CPT code 28264: Midfoot release, extensive capsular release2026 Medicare rate & RVUs in Tennessee

In Tennessee, Medicare pays $882.34 for 28264 in the office and $604.23 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28264 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 28264 covers

This code describes an extensive operative release of a contracted midfoot joint capsule. Foot and ankle surgeons may perform it for a rigid deformity or restricted midfoot motion, including in reconstructive treatment of a stiff or deformed foot. The operative report should identify the affected joint or joints, the contracture, and the specific release performed; the procedure is more extensive than a limited midfoot capsular release.

Report the service for the documented extensive midfoot release, not simply because the surgeon operated in the midfoot. The note should establish the extent and structures addressed so the work can be distinguished from a less extensive release or a release at another foot joint. CMS assigns 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% multiple-procedure reduction. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are 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 Tennessee compares for 28264

Across 109 of 109 payment localities, the office rate for 28264 runs from $853.31 in Arkansas to $1,216.30 in San Benito County, CA. Tennessee pays $882.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28264 rates by state

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

See 28264 in every payment locality

How the 28264 rate is calculated

Each of 28264’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.

Payment rules and modifiers for 28264

28264 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 28264

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

How 28264 has changed in Tennessee

Price 28264 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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

Open CMS sourceHow we calculate rates