CPT code 28262: Midfoot release, extensive release2026 Medicare rate & RVUs in Connecticut

Report this procedure for an extensive surgical release of contracted midfoot structures, such as correction of a rigid residual clubfoot deformity.

CMS RVU26DEffective Oct 1, 2026One payment locality265 Medicare services in 2024

In Connecticut, Medicare pays $1,576.58 for 28262 in the office and $1,095.63 when it’s performed in a hospital or facility.

$1,576.58Office (non-facility)
$1,095.63Hospital or facility
+6.5%vs the national office rate ($1,480.33)

Check a contract rate as a % of Medicare · 28262 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 28262 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 28262 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 28262 covers

This operation releases tight soft tissues around the midfoot joints to improve a fixed deformity or restricted position. An orthopedic foot and ankle surgeon or podiatric surgeon may perform it in an operating room, including for a rigid residual deformity after clubfoot treatment. The operative report should identify the midfoot joints and contracted structures addressed and describe why the release was extensive rather than a more limited capsular release.

Report 28262 when the documented work supports an extensive midfoot release; do not select it solely because the procedure is described generally as a foot release. 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 multiple procedure reduction. For bilateral work, 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 Connecticut compares for 28262

Across 109 of 109 payment localities, the office rate for 28262 runs from $1,313.86 in Arkansas to $1,851.72 in San Benito County, CA. Connecticut pays $1,576.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

28262 in Connecticut vs other payment areas
  1. Connecticut · this page$1,576.58
  2. Los Angeles, CA · California$1,616.17+$39.59
  3. Washington, DC area · District of Columbia$1,667.38+$90.80
  4. Miami, FL · Florida$1,677.08+$100.50
  5. Chicago, IL · Illinois$1,626.73+$50.15
  6. Manhattan, NY · New York$1,710.53+$133.95
  7. Alaska · Alaska$1,765.41+$188.83

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

Every other payment area

28262 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,332.32$941.57
ArkansasArkansas$1,313.86$930.26
ArizonaArizona$1,439.73$1,007.01
Bakersfield, CACalifornia$1,527.23$1,037.79
Chico, CACalifornia$1,518.31$1,028.87
El Centro, CACalifornia$1,518.84$1,029.40
Fresno, CACalifornia$1,518.31$1,028.87
Hanford, CACalifornia$1,518.31$1,028.87

28262 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.

$1,313.86

$1,765.41

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

View every state and territory as a table
28262 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,765.411
AL$1,332.321
AR$1,313.861
AZ$1,439.731
CA$1,518.31–$1,851.7229
CO$1,515.681
CT$1,576.581
DC$1,667.381
DE$1,462.581
FL$1,498.32–$1,677.083
GA$1,413.05–$1,516.502
GU$1,546.711
HI$1,546.711
IA$1,346.771
ID$1,358.961
IL$1,469.77–$1,626.734
IN$1,366.041
KS$1,349.271
KY$1,381.001
LA$1,382.35–$1,446.902
MA$1,510.69–$1,649.272
MD$1,486.92–$1,667.383
ME$1,374.89–$1,433.572
MI$1,423.39–$1,525.202
MN$1,428.661
MO$1,365.36–$1,441.523
MS$1,339.431
MT$1,480.111
NC$1,387.271
ND$1,416.841
NE$1,351.251
NH$1,500.301
NJ$1,587.91–$1,652.982
NM$1,434.331
NV$1,463.291
NY$1,407.93–$1,761.455
OH$1,410.451
OK$1,369.501
OR$1,445.33–$1,552.172
PA$1,407.79–$1,544.382
PR$1,487.671
RI$1,506.261
SC$1,402.511
SD$1,409.361
TN$1,356.861
TX$1,399.57–$1,519.318
UT$1,420.651
VA$1,435.08–$1,667.382
VI$1,487.671
VT$1,419.401
WA$1,505.16–$1,673.342
WI$1,372.221
WV$1,419.891
WY$1,452.541

See 28262 in every payment locality

How the 28262 rate is calculated

Each of 28262’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 · 28262

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.78

16.78 RVUs× 1.000 GPCI

Practice expense24.34

24.34 RVUs× 1.000 GPCI

Malpractice3.20

3.20 RVUs× 1.000 GPCI

Adjusted RVUs

44.3200

Conversion factor

$33.4009

Medicare rate

$1,480.33

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,163

Code
28262
Physician work
16.78
Practice expense
24.34
Malpractice
3.20

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 28262 in Connecticut
ComponentRVULocality factorAdjusted
Physician work16.78× 1.02017.1156
Practice expense24.34× 1.07726.2142
Malpractice3.20× 1.2103.8720
Total RVUs47.2018
Conversion factor× 33.4009

Office rate, Connecticut$1576.58

Office: (16.78 × 1.02 + 24.34 × 1.077 + 3.2 × 1.21) × $33.4009 = $1576.58

Facility: (16.78 × 1.02 + 10.97 × 1.077 + 3.2 × 1.21) × $33.4009 = $1095.63

Open 28262 in the RVU calculator

Payment rules and modifiers for 28262

28262 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28262

Midfoot release, extensive release

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 · 28262

Midfoot release, extensive release

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

28262 without 50 · national office

$1,480.33

Midfoot release, extensive release

28262-50 · Bilateral: 150%

$2,220.50

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 28262 has changed in Connecticut

28262 · Office / nonfacility

$1576.58

Effective 2026-10-01

The base rate is $130.78 higher than on 2025-10-01, moving from $1445.80 to $1576.58 (9.0%).

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

    $1445.80changed to$1576.58

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 17.21 changed to 16.78
    • Practice expense RVU 21.44 changed to 24.34
    • Malpractice RVU 3.08 changed to 3.20
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1472.66changed to$1445.80

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 21.11 changed to 21.44
    • Malpractice RVU 3.00 changed to 3.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1448.62changed to$1472.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1516.43changed to$1448.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 21.57 changed to 21.11
    • Malpractice RVU 3.04 changed to 3.00
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $1532.41changed to$1516.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 21.08 changed to 21.57
    • Malpractice RVU 3.16 changed to 3.04
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1537.49changed to$1532.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 21.06 changed to 21.08
    • Malpractice RVU 2.95 changed to 3.16

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1568.92changed to$1537.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 20.16 changed to 21.06
    • Malpractice RVU 3.04 changed to 2.95
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1578.87changed to$1568.92

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 20.21 changed to 20.16
    • Malpractice RVU 3.00 changed to 3.04
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1669.33changed to$1578.87

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 21.96 changed to 20.21
    • Malpractice RVU 3.49 changed to 3.00

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1656.14changed to$1669.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 21.72 changed to 21.96
    • Malpractice RVU 3.44 changed to 3.49
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1656.05changed to$1656.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 21.66 changed to 21.72
    • Malpractice RVU 3.53 changed to 3.44
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1667.99changed to$1656.05

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 21.72 changed to 21.66
    • Malpractice RVU 3.61 changed to 3.53

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1659.69changed to$1667.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1622.55changed to$1659.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 21.61 changed to 21.72
    • Malpractice RVU 2.88 changed to 3.61
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1618.46changed to$1622.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 23.63 changed to 21.61
    • Malpractice RVU 3.01 changed to 2.88
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1618.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,576.58$1,095.63RVU26D
2026-07-01$1,576.58$1,095.63RVU26C
2026-04-01$1,576.58$1,095.63RVU26B
2026-01-01$1,576.58$1,095.63RVU26A
2025-10-01$1,445.80$1,168.07RVU25D
2025-07-01$1,445.80$1,168.07RVU25C
2025-04-01$1,445.80$1,168.07RVU25B
2025-01-01$1,445.80$1,168.07RVU25A
2024-10-01$1,472.66$1,184.67RVU24D
2024-07-01$1,472.66$1,184.67RVU24C
2024-04-01$1,472.66$1,184.67RVU24B
2024-03-09$1,472.66$1,184.67RVU24AR
2024-01-01$1,448.62$1,165.33RVU24A
2023-10-01$1,516.43$1,212.45RVU23D
2023-07-01$1,516.43$1,212.45RVU23C
2023-04-01$1,516.43$1,212.45RVU23B
2023-01-01$1,516.43$1,212.45RVU23A
2022-10-01$1,532.41$1,220.14RVU22D
2022-07-01$1,532.41$1,220.14RVU22C
2022-04-01$1,532.41$1,220.14RVU22B
2022-01-01$1,532.41$1,220.14RVU22A
2021-10-01$1,537.49$1,215.64RVU21D
2021-07-01$1,537.49$1,215.64RVU21C
2021-04-01$1,537.49$1,215.64RVU21B
2021-01-01$1,537.49$1,215.64RVU21A
2020-10-01$1,568.92$1,256.82RVU20D
2020-07-01$1,568.92$1,256.82RVU20C
2020-04-01$1,568.92$1,256.82RVU20B
2020-01-01$1,568.92$1,256.82RVU20A
2019-10-01$1,578.87$1,264.28RVU19D
2019-07-01$1,578.87$1,264.28RVU19C
2019-04-01$1,578.87$1,264.28RVU19B
2019-01-01$1,578.87$1,264.28RVU19A
2018-10-01$1,669.33$1,332.27RVU18D
2018-07-01$1,669.33$1,332.27RVU18C
2018-04-01$1,669.33$1,332.27RVU18B
2018-01-01$1,669.33$1,332.27RVU18AR1
2017-10-01$1,656.14$1,324.61RVU17D
2017-07-01$1,656.14$1,324.61RVU17C
2017-04-01$1,656.14$1,324.61RVU17B
2017-01-01$1,656.14$1,324.61RVU17A
2016-10-01$1,656.05$1,323.72RVU16D
2016-07-01$1,656.05$1,323.72RVU16C
2016-04-01$1,656.05$1,323.72RVU16B
2016-01-01$1,656.05$1,323.72RVU16A
2015-10-01$1,667.99$1,332.84RVU15D
2015-07-01$1,667.99$1,332.84RVU15C
2015-04-01$1,659.69$1,326.21RVU15B
2015-01-01$1,659.69$1,326.21RVU15A
2014-10-01$1,622.55$1,294.33RVU14D
2014-07-01$1,622.55$1,294.33RVU14C
2014-04-01$1,622.55$1,294.33RVU14B
2014-01-01$1,622.55$1,294.33RVU14A
2013-10-01$1,618.46$1,272.53RVU13D
2013-07-01$1,618.46$1,272.53RVU13C
2013-04-01$1,618.46$1,272.53RVU13B
2013-01-01$1,618.46$1,272.53RVU13AR

Price 28262 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

28262 billing questions

How is 28262 distinguished from 28260?

28262 is for an extensive midfoot release. Use 28260 when the documented midfoot capsular release is less extensive.

What documentation supports reporting 28262?

Document the affected midfoot joints, the contracted structures released, the extent of the release, and the fixed deformity or restriction being treated.

Can modifier 50 be reported for bilateral surgery?

CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How are assistant or co-surgeon services handled?

Assistant-at-surgery payment may be made. 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 28262PPRRVU2026_Oct_nonQPP.csv, line 3,163 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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