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CPT code 28260: Midfoot release, midfoot joint capsule2026 Medicare rate & RVUs in Austin, TX

Surgical release of a contracted midfoot joint capsule, sometimes with tendon lengthening, to address restricted motion or a fixed foot deformity.

CMS RVU26DEffective Oct 1, 2026One payment locality382 Medicare services in 2024

In Austin, TX, Medicare pays $780.11 for 28260 in the office and $516.48 when it’s performed in a hospital or facility.

$780.11Office (non-facility)
$516.48Hospital or facility
+2.9%vs the national office rate ($758.20)

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.

We’ll open 28260 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Austin, TX
  2. What 28260 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 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 Austin, TX 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. Austin, TX pays $780.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

28260 in Austin, TX vs other payment areas
  1. Austin, TX · this page$780.11
  2. Beaumont, TX · Texas$714.77−$65.34
  3. Brazoria, TX · Texas$747.17−$32.94
  4. Dallas, TX · Texas$752.92−$27.19
  5. Fort Worth, TX · Texas$748.96−$31.15
  6. Galveston, TX · Texas$750.06−$30.05
  7. Houston, TX · Texas$772.76−$7.35

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

Every other payment area

28260 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$731.24$494.77
Los Angeles, CACalifornia$837.56$542.79
Washington, DC areaDistrict of Columbia$857.38$563.85
Miami, FLFlorida$839.97$580.59
Chicago, ILIllinois$815.95$565.54
Manhattan, NYNew York$872.44$582.90
AlaskaAlaska$902.28$636.92
AlabamaAlabama$683.99$465.96

28260 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.

$674.68

$902.28

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

View every state and territory as a table
28260 office rate range by state
State / territoryOffice rate rangeLocalities
AK$902.281
AL$683.991
AR$674.681
AZ$738.291
CA$786.71–$967.2029
CO$781.131
CT$806.881
DC$857.381
DE$749.951
FL$759.24–$839.973
GA$717.56–$774.522
GU$802.401
HI$802.401
IA$694.981
ID$700.381
IL$742.38–$815.954
IN$704.071
KS$694.471
KY$704.741
LA$704.72–$737.292
MA$777.91–$851.872
MD$762.87–$857.383
ME$706.55–$738.872
MI$724.40–$770.872
MN$742.091
MO$695.04–$736.693
MS$684.851
MT$758.121
NC$713.101
ND$733.601
NE$697.801
NH$771.471
NJ$814.28–$849.822
NM$729.181
NV$751.731
NY$723.40–$895.815
OH$719.391
OK$700.821
OR$744.10–$801.812
PA$719.03–$789.442
PR$762.531
RI$773.651
SC$717.791
SD$730.701
TN$698.081
TX$714.77–$780.118
UT$726.981
VA$738.38–$857.382
VI$762.531
VT$733.241
WA$775.62–$866.092
WI$710.641
WV$717.111
WY$747.431

See 28260 in every payment locality

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

Office or facility?

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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 28260 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work7.99× 1.0028.0060
Practice expense13.47× 1.05814.2513
Malpractice1.24× 0.8861.0986
Total RVUs23.3559
Conversion factor× 33.4009

Office rate, Austin, TX$780.11

Office: (7.99 × 1.002 + 13.47 × 1.058 + 1.24 × 0.886) × $33.4009 = $780.11

Facility: (7.99 × 1.002 + 6.01 × 1.058 + 1.24 × 0.886) × $33.4009 = $516.48

Open 28260 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 28260

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

Codes related to 28260
CodeHow it relatesOffice range, Austin, TX
Same family
28264Midfoot release, extensive capsular releaseAnother midfoot joint release code; select based on the documented operative extent.$985.91
Used instead
28270Foot contracture release, midfoot joint, each jointConsider for a foot contracture release when the procedure does not match this midfoot joint release.$505.13
28272Toe joint release, interphalangeal joint, eachFor release of a toe joint contracture rather than a midfoot joint.$389.81
28222Tendon release, single extensor tendonTendon-directed release work differs from release of a midfoot joint capsule.$560.88

How 28260 has changed in Austin, TX

28260 · Office / nonfacility

$780.11

Effective 2026-10-01

The base rate is $63.00 higher than on 2025-10-01, moving from $717.11 to $780.11 (8.8%).

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

    $717.11changed to$780.11

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $746.59changed to$717.11

    • 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.

  3. March 9, 2024

    RVU24AR

    $734.40changed to$746.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $738.93changed to$734.40

    • 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 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914

  5. January 1, 2023

    RVU23A

    $733.28changed to$738.93

    • 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 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $733.42changed to$733.28

    • 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.

  7. January 1, 2021

    RVU21A

    $731.73changed to$733.42

    • 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 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $714.85changed to$731.73

    • 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 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $714.53changed to$714.85

    • 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.

  10. January 1, 2018

    RVU18AR1

    $717.74changed to$714.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.88 changed to 10.76
    • Malpractice RVU 0.94 changed to 0.90
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $708.76changed to$717.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.69 changed to 10.88
    • Malpractice RVU 0.93 changed to 0.94
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $712.60changed to$708.76

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.71 changed to 10.69
    • Malpractice RVU 0.95 changed to 0.93

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $709.06changed to$712.60

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $699.53changed to$709.06

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.44 changed to 10.71
    • Malpractice RVU 0.99 changed to 0.95
    • Practice expense GPCI 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $689.80changed to$699.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.21 changed to 10.44
    • Malpractice RVU 1.03 changed to 0.99
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $689.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$780.11$516.48RVU26D
2026-07-01$780.11$516.48RVU26C
2026-04-01$780.11$516.48RVU26B
2026-01-01$780.11$516.48RVU26A
2025-10-01$717.11$536.77RVU25D
2025-07-01$717.11$536.77RVU25C
2025-04-01$717.11$536.77RVU25B
2025-01-01$717.11$536.77RVU25A
2024-10-01$746.59$552.30RVU24D
2024-07-01$746.59$552.30RVU24C
2024-04-01$746.59$552.30RVU24B
2024-03-09$746.59$552.30RVU24AR
2024-01-01$734.40$543.29RVU24A
2023-10-01$738.93$541.95RVU23D
2023-07-01$738.93$541.95RVU23C
2023-04-01$738.93$541.95RVU23B
2023-01-01$738.93$541.95RVU23A
2022-10-01$733.28$533.18RVU22D
2022-07-01$733.28$533.18RVU22C
2022-04-01$733.28$533.18RVU22B
2022-01-01$733.28$533.18RVU22A
2021-10-01$733.42$527.23RVU21D
2021-07-01$733.42$527.23RVU21C
2021-04-01$733.42$527.23RVU21B
2021-01-01$733.42$527.23RVU21A
2020-10-01$731.73$535.43RVU20D
2020-07-01$731.73$535.43RVU20C
2020-04-01$731.73$535.43RVU20B
2020-01-01$731.73$535.43RVU20A
2019-10-01$714.85$525.35RVU19D
2019-07-01$714.85$525.35RVU19C
2019-04-01$714.85$525.35RVU19B
2019-01-01$714.85$525.35RVU19A
2018-10-01$714.53$524.50RVU18D
2018-07-01$714.53$524.50RVU18C
2018-04-01$714.53$524.50RVU18B
2018-01-01$714.53$524.50RVU18AR1
2017-10-01$717.74$527.76RVU17D
2017-07-01$717.74$527.76RVU17C
2017-04-01$717.74$527.76RVU17B
2017-01-01$717.74$527.76RVU17A
2016-10-01$708.76$521.96RVU16D
2016-07-01$708.76$521.96RVU16C
2016-04-01$708.76$521.96RVU16B
2016-01-01$708.76$521.96RVU16A
2015-10-01$712.60$524.76RVU15D
2015-07-01$712.60$524.76RVU15C
2015-04-01$709.06$522.15RVU15B
2015-01-01$709.06$522.15RVU15A
2014-10-01$699.53$517.91RVU14D
2014-07-01$699.53$517.91RVU14C
2014-04-01$699.53$517.91RVU14B
2014-01-01$699.53$517.91RVU14A
2013-10-01$689.80$502.70RVU13D
2013-07-01$689.80$502.70RVU13C
2013-04-01$689.80$502.70RVU13B
2013-01-01$689.80$502.70RVU13AR

Price 28260 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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
RVUs for 28260PPRRVU2026_Oct_nonQPP.csv, line 3,161 (RVU26D)
Geographic factors for Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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