FeeBase
Log inGet started
Menu

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

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 Galveston, TX, Medicare pays $427.28 for 28286 in the office and $276.04 when it’s performed in a hospital or facility.

$427.28Office (non-facility)
$276.04Hospital or facility
−0.7%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 Galveston, TX
  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 Galveston, TX 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. Galveston, TX pays $427.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

28286 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$427.28
  2. Austin, TX · Texas$444.29+$17.01
  3. Beaumont, TX · Texas$405.51−$21.77
  4. Brazoria, TX · Texas$426.11−$1.17
  5. Dallas, TX · Texas$428.63+$1.35
  6. Fort Worth, TX · Texas$426.16−$1.12
  7. Houston, TX · Texas$434.60+$7.32

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

Every other payment area

28286 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$415.45$270.91
Los Angeles, CACalifornia$480.27$300.09
Washington, DC areaDistrict of Columbia$486.94$307.52
Miami, FLFlorida$461.45$302.90
Chicago, ILIllinois$449.90$296.83
Manhattan, NYNew York$490.57$313.59
AlaskaAlaska$517.84$355.64
AlabamaAlabama$391.42$258.15

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 Galveston, TX 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

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 28286 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0084.6166
Practice expense7.90× 0.9937.8447
Malpractice0.40× 0.8280.3312
Total RVUs12.7925
Conversion factor× 33.4009

Office rate, Galveston, TX$427.28

Office: (4.58 × 1.008 + 7.9 × 0.993 + 0.4 × 0.828) × $33.4009 = $427.28

Facility: (4.58 × 1.008 + 3.34 × 0.993 + 0.4 × 0.828) × $33.4009 = $276.04

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, Galveston, TX
Same family
28285Hammertoe repair, lesser-toe deformity correctionHammertoe correction without the MTP release included in 28286.$543.93
Used instead
28270Foot contracture release, midfoot joint, each jointFor an isolated MTP joint capsulotomy without hammertoe correction.$484.89
28272Toe joint release, interphalangeal joint, eachFor isolated capsulotomy of a toe interphalangeal joint.$374.44

How 28286 has changed in Galveston, TX

28286 · Office / nonfacility

$427.28

Effective 2026-10-01

The base rate is $2.59 higher than on 2025-10-01, moving from $424.69 to $427.28 (0.6%).

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

    $424.69changed to$427.28

    • 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 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $442.98changed to$424.69

    • 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

    $435.75changed to$442.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $446.61changed to$435.75

    • 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 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $457.74changed to$446.61

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $465.09changed to$457.74

    • 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

    $470.66changed to$465.09

    • 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 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $472.29changed to$470.66

    • 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 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $474.68changed to$472.29

    • 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

    $472.78changed to$474.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.97 changed to 8.01
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $473.95changed to$472.78

    • 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 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $473.11changed to$473.95

    • 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

    $470.75changed to$473.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $469.08changed to$470.75

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.37 changed to 0.36
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $468.56changed to$469.08

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $468.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$427.28$276.04RVU26D
2026-07-01$427.28$276.04RVU26C
2026-04-01$427.28$276.04RVU26B
2026-01-01$427.28$276.04RVU26A
2025-10-01$424.69$292.06RVU25D
2025-07-01$424.69$292.06RVU25C
2025-04-01$424.69$292.06RVU25B
2025-01-01$424.69$292.06RVU25A
2024-10-01$442.98$300.51RVU24D
2024-07-01$442.98$300.51RVU24C
2024-04-01$442.98$300.51RVU24B
2024-03-09$442.98$300.51RVU24AR
2024-01-01$435.75$295.61RVU24A
2023-10-01$446.61$300.03RVU23D
2023-07-01$446.61$300.03RVU23C
2023-04-01$446.61$300.03RVU23B
2023-01-01$446.61$300.03RVU23A
2022-10-01$457.74$303.64RVU22D
2022-07-01$457.74$303.64RVU22C
2022-04-01$457.74$303.64RVU22B
2022-01-01$457.74$303.64RVU22A
2021-10-01$465.09$303.27RVU21D
2021-07-01$465.09$303.27RVU21C
2021-04-01$465.09$303.27RVU21B
2021-01-01$465.09$303.27RVU21A
2020-10-01$470.66$311.42RVU20D
2020-07-01$470.66$311.42RVU20C
2020-04-01$470.66$311.42RVU20B
2020-01-01$470.66$311.42RVU20A
2019-10-01$472.29$311.61RVU19D
2019-07-01$472.29$311.61RVU19C
2019-04-01$472.29$311.61RVU19B
2019-01-01$472.29$311.61RVU19A
2018-10-01$474.68$312.36RVU18D
2018-07-01$474.68$312.36RVU18C
2018-04-01$474.68$312.36RVU18B
2018-01-01$474.68$312.36RVU18AR1
2017-10-01$472.78$312.25RVU17D
2017-07-01$472.78$312.25RVU17C
2017-04-01$472.78$312.25RVU17B
2017-01-01$472.78$312.25RVU17A
2016-10-01$473.95$312.91RVU16D
2016-07-01$473.95$312.91RVU16C
2016-04-01$473.95$312.91RVU16B
2016-01-01$473.95$312.91RVU16A
2015-10-01$473.11$312.22RVU15D
2015-07-01$473.11$312.22RVU15C
2015-04-01$470.75$310.66RVU15B
2015-01-01$470.75$310.66RVU15A
2014-10-01$469.08$311.03RVU14D
2014-07-01$469.08$311.03RVU14C
2014-04-01$469.08$311.03RVU14B
2014-01-01$469.08$311.03RVU14A
2013-10-01$468.56$304.20RVU13D
2013-07-01$468.56$304.20RVU13C
2013-04-01$468.56$304.20RVU13B
2013-01-01$468.56$304.20RVU13AR

Price 28286 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 28286 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

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 Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 28286 pays in Galveston, TX?

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

Fee sheets · Coming soon

Put 28286 and the rest of your codes on one sheet

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

Join the waitlist