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

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 North Carolina, Medicare pays $1,387.27 for 28262 in the office and $970.62 when it’s performed in a hospital or facility.

$1,387.27Office (non-facility)

$970.62Hospital or facility

−6.3%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.

On this page 11 sections

Rate in North Carolina
What 28262 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
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 North Carolina 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. North Carolina pays $1,387.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

28262 in North Carolina vs other payment areas

North Carolina · this page$1,387.27
Los Angeles, CA · California$1,616.17+$228.90
Washington, DC area · District of Columbia$1,667.38+$280.11
Miami, FL · Florida$1,677.08+$289.81
Chicago, IL · Illinois$1,626.73+$239.46
Manhattan, NY · New York$1,710.53+$323.26
Alaska · Alaska$1,765.41+$378.14

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

Every other payment area

28262 in every other Medicare payment locality
Payment locality	Office	Facility
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
Madera, CACalifornia	$1,518.31	$1,028.87
Merced, CACalifornia	$1,518.31	$1,028.87
Modesto, CACalifornia	$1,518.31	$1,028.87
Napa, CACalifornia	$1,721.58	$1,133.00
Oxnard, CACalifornia	$1,603.69	$1,075.84
Redding, CACalifornia	$1,518.31	$1,028.87
Rest of CaliforniaCalifornia	$1,518.31	$1,028.87
Riverside, CACalifornia	$1,552.75	$1,063.31
Sacramento, CACalifornia	$1,583.43	$1,064.07
Salinas, CACalifornia	$1,577.37	$1,059.80
San Diego, CACalifornia	$1,607.53	$1,073.44
Marin County, CACalifornia	$1,809.07	$1,179.41
San Francisco, CACalifornia	$1,805.44	$1,175.77
San Benito County, CACalifornia	$1,851.72	$1,207.77
Santa Clara County, CACalifornia	$1,836.87	$1,192.91
San Luis Obispo, CACalifornia	$1,553.27	$1,044.62
Santa Cruz, CACalifornia	$1,617.29	$1,074.71
Santa Maria, CACalifornia	$1,581.38	$1,060.68
Santa Rosa, CACalifornia	$1,632.91	$1,084.52
Stockton, CACalifornia	$1,518.31	$1,028.87
Vallejo, CACalifornia	$1,716.34	$1,127.76
Visalia, CACalifornia	$1,518.31	$1,028.87
Yuba City, CACalifornia	$1,518.31	$1,028.87
ColoradoColorado	$1,515.68	$1,040.53
ConnecticutConnecticut	$1,576.58	$1,095.63
DelawareDelaware	$1,462.58	$1,021.37
Fort Lauderdale, FLFlorida	$1,577.26	$1,124.88
Rest of FloridaFlorida	$1,498.32	$1,071.40
Atlanta, GAGeorgia	$1,516.50	$1,062.79
Rest of GeorgiaGeorgia	$1,413.05	$1,014.71
Hawaii, Guam, HIHawaii	$1,546.71	$1,038.96
IowaIowa	$1,346.77	$938.16
IdahoIdaho	$1,358.96	$948.12
East St. Louis, ILIllinois	$1,523.67	$1,112.82
Rest of IllinoisIllinois	$1,469.77	$1,062.06
Suburban Chicago, ILIllinois	$1,588.72	$1,130.09
IndianaIndiana	$1,366.04	$952.07
KansasKansas	$1,349.27	$945.57
KentuckyKentucky	$1,381.00	$984.00
New Orleans, LALouisiana	$1,446.90	$1,026.68
Rest of LouisianaLouisiana	$1,382.35	$987.13
Metropolitan Boston, MAMassachusetts	$1,649.27	$1,116.06
Rest of MassachusettsMassachusetts	$1,510.69	$1,040.45
Baltimore area, MDMaryland	$1,573.97	$1,094.80
Rest of MarylandMaryland	$1,486.92	$1,035.00
Rest of MaineMaine	$1,374.89	$964.04
Southern Maine, MEMaine	$1,433.57	$991.02
Detroit, MIMichigan	$1,525.20	$1,094.26
Rest of MichiganMichigan	$1,423.39	$1,015.67
MinnesotaMinnesota	$1,428.66	$969.14
Metropolitan Kansas City, MOMissouri	$1,428.28	$1,008.95
Metropolitan St. Louis, MOMissouri	$1,441.52	$1,016.38
Rest of MissouriMissouri	$1,365.36	$980.41
MississippiMississippi	$1,339.43	$954.93
MontanaMontana	$1,480.11	$1,033.54
North DakotaNorth Dakota	$1,416.84	$970.27
NebraskaNebraska	$1,351.25	$939.06
New HampshireNew Hampshire	$1,500.30	$1,035.42
Northern New JerseyNew Jersey	$1,652.98	$1,134.96
Rest of New JerseyNew Jersey	$1,587.91	$1,100.25
New MexicoNew Mexico	$1,434.33	$1,024.83
NevadaNevada	$1,463.29	$1,016.27
NYC suburbs and Long Island, NYNew York	$1,761.45	$1,230.48
Poughkeepsie and northern NYC suburbs, NYNew York	$1,605.23	$1,116.23
Queens, NYNew York	$1,711.40	$1,183.56
Rest of New YorkNew York	$1,407.93	$983.69
OhioOhio	$1,410.45	$1,002.74
OklahomaOklahoma	$1,369.50	$970.72
Portland, OROregon	$1,552.17	$1,056.03
Rest of OregonOregon	$1,445.33	$1,000.55
Metropolitan Philadelphia, PAPennsylvania	$1,544.38	$1,079.50
Rest of PennsylvaniaPennsylvania	$1,407.79	$997.83
Puerto RicoPuerto Rico	$1,487.67	$1,036.19
Rhode IslandRhode Island	$1,506.26	$1,044.95
South CarolinaSouth Carolina	$1,402.51	$989.88
South DakotaSouth Dakota	$1,409.36	$962.79
TennesseeTennessee	$1,356.86	$950.93
Austin, TXTexas	$1,516.42	$1,043.95
Beaumont, TXTexas	$1,399.57	$993.19
Brazoria, TXTexas	$1,453.98	$1,011.43
Dallas, TXTexas	$1,466.94	$1,022.16
Fort Worth, TXTexas	$1,460.20	$1,019.88
Galveston, TXTexas	$1,460.74	$1,017.29
Houston, TXTexas	$1,519.31	$1,075.86
Rest of TexasTexas	$1,428.50	$1,004.70
UtahUtah	$1,420.65	$1,000.87
VirginiaVirginia	$1,435.08	$996.11
Virgin Islands, VIUnited States Virgin Islands	$1,487.67	$1,036.19
VermontVermont	$1,419.40	$977.29
Rest of WashingtonWashington	$1,505.16	$1,034.92
King County, WAWashington	$1,673.34	$1,125.40
WisconsinWisconsin	$1,372.22	$944.41
West VirginiaWest Virginia	$1,419.89	$1,031.82
WyomingWyoming	$1,452.54	$1,005.97

28262 rates by state

Office rate range in each state. Select a state to see its payment localities.

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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 / territory	Office rate range	Localities
AK	$1,765.41	1
AL	$1,332.32	1
AR	$1,313.86	1
AZ	$1,439.73	1
CA	$1,518.31–$1,851.72	29
CO	$1,515.68	1
CT	$1,576.58	1
DC	$1,667.38	1
DE	$1,462.58	1
FL	$1,498.32–$1,677.08	3
GA	$1,413.05–$1,516.50	2
GU	$1,546.71	1
HI	$1,546.71	1
IA	$1,346.77	1
ID	$1,358.96	1
IL	$1,469.77–$1,626.73	4
IN	$1,366.04	1
KS	$1,349.27	1
KY	$1,381.00	1
LA	$1,382.35–$1,446.90	2
MA	$1,510.69–$1,649.27	2
MD	$1,486.92–$1,667.38	3
ME	$1,374.89–$1,433.57	2
MI	$1,423.39–$1,525.20	2
MN	$1,428.66	1
MO	$1,365.36–$1,441.52	3
MS	$1,339.43	1
MT	$1,480.11	1
NC	$1,387.27	1
ND	$1,416.84	1
NE	$1,351.25	1
NH	$1,500.30	1
NJ	$1,587.91–$1,652.98	2
NM	$1,434.33	1
NV	$1,463.29	1
NY	$1,407.93–$1,761.45	5
OH	$1,410.45	1
OK	$1,369.50	1
OR	$1,445.33–$1,552.17	2
PA	$1,407.79–$1,544.38	2
PR	$1,487.67	1
RI	$1,506.26	1
SC	$1,402.51	1
SD	$1,409.36	1
TN	$1,356.86	1
TX	$1,399.57–$1,519.31	8
UT	$1,420.65	1
VA	$1,435.08–$1,667.38	2
VI	$1,487.67	1
VT	$1,419.40	1
WA	$1,505.16–$1,673.34	2
WI	$1,372.22	1
WV	$1,419.89	1
WY	$1,452.54	1

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?

Your ZIP

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 North Carolina 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

Locality: North Carolina
Physician work: 1.000
Practice expense: 0.933
Malpractice: 0.639

Office calculation for 28262 in North Carolina
Component	RVU	Locality factor	Adjusted
Physician work	16.78	× 1.000	16.7800
Practice expense	24.34	× 0.933	22.7092
Malpractice	3.20	× 0.639	2.0448
Total RVUs			41.5340
Conversion factor			× 33.4009

Office rate, North Carolina$1387.27

Office: (16.78 × 1 + 24.34 × 0.933 + 3.2 × 0.639) × $33.4009 = $1387.27

Facility: (16.78 × 1 + 10.97 × 0.933 + 3.2 × 0.639) × $33.4009 = $970.62

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

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 · 28262

Midfoot release, extensive release

Date of surgery

Date of a later visit

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

Codes related to 28262

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

Codes related to 28262
Code	How it relates	Office range, North Carolina
Same family
28260	Midfoot release, midfoot joint capsuleA less extensive midfoot capsular release code.	$713.10
28264	Midfoot release, extensive capsular releaseAnother code in the midfoot release group; select according to the documented procedure.	$901.55
Used instead
28270	Foot contracture release, midfoot joint, each jointA foot contracture release option when the procedure is not an extensive midfoot release.	$461.77
28272	Toe joint release, interphalangeal joint, eachFor release at a toe joint rather than an extensive midfoot release.	$356.94

How 28262 has changed in North Carolina

28262 · Office / nonfacility

$1387.27

Effective 2026-10-01

Compare with release effective

The base rate is $122.15 higher than on 2025-10-01, moving from $1265.12 to $1387.27 (9.7%).

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

January 1, 2026
RVU26A
$1265.12changed to$1387.27
- 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
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1289.99changed to$1265.12
- 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.
March 9, 2024
RVU24AR
$1268.93changed to$1289.99
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1337.23changed to$1268.93
- 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
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$1362.11changed to$1337.23
- 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
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1366.75changed to$1362.11
- 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.
January 1, 2021
RVU21A
$1380.79changed to$1366.75
- 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
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1373.47changed to$1380.79
- 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
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1442.88changed to$1373.47
- 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.
January 1, 2018
RVU18AR1
$1433.73changed to$1442.88
- 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
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1434.49changed to$1433.73
- 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
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1443.88changed to$1434.49
- 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.
July 1, 2015
RVU15C
$1436.70changed to$1443.88
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1411.20changed to$1436.70
- 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 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$1401.98changed to$1411.20
- 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 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1401.98
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,387.27	$970.62	RVU26D
2026-07-01	$1,387.27	$970.62	RVU26C
2026-04-01	$1,387.27	$970.62	RVU26B
2026-01-01	$1,387.27	$970.62	RVU26A
2025-10-01	$1,265.12	$1,029.40	RVU25D
2025-07-01	$1,265.12	$1,029.40	RVU25C
2025-04-01	$1,265.12	$1,029.40	RVU25B
2025-01-01	$1,265.12	$1,029.40	RVU25A
2024-10-01	$1,289.99	$1,045.55	RVU24D
2024-07-01	$1,289.99	$1,045.55	RVU24C
2024-04-01	$1,289.99	$1,045.55	RVU24B
2024-03-09	$1,289.99	$1,045.55	RVU24AR
2024-01-01	$1,268.93	$1,028.48	RVU24A
2023-10-01	$1,337.23	$1,081.52	RVU23D
2023-07-01	$1,337.23	$1,081.52	RVU23C
2023-04-01	$1,337.23	$1,081.52	RVU23B
2023-01-01	$1,337.23	$1,081.52	RVU23A
2022-10-01	$1,362.11	$1,101.98	RVU22D
2022-07-01	$1,362.11	$1,101.98	RVU22C
2022-04-01	$1,362.11	$1,101.98	RVU22B
2022-01-01	$1,362.11	$1,101.98	RVU22A
2021-10-01	$1,366.75	$1,098.64	RVU21D
2021-07-01	$1,366.75	$1,098.64	RVU21C
2021-04-01	$1,366.75	$1,098.64	RVU21B
2021-01-01	$1,366.75	$1,098.64	RVU21A
2020-10-01	$1,380.79	$1,120.00	RVU20D
2020-07-01	$1,380.79	$1,120.00	RVU20C
2020-04-01	$1,380.79	$1,120.00	RVU20B
2020-01-01	$1,380.79	$1,120.00	RVU20A
2019-10-01	$1,373.47	$1,110.08	RVU19D
2019-07-01	$1,373.47	$1,110.08	RVU19C
2019-04-01	$1,373.47	$1,110.08	RVU19B
2019-01-01	$1,373.47	$1,110.08	RVU19A
2018-10-01	$1,442.88	$1,160.67	RVU18D
2018-07-01	$1,442.88	$1,160.67	RVU18C
2018-04-01	$1,442.88	$1,160.67	RVU18B
2018-01-01	$1,442.88	$1,160.67	RVU18AR1
2017-10-01	$1,433.73	$1,157.41	RVU17D
2017-07-01	$1,433.73	$1,157.41	RVU17C
2017-04-01	$1,433.73	$1,157.41	RVU17B
2017-01-01	$1,433.73	$1,157.41	RVU17A
2016-10-01	$1,434.49	$1,158.79	RVU16D
2016-07-01	$1,434.49	$1,158.79	RVU16C
2016-04-01	$1,434.49	$1,158.79	RVU16B
2016-01-01	$1,434.49	$1,158.79	RVU16A
2015-10-01	$1,443.88	$1,165.84	RVU15D
2015-07-01	$1,443.88	$1,165.84	RVU15C
2015-04-01	$1,436.70	$1,160.04	RVU15B
2015-01-01	$1,436.70	$1,160.04	RVU15A
2014-10-01	$1,411.20	$1,137.97	RVU14D
2014-07-01	$1,411.20	$1,137.97	RVU14C
2014-04-01	$1,411.20	$1,137.97	RVU14B
2014-01-01	$1,411.20	$1,137.97	RVU14A
2013-10-01	$1,401.98	$1,113.08	RVU13D
2013-07-01	$1,401.98	$1,113.08	RVU13C
2013-04-01	$1,401.98	$1,113.08	RVU13B
2013-01-01	$1,401.98	$1,113.08	RVU13AR

Price 28262 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

Aberdeen
Advance
Ahoskie
Alamance
Albemarle
Alexis
Alliance
Altamahaw

Browse all communities in North Carolina

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)

3,16028250,,[CPT descriptor omitted],A,,5.91,11.20,,4.84,,0.83,17.94,11.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,16128260,,[CPT descriptor omitted],A,,7.99,13.47,,6.01,,1.24,22.70,15.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,16228261,,[CPT descriptor omitted],A,,12.78,18.67,,8.56,,2.19,33.64,23.53,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,16328262,,[CPT descriptor omitted],A,,16.78,24.34,,10.97,,3.20,44.32,30.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,16428264,,[CPT descriptor omitted],A,,10.38,16.62,,7.46,,1.73,28.73,19.57,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,16528270,,[CPT descriptor omitted],A,,4.81,9.32,,4.21,,0.50,14.63,9.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,16628272,,[CPT descriptor omitted],A,,3.82,7.12,,3.00,,0.35,11.29,7.17,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210

8113292,NY,04,QUEENS,1.064,1.182,1.442

8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703

8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639

8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406

8515202,OH,00,OHIO,1.000,0.913,1.008

8604312,OK,00,OKLAHOMA,1.000,0.893,0.777

Open CMS source How we calculate rates

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What 28262 covers

How North Carolina compares for 28262

Every other payment area

28262 rates by state

How the 28262 rate is calculated

Payment rules and modifiers for 28262

What modifiers do to the payment

Codes related to 28262

How 28262 has changed in North Carolina

Where the North Carolina rate applies

28262 billing questions

How is 28262 distinguished from 28260?

What documentation supports reporting 28262?

Can modifier 50 be reported for bilateral surgery?

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

How are assistant or co-surgeon services handled?

Where these rates come from

Did this answer your question about what 28262 pays in North Carolina?

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