CPT code 28260: Midfoot release, midfoot joint capsule2026 Medicare rate & RVUs in Alabama
Surgical release of a contracted midfoot joint capsule, sometimes with tendon lengthening, to address restricted motion or a fixed foot deformity.
In Alabama, Medicare pays $683.99 for 28260 in the office and $465.96 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28260 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 28260 covers
This operation releases a contracted capsule at a midfoot joint to improve joint motion or correct a fixed deformity. Tendon lengthening may be part of the correction. It is typically performed by an orthopedic foot and ankle surgeon or podiatric surgeon in an operating room, with the operative report identifying the affected joint and the structures released.
Report 28260 when the documented work is a midfoot joint release; describe the contracture, operative extent, and any tendon lengthening performed. The service 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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 28260
Across 109 of 109 payment localities, the office rate for 28260 runs from $674.68 in Arkansas to $967.20 in San Benito County, CA. Alabama pays $683.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$683.99
- Los Angeles, CA · California$837.56+$153.57
- Washington, DC area · District of Columbia$857.38+$173.39
- Miami, FL · Florida$839.97+$155.98
- Chicago, IL · Illinois$815.95+$131.96
- Manhattan, NY · New York$872.44+$188.45
- Alaska · Alaska$902.28+$218.29
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $674.68 | $460.64 |
| ArizonaArizona | $738.29 | $496.84 |
| Bakersfield, CACalifornia | $790.27 | $517.18 |
| Chico, CACalifornia | $786.71 | $513.62 |
| El Centro, CACalifornia | $786.92 | $513.83 |
| Fresno, CACalifornia | $786.71 | $513.62 |
| Hanford, CACalifornia | $786.71 | $513.62 |
| Madera, CACalifornia | $786.71 | $513.62 |
| Merced, CACalifornia | $786.71 | $513.62 |
| Modesto, CACalifornia | $786.71 | $513.62 |
| Napa, CACalifornia | $897.71 | $569.30 |
| Oxnard, CACalifornia | $831.94 | $537.42 |
| Redding, CACalifornia | $786.71 | $513.62 |
| Rest of CaliforniaCalifornia | $786.71 | $513.62 |
| Riverside, CACalifornia | $800.11 | $527.02 |
| Sacramento, CACalifornia | $821.93 | $532.14 |
| Salinas, CACalifornia | $818.79 | $530.00 |
| San Diego, CACalifornia | $835.42 | $537.41 |
| Marin County, CACalifornia | $945.61 | $594.28 |
| San Francisco, CACalifornia | $944.20 | $592.87 |
| San Benito County, CACalifornia | $967.20 | $607.90 |
| Santa Clara County, CACalifornia | $961.44 | $602.14 |
| San Luis Obispo, CACalifornia | $806.06 | $522.25 |
| Santa Cruz, CACalifornia | $841.32 | $538.58 |
| Santa Maria, CACalifornia | $821.14 | $530.61 |
| Santa Rosa, CACalifornia | $849.57 | $543.59 |
| Stockton, CACalifornia | $786.71 | $513.62 |
| Vallejo, CACalifornia | $895.68 | $567.27 |
| Visalia, CACalifornia | $786.71 | $513.62 |
| Yuba City, CACalifornia | $786.71 | $513.62 |
| ColoradoColorado | $781.13 | $516.01 |
| ConnecticutConnecticut | $806.88 | $538.52 |
| DelawareDelaware | $749.95 | $503.77 |
| Fort Lauderdale, FLFlorida | $797.51 | $545.10 |
| Rest of FloridaFlorida | $759.24 | $521.03 |
| Atlanta, GAGeorgia | $774.52 | $521.37 |
| Rest of GeorgiaGeorgia | $717.56 | $495.30 |
| Hawaii, Guam, HIHawaii | $802.40 | $519.09 |
| IowaIowa | $694.98 | $466.99 |
| IdahoIdaho | $700.38 | $471.14 |
| East St. Louis, ILIllinois | $764.20 | $534.97 |
| Rest of IllinoisIllinois | $742.38 | $514.88 |
| Suburban Chicago, ILIllinois | $804.19 | $548.29 |
| IndianaIndiana | $704.07 | $473.09 |
| KansasKansas | $694.47 | $469.22 |
| KentuckyKentucky | $704.74 | $483.23 |
| New Orleans, LALouisiana | $737.29 | $502.82 |
| Rest of LouisianaLouisiana | $704.72 | $484.21 |
| Metropolitan Boston, MAMassachusetts | $851.87 | $554.36 |
| Rest of MassachusettsMassachusetts | $777.91 | $515.53 |
| Baltimore area, MDMaryland | $805.13 | $537.77 |
| Rest of MarylandMaryland | $762.87 | $510.71 |
| Rest of MaineMaine | $706.55 | $477.31 |
| Southern Maine, MEMaine | $738.87 | $491.94 |
| Detroit, MIMichigan | $770.87 | $530.42 |
| Rest of MichiganMichigan | $724.40 | $496.91 |
| MinnesotaMinnesota | $742.09 | $485.69 |
| Metropolitan Kansas City, MOMissouri | $729.80 | $495.83 |
| Metropolitan St. Louis, MOMissouri | $736.69 | $499.48 |
| Rest of MissouriMissouri | $695.04 | $480.25 |
| MississippiMississippi | $684.85 | $470.32 |
| MontanaMontana | $758.12 | $508.95 |
| North CarolinaNorth Carolina | $713.10 | $480.63 |
| North DakotaNorth Dakota | $733.60 | $484.43 |
| NebraskaNebraska | $697.80 | $467.81 |
| New HampshireNew Hampshire | $771.47 | $512.08 |
| Northern New JerseyNew Jersey | $849.82 | $560.78 |
| Rest of New JerseyNew Jersey | $814.28 | $542.19 |
| New MexicoNew Mexico | $729.18 | $500.69 |
| NevadaNevada | $751.73 | $502.31 |
| NYC suburbs and Long Island, NYNew York | $895.81 | $599.54 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $821.65 | $548.81 |
| Queens, NYNew York | $875.47 | $580.95 |
| Rest of New YorkNew York | $723.40 | $486.69 |
| OhioOhio | $719.39 | $491.90 |
| OklahomaOklahoma | $700.82 | $478.31 |
| Portland, OROregon | $801.81 | $524.98 |
| Rest of OregonOregon | $744.10 | $495.93 |
| Metropolitan Philadelphia, PAPennsylvania | $789.44 | $530.06 |
| Rest of PennsylvaniaPennsylvania | $719.03 | $490.29 |
| Puerto RicoPuerto Rico | $762.53 | $510.62 |
| Rhode IslandRhode Island | $773.65 | $516.25 |
| South CarolinaSouth Carolina | $717.79 | $487.56 |
| South DakotaSouth Dakota | $730.70 | $481.53 |
| TennesseeTennessee | $698.08 | $471.59 |
| Austin, TXTexas | $780.11 | $516.48 |
| Beaumont, TXTexas | $714.77 | $488.02 |
| Brazoria, TXTexas | $747.17 | $500.25 |
| Dallas, TXTexas | $752.92 | $504.75 |
| Fort Worth, TXTexas | $748.96 | $503.28 |
| Galveston, TXTexas | $750.06 | $502.64 |
| Houston, TXTexas | $772.76 | $525.33 |
| Rest of TexasTexas | $731.24 | $494.77 |
| UtahUtah | $726.98 | $492.76 |
| VirginiaVirginia | $738.38 | $493.44 |
| Virgin Islands, VIUnited States Virgin Islands | $762.53 | $510.62 |
| VermontVermont | $733.24 | $486.56 |
| Rest of WashingtonWashington | $775.62 | $513.24 |
| King County, WAWashington | $866.09 | $560.36 |
| WisconsinWisconsin | $710.64 | $471.94 |
| West VirginiaWest Virginia | $717.11 | $500.58 |
| WyomingWyoming | $747.43 | $498.26 |
28260 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.
$674.68
$902.28
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 | $902.28 | 1 |
| AL | $683.99 | 1 |
| AR | $674.68 | 1 |
| AZ | $738.29 | 1 |
| CA | $786.71–$967.20 | 29 |
| CO | $781.13 | 1 |
| CT | $806.88 | 1 |
| DC | $857.38 | 1 |
| DE | $749.95 | 1 |
| FL | $759.24–$839.97 | 3 |
| GA | $717.56–$774.52 | 2 |
| GU | $802.40 | 1 |
| HI | $802.40 | 1 |
| IA | $694.98 | 1 |
| ID | $700.38 | 1 |
| IL | $742.38–$815.95 | 4 |
| IN | $704.07 | 1 |
| KS | $694.47 | 1 |
| KY | $704.74 | 1 |
| LA | $704.72–$737.29 | 2 |
| MA | $777.91–$851.87 | 2 |
| MD | $762.87–$857.38 | 3 |
| ME | $706.55–$738.87 | 2 |
| MI | $724.40–$770.87 | 2 |
| MN | $742.09 | 1 |
| MO | $695.04–$736.69 | 3 |
| MS | $684.85 | 1 |
| MT | $758.12 | 1 |
| NC | $713.10 | 1 |
| ND | $733.60 | 1 |
| NE | $697.80 | 1 |
| NH | $771.47 | 1 |
| NJ | $814.28–$849.82 | 2 |
| NM | $729.18 | 1 |
| NV | $751.73 | 1 |
| NY | $723.40–$895.81 | 5 |
| OH | $719.39 | 1 |
| OK | $700.82 | 1 |
| OR | $744.10–$801.81 | 2 |
| PA | $719.03–$789.44 | 2 |
| PR | $762.53 | 1 |
| RI | $773.65 | 1 |
| SC | $717.79 | 1 |
| SD | $730.70 | 1 |
| TN | $698.08 | 1 |
| TX | $714.77–$780.11 | 8 |
| UT | $726.98 | 1 |
| VA | $738.38–$857.38 | 2 |
| VI | $762.53 | 1 |
| VT | $733.24 | 1 |
| WA | $775.62–$866.09 | 2 |
| WI | $710.64 | 1 |
| WV | $717.11 | 1 |
| WY | $747.43 | 1 |
How the 28260 rate is calculated
Each of 28260’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 · 28260
RVUs × geographic indexes × conversion factor
Work7.99
7.99 RVUs× 1.000 GPCI
Practice expense13.47
13.47 RVUs× 1.000 GPCI
Malpractice1.24
1.24 RVUs× 1.000 GPCI
Adjusted RVUs
22.7000
Conversion factor
$33.4009
Medicare rate
$758.20
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
3,161
- Code
- 28260
- Physician work
- 7.99
- Practice expense
- 13.47
- Malpractice
- 1.24
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.99 | × 1.000 | 7.9900 |
| Practice expense | 13.47 | × 0.875 | 11.7863 |
| Malpractice | 1.24 | × 0.566 | 0.7018 |
| Total RVUs | 20.4781 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$683.99
Office: (7.99 × 1 + 13.47 × 0.875 + 1.24 × 0.566) × $33.4009 = $683.99
Facility: (7.99 × 1 + 6.01 × 0.875 + 1.24 × 0.566) × $33.4009 = $465.96
Payment rules and modifiers for 28260
28260 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28260
Midfoot release, midfoot joint capsule
| 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 · 28260
Midfoot release, midfoot joint capsule
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
28260 without 50 · national office
$758.20
Midfoot release, midfoot joint capsule
28260-50 · Bilateral: 150%
$1,137.30
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 28260 has changed in Alabama
28260 · Office / nonfacility
$683.99
Effective 2026-10-01
The base rate is $50.25 higher than on 2025-10-01, moving from $633.74 to $683.99 (7.9%).
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
$633.74changed to$683.99
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 8.19 changed to 7.99
- Practice expense RVU 12.36 changed to 13.47
- Malpractice RVU 1.15 changed to 1.24
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$659.21changed to$633.74
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 12.59 changed to 12.36
- Malpractice RVU 1.17 changed to 1.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$648.45changed to$659.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$667.68changed to$648.45
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 12.15 changed to 12.59
- Malpractice RVU 1.13 changed to 1.17
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$678.65changed to$667.68
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 11.71 changed to 12.15
- Malpractice RVU 1.11 changed to 1.13
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$677.99changed to$678.65
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 11.59 changed to 11.71
- Malpractice RVU 1.03 changed to 1.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$674.20changed to$677.99
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.99 changed to 11.59
- Malpractice RVU 1.02 changed to 1.03
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$655.78changed to$674.20
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.74 changed to 10.99
- Malpractice RVU 0.91 changed to 1.02
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$655.52changed to$655.78
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.76 changed to 10.74
- Malpractice RVU 0.90 changed to 0.91
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$655.52
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 | $683.99 | $465.96 | RVU26D |
| 2026-07-01 | $683.99 | $465.96 | RVU26C |
| 2026-04-01 | $683.99 | $465.96 | RVU26B |
| 2026-01-01 | $683.99 | $465.96 | RVU26A |
| 2025-10-01 | $633.74 | $483.91 | RVU25D |
| 2025-07-01 | $633.74 | $483.91 | RVU25C |
| 2025-04-01 | $633.74 | $483.91 | RVU25B |
| 2025-01-01 | $633.74 | $483.91 | RVU25A |
| 2024-10-01 | $659.21 | $497.80 | RVU24D |
| 2024-07-01 | $659.21 | $497.80 | RVU24C |
| 2024-04-01 | $659.21 | $497.80 | RVU24B |
| 2024-03-09 | $659.21 | $497.80 | RVU24AR |
| 2024-01-01 | $648.45 | $489.67 | RVU24A |
| 2023-10-01 | $667.68 | $503.44 | RVU23D |
| 2023-07-01 | $667.68 | $503.44 | RVU23C |
| 2023-04-01 | $667.68 | $503.44 | RVU23B |
| 2023-01-01 | $667.68 | $503.44 | RVU23A |
| 2022-10-01 | $678.65 | $510.87 | RVU22D |
| 2022-07-01 | $678.65 | $510.87 | RVU22C |
| 2022-04-01 | $678.65 | $510.87 | RVU22B |
| 2022-01-01 | $678.65 | $510.87 | RVU22A |
| 2021-10-01 | $677.99 | $505.10 | RVU21D |
| 2021-07-01 | $677.99 | $505.10 | RVU21C |
| 2021-04-01 | $677.99 | $505.10 | RVU21B |
| 2021-01-01 | $677.99 | $505.10 | RVU21A |
| 2020-10-01 | $674.20 | $506.40 | RVU20D |
| 2020-07-01 | $674.20 | $506.40 | RVU20C |
| 2020-04-01 | $674.20 | $506.40 | RVU20B |
| 2020-01-01 | $674.20 | $506.40 | RVU20A |
| 2019-10-01 | $655.78 | $490.59 | RVU19D |
| 2019-07-01 | $655.78 | $490.59 | RVU19C |
| 2019-04-01 | $655.78 | $490.59 | RVU19B |
| 2019-01-01 | $655.78 | $490.59 | RVU19A |
| 2018-10-01 | $655.52 | $489.88 | RVU18D |
| 2018-07-01 | $655.52 | $489.88 | RVU18C |
| 2018-04-01 | $655.52 | $489.88 | 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 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
28260 billing questions
How does 28260 differ from 28264?
Both concern release of a midfoot joint. Choose the code that matches the documented extent and specific operative work; 28264 represents a distinct midfoot release level.
When is 28260 preferable to a foot tendon-release code?
Use 28260 when the operative target is the midfoot joint capsule. A tendon-release code describes tendon-directed work rather than release of the joint capsule.
Can tendon lengthening be part of 28260?
Yes. Tendon lengthening may accompany the midfoot capsular release as part of correcting the contracture; document the tendon and work performed.
How should bilateral midfoot releases be reported?
Report the bilateral procedure with modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports assistant or co-surgeon payment?
Assistant-at-surgery services may be paid. 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
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