FeeBase
Log inGet started
Menu

CPT code 28270: Foot contracture release, midfoot joint, each joint2026 Medicare rate & RVUs in Virgin Islands, VI

Reports release of a contracted midfoot joint capsule, with or without tendon repair, when surgery addresses restricted motion at that joint.

CMS RVU26DEffective Oct 1, 2026One payment locality17.4K Medicare services in 2024

In Virgin Islands, VI, Medicare pays $491.83 for 28270 in the office and $319.27 when it’s performed in a hospital or facility.

$491.83Office (non-facility)
$319.27Hospital or facility
+0.6%vs the national office rate ($488.66)

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.

We’ll open 28270 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virgin Islands, VI
  2. What 28270 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 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 Virgin Islands, VI 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. Virgin Islands, VI pays $491.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

28270 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$491.83
  2. Los Angeles, CA · California$546.60+$54.77
  3. Washington, DC area · District of Columbia$554.63+$62.80
  4. Miami, FL · Florida$526.95+$35.12
  5. Chicago, IL · Illinois$512.96+$21.13
  6. Manhattan, NY · New York$559.15+$67.32
  7. Alaska · Alaska$581.72+$89.89

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

28270 in every other Medicare payment locality
Payment localityOfficeFacility
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

28270 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.

$436.66

$581.72

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

View every state and territory as a table
28270 office rate range by state
State / territoryOffice rate rangeLocalities
AK$581.721
AL$442.501
AR$436.661
AZ$476.601
CA$513.52–$636.1729
CO$506.851
CT$519.351
DC$554.631
DE$484.041
FL$483.36–$526.953
GA$458.24–$497.472
GU$524.271
HI$524.271
IA$452.121
ID$454.951
IL$470.97–$512.964
IN$457.351
KS$450.491
KY$452.681
LA$452.15–$472.562
MA$504.33–$553.802
MD$492.63–$554.633
ME$457.44–$479.692
MI$463.73–$489.222
MN$485.931
MO$445.26–$473.753
MS$441.031
MT$488.621
NC$461.771
ND$478.741
NE$454.301
NH$499.331
NJ$525.34–$549.722
NM$466.171
NV$486.181
NY$468.13–$572.085
OH$461.711
OK$451.621
OR$482.45–$521.502
PA$462.21–$507.532
PR$491.831
RI$500.181
SC$462.491
SD$477.571
TN$452.591
TX$459.45–$505.138
UT$468.271
VA$478.45–$554.632
VI$491.831
VT$477.291
WA$503.25–$564.302
WI$464.021
WV$455.071
WY$484.311

See 28270 in every payment locality

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

Office or facility?

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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 28270 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work4.81× 1.0004.8100
Practice expense9.32× 1.0119.4225
Malpractice0.50× 0.9850.4925
Total RVUs14.7250
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$491.83

Office: (4.81 × 1 + 9.32 × 1.011 + 0.5 × 0.985) × $33.4009 = $491.83

Facility: (4.81 × 1 + 4.21 × 1.011 + 0.5 × 0.985) × $33.4009 = $319.27

Open 28270 in the RVU calculator

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

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 28270

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

Codes related to 28270
CodeHow it relatesOffice range, Virgin Islands, VI
Same family
28272Toe joint release, interphalangeal joint, eachCapsular release at a toe joint rather than a midfoot joint.$379.54
Used instead
28260Midfoot release, midfoot joint capsuleMidfoot capsulotomy with manipulation; distinguish the documented operative approach.$762.53
28262Midfoot release, extensive releaseFor an extensive midfoot capsulotomy rather than the per-joint release described here.$1,487.67
28230Tendon incision, single extensor tendonOpen extensor tendon incision in the foot, not a midfoot joint-capsule release.$433.34
28232Toe tendon incision, single flexor tendonOpen flexor tendon incision in a toe, not release of a midfoot joint capsule.$376.65

How 28270 has changed in Virgin Islands, VI

28270 · Office / nonfacility

$491.83

Effective 2026-10-01

The base rate is $18.44 higher than on 2025-10-01, moving from $473.39 to $491.83 (3.9%).

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

    $473.39changed to$491.83

    • 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
    • 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

    $488.18changed to$473.39

    • 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.

  3. March 9, 2024

    RVU24AR

    $480.21changed to$488.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $492.19changed to$480.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.04 changed to 9.19
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $490.01changed to$492.19

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

  6. January 1, 2023

    RVU23A

    $499.87changed to$490.01

    • 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
    • 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

    $509.66changed to$499.87

    • 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.

  8. January 1, 2021

    RVU21A

    $515.14changed to$509.66

    • 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 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $516.35changed to$515.14

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

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $516.14changed to$516.35

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.48 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $512.47changed to$516.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.82 changed to 8.87
    • 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

    $495.41changed to$512.47

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.79 changed to 8.82
    • Malpractice RVU 0.47 changed to 0.48
    • 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

    $498.60changed to$495.41

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.81 changed to 8.79
    • Malpractice RVU 0.49 changed to 0.47

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $496.12changed to$498.60

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $505.68changed to$496.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.67 changed to 8.81
    • Malpractice RVU 0.48 changed to 0.49
    • 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

    $511.85changed to$505.68

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.59 changed to 8.67
    • Malpractice RVU 0.50 changed to 0.48
    • 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: $511.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$491.83$319.27RVU26D
2026-07-01$491.83$319.27RVU26C
2026-04-01$491.83$319.27RVU26B
2026-01-01$491.83$319.27RVU26A
2025-10-01$473.39$332.03RVU25D
2025-07-01$473.39$332.03RVU25C
2025-04-01$473.39$332.03RVU25B
2025-01-01$473.39$332.03RVU25A
2024-10-01$488.18$338.01RVU24D
2024-07-01$488.18$338.01RVU24C
2024-04-01$488.18$338.01RVU24B
2024-03-09$488.18$338.01RVU24AR
2024-01-01$480.21$332.49RVU24A
2023-10-01$492.19$338.48RVU23D
2023-07-01$490.01$337.52RVU23C
2023-04-01$490.01$337.52RVU23B
2023-01-01$490.01$337.52RVU23A
2022-10-01$499.87$340.11RVU22D
2022-07-01$499.87$340.11RVU22C
2022-04-01$499.87$340.11RVU22B
2022-01-01$499.87$340.11RVU22A
2021-10-01$509.66$341.18RVU21D
2021-07-01$509.66$341.18RVU21C
2021-04-01$509.66$341.18RVU21B
2021-01-01$509.66$341.18RVU21A
2020-10-01$515.14$348.90RVU20D
2020-07-01$515.14$348.90RVU20C
2020-04-01$515.14$348.90RVU20B
2020-01-01$515.14$348.90RVU20A
2019-10-01$516.35$348.32RVU19D
2019-07-01$516.35$348.32RVU19C
2019-04-01$516.35$348.32RVU19B
2019-01-01$516.35$348.32RVU19A
2018-10-01$516.14$347.93RVU18D
2018-07-01$516.14$347.93RVU18C
2018-04-01$516.14$347.93RVU18B
2018-01-01$516.14$347.93RVU18AR1
2017-10-01$512.47$346.40RVU17D
2017-07-01$512.47$346.40RVU17C
2017-04-01$512.47$346.40RVU17B
2017-01-01$512.47$346.40RVU17A
2016-10-01$495.41$337.64RVU16D
2016-07-01$495.41$337.64RVU16C
2016-04-01$495.41$337.64RVU16B
2016-01-01$495.41$337.64RVU16A
2015-10-01$498.60$338.88RVU15D
2015-07-01$498.60$338.88RVU15C
2015-04-01$496.12$337.20RVU15B
2015-01-01$496.12$337.20RVU15A
2014-10-01$505.68$343.47RVU14D
2014-07-01$505.68$343.47RVU14C
2014-04-01$505.68$343.47RVU14B
2014-01-01$505.68$343.47RVU14A
2013-10-01$511.85$340.03RVU13D
2013-07-01$511.85$340.03RVU13C
2013-04-01$511.85$340.03RVU13B
2013-01-01$511.85$340.03RVU13AR

Price 28270 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

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
RVUs for 28270PPRRVU2026_Oct_nonQPP.csv, line 3,165 (RVU26D)
Geographic factors for Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 28270 pays in Virgin Islands, VI?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 28270 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet