01$679.59$429.35RVU26A
2025-10-01$655.73$460.63RVU25D
2025-07-01$655.73$460.63RVU25C
2025-04-01$655.73$460.63RVU25B
2025-01-01$655.73$460.63RVU25A
2024-10-01$674.42$468.09RVU24D
2024-07-01$674.42$468.09RVU24C
2024-04-01$674.42$468.09RVU24B
2024-03-09$674.42$468.09RVU24AR
2024-01-01$663.41$460.45RVU24A
2023-10-01$688.78$473.63RVU23D
2023-07-01$688.78$473.63RVU23C
2023-04-01$688.78$473.63RVU23B
2023-01-01$688.78$473.63RVU23A
2022-10-01$697.79$474.52RVU22D
2022-07-01$697.79$474.52RVU22C
2022-04-01$697.79$474.52RVU22B
2022-01-01$697.79$474.52RVU22A
2021-10-01$703.09$471.06RVU21D
2021-07-01$703.09$471.06RVU21C
2021-04-01$703.09$471.06RVU21B
2021-01-01$703.09$471.06RVU21A
2020-10-01$702.03$477.74RVU20D
2020-07-01$702.03$477.74RVU20C
2020-04-01$702.03$477.74RVU20B
2020-01-01$702.03$477.74RVU20A
2019-10-01$691.31$469.83RVU19D
2019-07-01$691.31$469.83RVU19C
2019-04-01$691.31$469.83RVU19B
2019-01-01$691.31$469.83RVU19A
2018-10-01$696.66$472.83RVU18D
2018-07-01$696.66$472.83RVU18C
2018-04-01$696.66$472.83RVU18B
2018-01-01$696.66$472.83RVU18AR1
2017-10-01$689.36$469.24RVU17D
2017-07-01$689.36$469.24RVU17C
2017-04-01$689.36$469.24RVU17B
2017-01-01$689.36$469.24RVU17A
2016-10-01$693.45$472.98RVU16D
2016-07-01$693.45$472.98RVU16C
2016-04-01$693.45$472.98RVU16B
2016-01-01$693.45$472.98RVU16A
2015-10-01$695.57$473.44RVU15D
2015-07-01$695.57$473.44RVU15C
2015-04-01$692.11$471.09RVU15B
2015-01-01$692.11$471.09RVU15A
2014-10-01$681.43$465.27RVU14D
2014-07-01$681.43$465.27RVU14C
2014-04-01$681.43$465.27RVU14B
2014-01-01$681.43$465.27RVU14A
2013-10-01$684.48$457.04RVU13D
2013-07-01$684.48$457.04RVU13C
2013-04-01$684.48$457.04RVU13B
2013-01-01$684.48$457.04RVU13AR

Price 28250 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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