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CPT code 28262: Midfoot release, extensive release2026 Medicare rate & RVUs in Virgin Islands, VI

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 Virgin Islands, VI, Medicare pays $1,487.67 for 28262 in the office and $1,036.19 when it’s performed in a hospital or facility.

$1,487.67Office (non-facility)
$1,036.19Hospital or facility
+0.5%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 Virgin Islands, VI
  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 Virgin Islands, VI 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. Virgin Islands, VI pays $1,487.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

28262 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$1,487.67
  2. Los Angeles, CA · California$1,616.17+$128.50
  3. Washington, DC area · District of Columbia$1,667.38+$179.71
  4. Miami, FL · Florida$1,677.08+$189.41
  5. Chicago, IL · Illinois$1,626.73+$139.06
  6. Manhattan, NY · New York$1,710.53+$222.86
  7. Alaska · Alaska$1,765.41+$277.74

Other areas in United States Virgin Islands 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.

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.

$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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 28262 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work16.78× 1.00016.7800
Practice expense24.34× 1.01124.6077
Malpractice3.20× 0.9853.1520
Total RVUs44.5397
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$1487.67

Office: (16.78 × 1 + 24.34 × 1.011 + 3.2 × 0.985) × $33.4009 = $1487.67

Facility: (16.78 × 1 + 10.97 × 1.011 + 3.2 × 0.985) × $33.4009 = $1036.19

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

Codes related to 28262

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

Codes related to 28262
CodeHow it relatesOffice range, Virgin Islands, VI
Same family
28260Midfoot release, midfoot joint capsuleA less extensive midfoot capsular release code.$762.53
28264Midfoot release, extensive capsular releaseAnother code in the midfoot release group; select according to the documented procedure.$964.85
Used instead
28270Foot contracture release, midfoot joint, each jointA foot contracture release option when the procedure is not an extensive midfoot release.$491.83
28272Toe joint release, interphalangeal joint, eachFor release at a toe joint rather than an extensive midfoot release.$379.54

How 28262 has changed in Virgin Islands, VI

28262 · Office / nonfacility

$1487.67

Effective 2026-10-01

The base rate is $134.79 higher than on 2025-10-01, moving from $1352.88 to $1487.67 (10.0%).

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

    $1352.88changed to$1487.67

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1378.56changed to$1352.88

    • 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

    $1356.06changed to$1378.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1421.36changed to$1356.06

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $1417.16changed to$1421.36

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $1438.73changed to$1417.16

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $1442.73changed to$1438.73

    • 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.

  8. January 1, 2021

    RVU21A

    $1462.88changed to$1442.73

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $1460.72changed to$1462.88

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $1540.02changed to$1460.72

    • 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.

  11. January 1, 2018

    RVU18AR1

    $1524.42changed to$1540.02

    • 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
    • Practice expense GPCI 1.006 changed to 1.007
    • Malpractice GPCI 0.993 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $1486.58changed to$1524.42

    • 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 0.960 changed to 1.006
    • Malpractice GPCI 0.996 changed to 0.993

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $1496.87changed to$1486.58

    • 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.

  14. July 1, 2015

    RVU15C

    $1489.42changed to$1496.87

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $1497.22changed to$1489.42

    • 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 1.004 changed to 0.960
    • Malpractice GPCI 1.003 changed to 0.996

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $1494.54changed to$1497.22

    • 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 1.002 changed to 1.004
    • Malpractice GPCI 1.010 changed to 1.003

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $1494.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,487.67$1,036.19RVU26D
2026-07-01$1,487.67$1,036.19RVU26C
2026-04-01$1,487.67$1,036.19RVU26B
2026-01-01$1,487.67$1,036.19RVU26A
2025-10-01$1,352.88$1,096.53RVU25D
2025-07-01$1,352.88$1,096.53RVU25C
2025-04-01$1,352.88$1,096.53RVU25B
2025-01-01$1,352.88$1,096.53RVU25A
2024-10-01$1,378.56$1,112.74RVU24D
2024-07-01$1,378.56$1,112.74RVU24C
2024-04-01$1,378.56$1,112.74RVU24B
2024-03-09$1,378.56$1,112.74RVU24AR
2024-01-01$1,356.06$1,094.58RVU24A
2023-10-01$1,421.36$1,143.31RVU23D
2023-07-01$1,417.16$1,141.32RVU23C
2023-04-01$1,417.16$1,141.32RVU23B
2023-01-01$1,417.16$1,141.32RVU23A
2022-10-01$1,438.73$1,156.18RVU22D
2022-07-01$1,438.73$1,156.18RVU22C
2022-04-01$1,438.73$1,156.18RVU22B
2022-01-01$1,438.73$1,156.18RVU22A
2021-10-01$1,442.73$1,151.51RVU21D
2021-07-01$1,442.73$1,151.51RVU21C
2021-04-01$1,442.73$1,151.51RVU21B
2021-01-01$1,442.73$1,151.51RVU21A
2020-10-01$1,462.88$1,180.23RVU20D
2020-07-01$1,462.88$1,180.23RVU20C
2020-04-01$1,462.88$1,180.23RVU20B
2020-01-01$1,462.88$1,180.23RVU20A
2019-10-01$1,460.72$1,175.83RVU19D
2019-07-01$1,460.72$1,175.83RVU19C
2019-04-01$1,460.72$1,175.83RVU19B
2019-01-01$1,460.72$1,175.83RVU19A
2018-10-01$1,540.02$1,234.78RVU18D
2018-07-01$1,540.02$1,234.78RVU18C
2018-04-01$1,540.02$1,234.78RVU18B
2018-01-01$1,540.02$1,234.78RVU18AR1
2017-10-01$1,524.42$1,225.84RVU17D
2017-07-01$1,524.42$1,225.84RVU17C
2017-04-01$1,524.42$1,225.84RVU17B
2017-01-01$1,524.42$1,225.84RVU17A
2016-10-01$1,486.58$1,201.97RVU16D
2016-07-01$1,486.58$1,201.97RVU16C
2016-04-01$1,486.58$1,201.97RVU16B
2016-01-01$1,486.58$1,201.97RVU16A
2015-10-01$1,496.87$1,209.87RVU15D
2015-07-01$1,496.87$1,209.87RVU15C
2015-04-01$1,489.42$1,203.85RVU15B
2015-01-01$1,489.42$1,203.85RVU15A
2014-10-01$1,497.22$1,201.94RVU14D
2014-07-01$1,497.22$1,201.94RVU14C
2014-04-01$1,497.22$1,201.94RVU14B
2014-01-01$1,497.22$1,201.94RVU14A
2013-10-01$1,494.54$1,182.27RVU13D
2013-07-01$1,494.54$1,182.27RVU13C
2013-04-01$1,494.54$1,182.27RVU13B
2013-01-01$1,494.54$1,182.27RVU13AR

Price 28262 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

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 Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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