CPT code 28270: Foot contracture release, midfoot joint, each joint2026 Medicare rate & RVUs in Atlanta, GA
Reports release of a contracted midfoot joint capsule, with or without tendon repair, when surgery addresses restricted motion at that joint.
In Atlanta, GA, Medicare pays $497.47 for 28270 in the office and $324.07 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28270 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
What 28270 covers
The service releases a contracted capsule at a midfoot joint to improve motion or correct deformity. The surgeon may repair a tendon as part of the procedure. Podiatrists and orthopedic foot and ankle surgeons commonly perform it for a fixed joint contracture that requires operative correction, rather than a contracture treated by tendon release alone.
Report the code for each midfoot joint treated, and document the affected joint, side, contracture, and operative release; include any tendon repair performed. The 90-day global period includes 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 the others at 50%. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code, and 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 Atlanta, GA compares for 28270
Across 109 of 109 payment localities, the office rate for 28270 runs from $436.66 in Arkansas to $636.17 in San Benito County, CA. Atlanta, GA pays $497.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Atlanta, GA · this page$497.47
- Rest of Georgia · Georgia$458.24−$39.23
- Los Angeles, CA · California$546.60+$49.13
- Washington, DC area · District of Columbia$554.63+$57.16
- Miami, FL · Florida$526.95+$29.48
- Chicago, IL · Illinois$512.96+$15.49
- Manhattan, NY · New York$559.15+$61.68
Other areas in Georgia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $581.72 | $399.95 |
| AlabamaAlabama | $442.50 | $293.15 |
| ArkansasArkansas | $436.66 | $290.05 |
| ArizonaArizona | $476.60 | $311.21 |
| Bakersfield, CACalifornia | $515.06 | $328.00 |
| Chico, CACalifornia | $513.52 | $326.46 |
| El Centro, CACalifornia | $513.61 | $326.54 |
| Fresno, CACalifornia | $513.52 | $326.46 |
| Hanford, CACalifornia | $513.52 | $326.46 |
| Madera, CACalifornia | $513.52 | $326.46 |
| Merced, CACalifornia | $513.52 | $326.46 |
| Modesto, CACalifornia | $513.52 | $326.46 |
| Napa, CACalifornia | $589.55 | $364.60 |
| Oxnard, CACalifornia | $543.51 | $341.77 |
| Redding, CACalifornia | $513.52 | $326.46 |
| Rest of CaliforniaCalifornia | $513.52 | $326.46 |
| Riverside, CACalifornia | $518.98 | $331.91 |
| Sacramento, CACalifornia | $537.43 | $338.93 |
| Salinas, CACalifornia | $535.38 | $337.57 |
| San Diego, CACalifornia | $546.84 | $342.71 |
| Marin County, CACalifornia | $622.51 | $381.86 |
| San Francisco, CACalifornia | $621.95 | $381.29 |
| San Benito County, CACalifornia | $636.17 | $390.05 |
| Santa Clara County, CACalifornia | $633.85 | $387.73 |
| San Luis Obispo, CACalifornia | $526.91 | $332.50 |
| Santa Cruz, CACalifornia | $551.21 | $343.83 |
| Santa Maria, CACalifornia | $537.08 | $338.07 |
| Santa Rosa, CACalifornia | $556.70 | $347.11 |
| Stockton, CACalifornia | $513.52 | $326.46 |
| Vallejo, CACalifornia | $588.73 | $363.78 |
| Visalia, CACalifornia | $513.52 | $326.46 |
| Yuba City, CACalifornia | $513.52 | $326.46 |
| ColoradoColorado | $506.85 | $325.25 |
| ConnecticutConnecticut | $519.35 | $335.52 |
| DelawareDelaware | $484.04 | $315.41 |
| Fort Lauderdale, FLFlorida | $506.20 | $333.30 |
| Rest of FloridaFlorida | $483.36 | $320.19 |
| Hawaii, Guam, HIHawaii | $524.27 | $330.21 |
| IowaIowa | $452.12 | $295.95 |
| IdahoIdaho | $454.95 | $297.93 |
| East St. Louis, ILIllinois | $480.69 | $323.66 |
| Rest of IllinoisIllinois | $470.97 | $315.15 |
| Suburban Chicago, ILIllinois | $511.08 | $335.79 |
| IndianaIndiana | $457.35 | $299.13 |
| KansasKansas | $450.49 | $296.19 |
| KentuckyKentucky | $452.68 | $300.95 |
| New Orleans, LALouisiana | $472.56 | $311.95 |
| Rest of LouisianaLouisiana | $452.15 | $301.10 |
| Metropolitan Boston, MAMassachusetts | $553.80 | $350.01 |
| Rest of MassachusettsMassachusetts | $504.33 | $324.61 |
| Baltimore area, MDMaryland | $517.91 | $334.77 |
| Rest of MarylandMaryland | $492.63 | $319.90 |
| Rest of MaineMaine | $457.44 | $300.41 |
| Southern Maine, MEMaine | $479.69 | $310.55 |
| Detroit, MIMichigan | $489.22 | $324.51 |
| Rest of MichiganMichigan | $463.73 | $307.90 |
| MinnesotaMinnesota | $485.93 | $310.30 |
| Metropolitan Kansas City, MOMissouri | $469.28 | $309.01 |
| Metropolitan St. Louis, MOMissouri | $473.75 | $311.26 |
| Rest of MissouriMissouri | $445.26 | $298.14 |
| MississippiMississippi | $441.03 | $294.07 |
| MontanaMontana | $488.62 | $317.94 |
| North CarolinaNorth Carolina | $461.77 | $302.53 |
| North DakotaNorth Dakota | $478.74 | $308.06 |
| NebraskaNebraska | $454.30 | $296.76 |
| New HampshireNew Hampshire | $499.33 | $321.65 |
| Northern New JerseyNew Jersey | $549.72 | $351.73 |
| Rest of New JerseyNew Jersey | $525.34 | $338.96 |
| New MexicoNew Mexico | $466.17 | $309.66 |
| NevadaNevada | $486.18 | $315.33 |
| NYC suburbs and Long Island, NYNew York | $572.08 | $369.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $528.97 | $342.07 |
| Queens, NYNew York | $562.97 | $361.23 |
| Rest of New YorkNew York | $468.13 | $305.99 |
| OhioOhio | $461.71 | $305.88 |
| OklahomaOklahoma | $451.62 | $299.21 |
| Portland, OROregon | $521.50 | $331.88 |
| Rest of OregonOregon | $482.45 | $312.45 |
| Metropolitan Philadelphia, PAPennsylvania | $507.53 | $329.86 |
| Rest of PennsylvaniaPennsylvania | $462.21 | $305.53 |
| Puerto RicoPuerto Rico | $491.83 | $319.27 |
| Rhode IslandRhode Island | $500.18 | $323.87 |
| South CarolinaSouth Carolina | $462.49 | $304.78 |
| South DakotaSouth Dakota | $477.57 | $306.89 |
| TennesseeTennessee | $452.59 | $297.45 |
| Austin, TXTexas | $505.13 | $324.55 |
| Beaumont, TXTexas | $459.45 | $304.14 |
| Brazoria, TXTexas | $483.46 | $314.32 |
| Dallas, TXTexas | $486.48 | $316.49 |
| Fort Worth, TXTexas | $483.59 | $315.30 |
| Galveston, TXTexas | $484.89 | $315.41 |
| Houston, TXTexas | $494.04 | $324.56 |
| Rest of TexasTexas | $471.16 | $309.19 |
| UtahUtah | $468.27 | $307.84 |
| VirginiaVirginia | $478.45 | $310.68 |
| Virgin Islands, VIUnited States Virgin Islands | $491.83 | $319.27 |
| VermontVermont | $477.29 | $308.32 |
| Rest of WashingtonWashington | $503.25 | $323.53 |
| King County, WAWashington | $564.30 | $354.87 |
| WisconsinWisconsin | $464.02 | $300.51 |
| West VirginiaWest Virginia | $455.07 | $306.75 |
| WyomingWyoming | $484.31 | $313.63 |
28270 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.
$436.66
$581.72
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $581.72 | 1 |
| AL | $442.50 | 1 |
| AR | $436.66 | 1 |
| AZ | $476.60 | 1 |
| CA | $513.52–$636.17 | 29 |
| CO | $506.85 | 1 |
| CT | $519.35 | 1 |
| DC | $554.63 | 1 |
| DE | $484.04 | 1 |
| FL | $483.36–$526.95 | 3 |
| GA | $458.24–$497.47 | 2 |
| GU | $524.27 | 1 |
| HI | $524.27 | 1 |
| IA | $452.12 | 1 |
| ID | $454.95 | 1 |
| IL | $470.97–$512.96 | 4 |
| IN | $457.35 | 1 |
| KS | $450.49 | 1 |
| KY | $452.68 | 1 |
| LA | $452.15–$472.56 | 2 |
| MA | $504.33–$553.80 | 2 |
| MD | $492.63–$554.63 | 3 |
| ME | $457.44–$479.69 | 2 |
| MI | $463.73–$489.22 | 2 |
| MN | $485.93 | 1 |
| MO | $445.26–$473.75 | 3 |
| MS | $441.03 | 1 |
| MT | $488.62 | 1 |
| NC | $461.77 | 1 |
| ND | $478.74 | 1 |
| NE | $454.30 | 1 |
| NH | $499.33 | 1 |
| NJ | $525.34–$549.72 | 2 |
| NM | $466.17 | 1 |
| NV | $486.18 | 1 |
| NY | $468.13–$572.08 | 5 |
| OH | $461.71 | 1 |
| OK | $451.62 | 1 |
| OR | $482.45–$521.50 | 2 |
| PA | $462.21–$507.53 | 2 |
| PR | $491.83 | 1 |
| RI | $500.18 | 1 |
| SC | $462.49 | 1 |
| SD | $477.57 | 1 |
| TN | $452.59 | 1 |
| TX | $459.45–$505.13 | 8 |
| UT | $468.27 | 1 |
| VA | $478.45–$554.63 | 2 |
| VI | $491.83 | 1 |
| VT | $477.29 | 1 |
| WA | $503.25–$564.30 | 2 |
| WI | $464.02 | 1 |
| WV | $455.07 | 1 |
| WY | $484.31 | 1 |
How the 28270 rate is calculated
Each of 28270’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 · 28270
RVUs × geographic indexes × conversion factor
Work4.81
4.81 RVUs× 1.000 GPCI
Practice expense9.32
9.32 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
14.6300
Conversion factor
$33.4009
Medicare rate
$488.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Atlanta, GA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,165
- Code
- 28270
- Physician work
- 4.81
- Practice expense
- 9.32
- Malpractice
- 0.50
GPCI2026.csv
44
- Locality
- Atlanta, GA
- Physician work
- 1.003
- Practice expense
- 1.016
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.81 | × 1.003 | 4.8244 |
| Practice expense | 9.32 | × 1.016 | 9.4691 |
| Malpractice | 0.50 | × 1.201 | 0.6005 |
| Total RVUs | 14.8941 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Atlanta, GA$497.47
Office: (4.81 × 1.003 + 9.32 × 1.016 + 0.5 × 1.201) × $33.4009 = $497.47
Facility: (4.81 × 1.003 + 4.21 × 1.016 + 0.5 × 1.201) × $33.4009 = $324.07
Payment rules and modifiers for 28270
28270 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28270
Foot contracture release, midfoot joint, each joint
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 28270
Foot contracture release, midfoot joint, each joint
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28270 without 50 · national office
$488.66
Foot contracture release, midfoot joint, each joint
28270-50 · Bilateral: 150%
$732.99
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).
How 28270 has changed in Atlanta, GA
28270 · Office / nonfacility
$497.47
Effective 2026-10-01
The base rate is $24.68 higher than on 2025-10-01, moving from $472.79 to $497.47 (5.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
$472.79changed to$497.47
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.93 changed to 4.81
- Practice expense RVU 9.15 changed to 9.32
- Work GPCI 1.000 changed to 1.003
- Practice expense GPCI 0.997 changed to 1.016
- Malpractice GPCI 1.128 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$487.50changed to$472.79
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.19 changed to 9.15
- Malpractice RVU 0.49 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$479.54changed to$487.50
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$489.66changed to$479.54
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.04 changed to 9.19
- Practice expense GPCI 0.998 changed to 0.997
- Malpractice GPCI 1.016 changed to 1.128
January 1, 2023
RVU23A
$495.36changed to$489.66
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.95 changed to 9.04
- Malpractice RVU 0.50 changed to 0.49
- Malpractice GPCI 0.904 changed to 1.016
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$505.10changed to$495.36
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.13 changed to 8.95
- Malpractice RVU 0.48 changed to 0.50
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$512.13changed to$505.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 8.77 changed to 9.13
- Malpractice RVU 0.51 changed to 0.48
- Malpractice GPCI 0.996 changed to 0.904
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$514.81changed to$512.13
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 8.87 changed to 8.77
- Malpractice RVU 0.47 changed to 0.51
- Practice expense GPCI 0.997 changed to 0.998
- Malpractice GPCI 1.088 changed to 0.996
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$514.64changed to$514.81
- Conversion factor 35.9996 changed to 36.0391
- Malpractice RVU 0.48 changed to 0.47
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$514.64
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $497.47 | $324.07 | RVU26D |
| 2026-07-01 | $497.47 | $324.07 | RVU26C |
| 2026-04-01 | $497.47 | $324.07 | RVU26B |
| 2026-01-01 | $497.47 | $324.07 | RVU26A |
| 2025-10-01 | $472.79 | $332.83 | RVU25D |
| 2025-07-01 | $472.79 | $332.83 | RVU25C |
| 2025-04-01 | $472.79 | $332.83 | RVU25B |
| 2025-01-01 | $472.79 | $332.83 | RVU25A |
| 2024-10-01 | $487.50 | $338.82 | RVU24D |
| 2024-07-01 | $487.50 | $338.82 | RVU24C |
| 2024-04-01 | $487.50 | $338.82 | RVU24B |
| 2024-03-09 | $487.50 | $338.82 | RVU24AR |
| 2024-01-01 | $479.54 | $333.29 | RVU24A |
| 2023-10-01 | $489.66 | $337.47 | RVU23D |
| 2023-07-01 | $489.66 | $337.47 | RVU23C |
| 2023-04-01 | $489.66 | $337.47 | RVU23B |
| 2023-01-01 | $489.66 | $337.47 | RVU23A |
| 2022-10-01 | $495.36 | $337.18 | RVU22D |
| 2022-07-01 | $495.36 | $337.18 | RVU22C |
| 2022-04-01 | $495.36 | $337.18 | RVU22B |
| 2022-01-01 | $495.36 | $337.18 | RVU22A |
| 2021-10-01 | $505.10 | $338.30 | RVU21D |
| 2021-07-01 | $505.10 | $338.30 | RVU21C |
| 2021-04-01 | $505.10 | $338.30 | RVU21B |
| 2021-01-01 | $505.10 | $338.30 | RVU21A |
| 2020-10-01 | $512.13 | $347.53 | RVU20D |
| 2020-07-01 | $512.13 | $347.53 | RVU20C |
| 2020-04-01 | $512.13 | $347.53 | RVU20B |
| 2020-01-01 | $512.13 | $347.53 | RVU20A |
| 2019-10-01 | $514.81 | $348.45 | RVU19D |
| 2019-07-01 | $514.81 | $348.45 | RVU19C |
| 2019-04-01 | $514.81 | $348.45 | RVU19B |
| 2019-01-01 | $514.81 | $348.45 | RVU19A |
| 2018-10-01 | $514.64 | $348.10 | RVU18D |
| 2018-07-01 | $514.64 | $348.10 | RVU18C |
| 2018-04-01 | $514.64 | $348.10 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Atlanta, GA rate applies
Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.
- Atlanta
- Acworth
- Alpharetta
- 28270 in Auburn · multiple payment areas
- Austell
- Avondale Estates
- Ball Ground
- Belvedere Park
28270 billing questions
When is 28270 used instead of 28272?
Use 28270 for a contracted midfoot joint capsule. Code 28272 is for a toe joint capsule.
How are multiple joints reported?
The code is defined for each joint. Document each midfoot joint released and follow applicable claim instructions for reporting multiple units.
Can tendon work be included?
A tendon repair may be performed with the capsular release. If the operative service is a tendon incision or release rather than a joint-capsule release, consider the tendon procedure code that matches the work.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery paid?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
May an assistant or co-surgeon be reported?
An assistant at surgery is not paid for this code. Co-surgeons and team surgery are 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
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