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

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 Vermont, Medicare pays $581.78 for 28250 in the office and $371.47 when it’s performed in a hospital or facility.

$581.78Office (non-facility)
$371.47Hospital or facility
−2.9%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 Vermont
  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 Vermont 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. Vermont pays $581.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

28250 in Vermont vs other payment areas
  1. Vermont · this page$581.78
  2. Los Angeles, CA · California$666.45+$84.67
  3. Washington, DC area · District of Columbia$679.59+$97.81
  4. Miami, FL · Florida$656.94+$75.16
  5. Chicago, IL · Illinois$638.37+$56.59
  6. Manhattan, NY · New York$688.69+$106.91
  7. Alaska · Alaska$709.78+$128.00

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

Every other payment area

28250 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$540.42$354.54
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

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 28250 in Vermont
ComponentRVULocality factorAdjusted
Physician work5.91× 1.0005.9100
Practice expense11.20× 0.99011.0880
Malpractice0.83× 0.5060.4200
Total RVUs17.4180
Conversion factor× 33.4009

Office rate, Vermont$581.78

Office: (5.91 × 1 + 11.2 × 0.99 + 0.83 × 0.506) × $33.4009 = $581.78

Facility: (5.91 × 1 + 4.84 × 0.99 + 0.83 × 0.506) × $33.4009 = $371.47

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, Vermont
Used instead
28060Plantar fascia surgery, partial excisionPartial plantar fasciectomy is a distinct option when the documented service is partial fascial excision.$511.71
28062Plantar fasciectomy, radical excisionRadical plantar fasciectomy describes a different, more extensive excision service.$572.82
28238Tendon revision, foot tendonThis code concerns foot tendon revision rather than revision of fascia.$665.77
28270Foot contracture release, midfoot joint, each jointFoot contracture release is a different service when the operative target is contracture rather than fascia.$477.29

How 28250 has changed in Vermont

28250 · Office / nonfacility

$581.78

Effective 2026-10-01

The base rate is $24.47 higher than on 2025-10-01, moving from $557.31 to $581.78 (4.4%).

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

    $557.31changed to$581.78

    • 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 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $573.35changed to$557.31

    • 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

    $563.99changed to$573.35

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $579.92changed to$563.99

    • 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 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $583.06changed to$579.92

    • 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 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $588.00changed to$583.06

    • 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

    $595.75changed to$588.00

    • 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 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $596.34changed to$595.75

    • 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 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $600.50changed to$596.34

    • 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

    $593.08changed to$600.50

    • 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
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $594.29changed to$593.08

    • 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
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $595.84changed to$594.29

    • 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

    $592.88changed to$595.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $586.42changed to$592.88

    • 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
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$586.42

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$581.78$371.47RVU26D
2026-07-01$581.78$371.47RVU26C
2026-04-01$581.78$371.47RVU26B
2026-01-01$581.78$371.47RVU26A
2025-10-01$557.31$394.78RVU25D
2025-07-01$557.31$394.78RVU25C
2025-04-01$557.31$394.78RVU25B
2025-01-01$557.31$394.78RVU25A
2024-10-01$573.35$401.47RVU24D
2024-07-01$573.35$401.47RVU24C
2024-04-01$573.35$401.47RVU24B
2024-03-09$573.35$401.47RVU24AR
2024-01-01$563.99$394.92RVU24A
2023-10-01$579.92$403.22RVU23D
2023-07-01$579.92$403.22RVU23C
2023-04-01$579.92$403.22RVU23B
2023-01-01$579.92$403.22RVU23A
2022-10-01$583.06$402.24RVU22D
2022-07-01$583.06$402.24RVU22C
2022-04-01$583.06$402.24RVU22B
2022-01-01$583.06$402.24RVU22A
2021-10-01$588.00$400.09RVU21D
2021-07-01$588.00$400.09RVU21C
2021-04-01$588.00$400.09RVU21B
2021-01-01$588.00$400.09RVU21A
2020-10-01$595.75$410.58RVU20D
2020-07-01$595.75$410.58RVU20C
2020-04-01$595.75$410.58RVU20B
2020-01-01$595.75$410.58RVU20A
2019-10-01$596.34$409.78RVU19D
2019-07-01$596.34$409.78RVU19C
2019-04-01$596.34$409.78RVU19B
2019-01-01$596.34$409.78RVU19A
2018-10-01$600.50$411.96RVU18D
2018-07-01$600.50$411.96RVU18C
2018-04-01$600.50$411.96RVU18B
2018-01-01$600.50$411.96RVU18AR1
2017-10-01$593.08$408.58RVU17D
2017-07-01$593.08$408.58RVU17C
2017-04-01$593.08$408.58RVU17B
2017-01-01$593.08$408.58RVU17A
2016-10-01$594.29$410.60RVU16D
2016-07-01$594.29$410.60RVU16C
2016-04-01$594.29$410.60RVU16B
2016-01-01$594.29$410.60RVU16A
2015-10-01$595.84$410.76RVU15D
2015-07-01$595.84$410.76RVU15C
2015-04-01$592.88$408.72RVU15B
2015-01-01$592.88$408.72RVU15A
2014-10-01$586.42$405.51RVU14D
2014-07-01$586.42$405.51RVU14C
2014-04-01$586.42$405.51RVU14B
2014-01-01$586.42$405.51RVU14A
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 Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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