FeeBase
Log inGet started
Menu

CPT code 28286: Hammertoe repair, with MTP joint release2026 Medicare rate & RVUs in Delaware

Reports surgical correction of a hammertoe that includes release of the metatarsophalangeal joint when performed to address associated toe contracture.

CMS RVU26DEffective Oct 1, 2026One payment locality240 Medicare services in 2024

In Delaware, Medicare pays $426.45 for 28286 in the office and $275.97 when it’s performed in a hospital or facility.

$426.45Office (non-facility)
$275.97Hospital or facility
−0.9%vs the national office rate ($430.20)

Check a contract rate as a % of Medicare · 28286 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 28286 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 28286 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 28286 covers

A foot and ankle surgeon or podiatrist uses this code for operative correction of a hammertoe that also involves release of the metatarsophalangeal (MTP) joint when performed. The correction addresses the toe deformity, such as through work at an interphalangeal joint, while the MTP release addresses contracture at the toe’s base. These procedures are commonly performed in an outpatient surgical setting for a painful or function-limiting hammertoe.

Choose this code when the operative report supports hammertoe correction with the MTP release included in the service; use 28285 when the correction does not include MTP release. Document the affected toe, the deformity, and the correction and release performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, 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 Delaware compares for 28286

Across 109 of 109 payment localities, the office rate for 28286 runs from $386.52 in Arkansas to $557.46 in San Benito County, CA. Delaware pays $426.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

28286 in Delaware vs other payment areas
  1. Delaware · this page$426.45
  2. Los Angeles, CA · California$480.27+$53.82
  3. Washington, DC area · District of Columbia$486.94+$60.49
  4. Miami, FL · Florida$461.45+$35.00
  5. Chicago, IL · Illinois$449.90+$23.45
  6. Manhattan, NY · New York$490.57+$64.12
  7. Alaska · Alaska$517.84+$91.39

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

Every other payment area

28286 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$391.42$258.15
ArkansasArkansas$386.52$255.69
ArizonaArizona$420.10$272.51
Bakersfield, CACalifornia$453.22$286.29
Chico, CACalifornia$451.94$285.01
El Centro, CACalifornia$452.00$285.07
Fresno, CACalifornia$451.94$285.01
Hanford, CACalifornia$451.94$285.01

28286 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.

$386.52

$517.84

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

View every state and territory as a table
28286 office rate range by state
State / territoryOffice rate rangeLocalities
AK$517.841
AL$391.421
AR$386.521
AZ$420.101
CA$451.94–$557.4629
CO$446.001
CT$456.391
DC$486.941
DE$426.451
FL$425.31–$461.453
GA$404.27–$437.572
GU$460.731
HI$460.731
IA$399.721
ID$402.051
IL$414.77–$449.904
IN$404.071
KS$398.251
KY$399.781
LA$399.30–$416.452
MA$443.92–$486.202
MD$433.80–$486.943
ME$404.04–$422.902
MI$408.97–$430.132
MN$428.451
MO$393.44–$417.563
MS$390.041
MT$430.181
NC$407.701
ND$422.271
NE$401.581
NH$439.351
NJ$461.89–$482.972
NM$410.991
NV$428.241
NY$413.04–$501.315
OH$407.351
OK$398.991
OR$425.18–$458.522
PA$407.83–$446.352
PR$432.911
RI$440.371
SC$408.151
SD$421.331
TN$400.011
TX$405.51–$444.298
UT$413.011
VA$421.79–$486.942
VI$432.911
VT$420.961
WA$442.98–$495.312
WI$409.881
WV$401.401
WY$426.731

See 28286 in every payment locality

How the 28286 rate is calculated

Each of 28286’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 · 28286

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.58

4.58 RVUs× 1.000 GPCI

Practice expense7.90

7.90 RVUs× 1.000 GPCI

Malpractice0.40

0.40 RVUs× 1.000 GPCI

Adjusted RVUs

12.8800

Conversion factor

$33.4009

Medicare rate

$430.20

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,169

Code
28286
Physician work
4.58
Practice expense
7.90
Malpractice
0.40

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 28286 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0054.6029
Practice expense7.90× 0.9887.8052
Malpractice0.40× 0.8990.3596
Total RVUs12.7677
Conversion factor× 33.4009

Office rate, Delaware$426.45

Office: (4.58 × 1.005 + 7.9 × 0.988 + 0.4 × 0.899) × $33.4009 = $426.45

Facility: (4.58 × 1.005 + 3.34 × 0.988 + 0.4 × 0.899) × $33.4009 = $275.97

Open 28286 in the RVU calculator

Payment rules and modifiers for 28286

28286 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28286

Hammertoe repair, with MTP joint 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)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 · 28286

Hammertoe repair, with MTP joint 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

28286 without 50 · national office

$430.20

Hammertoe repair, with MTP joint release

28286-50 · Bilateral: 150%

$645.30

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 28286

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

Codes related to 28286
CodeHow it relatesOffice range, Delaware
Same family
28285Hammertoe repair, lesser-toe deformity correctionHammertoe correction without the MTP release included in 28286.$543.13
Used instead
28270Foot contracture release, midfoot joint, each jointFor an isolated MTP joint capsulotomy without hammertoe correction.$484.04
28272Toe joint release, interphalangeal joint, eachFor isolated capsulotomy of a toe interphalangeal joint.$373.70

How 28286 has changed in Delaware

28286 · Office / nonfacility

$426.45

Effective 2026-10-01

The base rate is $3.42 higher than on 2025-10-01, moving from $423.03 to $426.45 (0.8%).

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

    $423.03changed to$426.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.70 changed to 4.58
    • Practice expense RVU 8.03 changed to 7.90
    • Malpractice RVU 0.39 changed to 0.40
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $441.27changed to$423.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.20 changed to 8.03
    • Malpractice RVU 0.40 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $434.07changed to$441.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $445.46changed to$434.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.00 changed to 8.20
    • Malpractice RVU 0.38 changed to 0.40
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $457.47changed to$445.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.95 changed to 8.00
    • Malpractice RVU 0.40 changed to 0.38
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $464.53changed to$457.47

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.06 changed to 7.95
    • Malpractice RVU 0.38 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $472.45changed to$464.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.80 changed to 8.06
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $475.90changed to$472.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.93 changed to 7.80
    • Malpractice RVU 0.35 changed to 0.39
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $478.32changed to$475.90

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.01 changed to 7.93

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $477.38changed to$478.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.97 changed to 8.01
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $479.57changed to$477.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.00 changed to 7.97
    • Malpractice RVU 0.36 changed to 0.35
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $478.71changed to$479.57

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.93 changed to 8.00

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $476.33changed to$478.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $476.89changed to$476.33

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.37 changed to 0.36
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $479.06changed to$476.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.68 changed to 7.93
    • Malpractice RVU 0.39 changed to 0.37
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $479.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$426.45$275.97RVU26D
2026-07-01$426.45$275.97RVU26C
2026-04-01$426.45$275.97RVU26B
2026-01-01$426.45$275.97RVU26A
2025-10-01$423.03$291.47RVU25D
2025-07-01$423.03$291.47RVU25C
2025-04-01$423.03$291.47RVU25B
2025-01-01$423.03$291.47RVU25A
2024-10-01$441.27$299.94RVU24D
2024-07-01$441.27$299.94RVU24C
2024-04-01$441.27$299.94RVU24B
2024-03-09$441.27$299.94RVU24AR
2024-01-01$434.07$295.04RVU24A
2023-10-01$445.46$299.75RVU23D
2023-07-01$445.46$299.75RVU23C
2023-04-01$445.46$299.75RVU23B
2023-01-01$445.46$299.75RVU23A
2022-10-01$457.47$303.97RVU22D
2022-07-01$457.47$303.97RVU22C
2022-04-01$457.47$303.97RVU22B
2022-01-01$457.47$303.97RVU22A
2021-10-01$464.53$303.35RVU21D
2021-07-01$464.53$303.35RVU21C
2021-04-01$464.53$303.35RVU21B
2021-01-01$464.53$303.35RVU21A
2020-10-01$472.45$312.90RVU20D
2020-07-01$472.45$312.90RVU20C
2020-04-01$472.45$312.90RVU20B
2020-01-01$472.45$312.90RVU20A
2019-10-01$475.90$313.95RVU19D
2019-07-01$475.90$313.95RVU19C
2019-04-01$475.90$313.95RVU19B
2019-01-01$475.90$313.95RVU19A
2018-10-01$478.32$314.71RVU18D
2018-07-01$478.32$314.71RVU18C
2018-04-01$478.32$314.71RVU18B
2018-01-01$478.32$314.71RVU18AR1
2017-10-01$477.38$314.78RVU17D
2017-07-01$477.38$314.78RVU17C
2017-04-01$477.38$314.78RVU17B
2017-01-01$477.38$314.78RVU17A
2016-10-01$479.57$315.67RVU16D
2016-07-01$479.57$315.67RVU16C
2016-04-01$479.57$315.67RVU16B
2016-01-01$479.57$315.67RVU16A
2015-10-01$478.71$314.96RVU15D
2015-07-01$478.71$314.96RVU15C
2015-04-01$476.33$313.39RVU15B
2015-01-01$476.33$313.39RVU15A
2014-10-01$476.89$313.66RVU14D
2014-07-01$476.89$313.66RVU14C
2014-04-01$476.89$313.66RVU14B
2014-01-01$476.89$313.66RVU14A
2013-10-01$479.06$306.79RVU13D
2013-07-01$479.06$306.79RVU13C
2013-04-01$479.06$306.79RVU13B
2013-01-01$479.06$306.79RVU13AR

Price 28286 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

28286 billing questions

How does this code differ from 28285?

Use 28286 for hammertoe correction that includes MTP joint release when performed. Use 28285 for hammertoe correction without that MTP release.

Can the MTP release be reported separately?

The MTP release is part of this hammertoe service when performed. Do not separately report the same release as a standalone service in addition to 28286.

What should the operative note document?

Identify the affected toe and describe the hammertoe correction and MTP release performed. The note should support why the MTP joint required release as part of the correction.

How are bilateral procedures paid?

CMS pays bilateral reporting with modifier 50 at 150%. The code also follows the standard multiple procedure reduction when other procedures are performed in the same session.

Does the global period include postoperative visits?

Yes. The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.

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 28286PPRRVU2026_Oct_nonQPP.csv, line 3,169 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 28286 pays in Delaware?

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

Fee sheets

Put 28286 and the rest of your codes on one sheet

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

Build my fee sheet