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CPT code 28292: Bunion correction, proximal phalanx base resection2026 Medicare rate & RVUs in Delaware

Reports hallux valgus surgery that corrects the bunion deformity with resection at the base of the proximal phalanx, including sesamoidectomy when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality5.8K Medicare services in 2024

In Delaware, Medicare pays $696.45 for 28292 in the office and $456.21 when it’s performed in a hospital or facility.

$696.45Office (non-facility)
$456.21Hospital or facility
−0.9%vs the national office rate ($703.09)

Check a contract rate as a % of Medicare · 28292 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 28292 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 28292 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 28292 covers

This operation corrects hallux valgus using resection at the base of the great toe’s proximal phalanx, often described as a Keller-type procedure. A foot and ankle surgeon or podiatric surgeon may perform it for a painful bunion deformity, including cases where the operative plan calls for removing part of the phalanx rather than correcting the deformity with a metatarsal osteotomy or fusion. Sesamoidectomy is included when performed as part of the correction. The service is commonly performed in an ambulatory surgery center or hospital outpatient setting.

Select the code from the procedure documented, not the bunion diagnosis alone. The operative report should establish the phalangeal-base resection and describe the correction performed, laterality, and any sesamoid work. It has 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is 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 28292

Across 109 of 109 payment localities, the office rate for 28292 runs from $629.14 in Arkansas to $909.85 in San Benito County, CA. Delaware pays $696.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

28292 in Delaware vs other payment areas
  1. Delaware · this page$696.45
  2. Los Angeles, CA · California$783.85+$87.40
  3. Washington, DC area · District of Columbia$796.52+$100.07
  4. Miami, FL · Florida$760.75+$64.30
  5. Chicago, IL · Illinois$740.70+$44.25
  6. Manhattan, NY · New York$804.30+$107.85
  7. Alaska · Alaska$840.74+$144.29

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

Every other payment area

28292 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$637.42$424.66
ArkansasArkansas$629.14$420.26
ArizonaArizona$685.86$450.24
Bakersfield, CACalifornia$739.25$472.75
Chico, CACalifornia$736.87$470.36
El Centro, CACalifornia$737.00$470.49
Fresno, CACalifornia$736.87$470.36
Hanford, CACalifornia$736.87$470.36

28292 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.

$629.14

$840.74

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

View every state and territory as a table
28292 office rate range by state
State / territoryOffice rate rangeLocalities
AK$840.741
AL$637.421
AR$629.141
AZ$685.861
CA$736.87–$909.8529
CO$728.121
CT$746.891
DC$796.521
DE$696.451
FL$697.06–$760.753
GA$661.12–$716.012
GU$751.701
HI$751.701
IA$650.411
ID$654.571
IL$679.92–$740.704
IN$657.951
KS$648.421
KY$652.601
LA$651.98–$680.972
MA$724.72–$794.522
MD$708.59–$796.523
ME$658.45–$689.562
MI$668.62–$705.742
MN$697.361
MO$642.40–$682.273
MS$635.841
MT$703.041
NC$664.551
ND$687.611
NE$653.401
NH$717.661
NJ$755.31–$789.702
NM$672.231
NV$699.171
NY$673.61–$823.115
OH$665.461
OK$650.751
OR$693.61–$748.572
PA$666.00–$730.312
PR$707.481
RI$719.231
SC$666.131
SD$685.791
TN$651.451
TX$662.10–$725.838
UT$674.341
VA$688.04–$796.522
VI$707.481
VT$685.871
WA$723.06–$809.152
WI$666.801
WV$657.351
WY$696.321

See 28292 in every payment locality

How the 28292 rate is calculated

Each of 28292’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 · 28292

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.25

7.25 RVUs× 1.000 GPCI

Practice expense13.02

13.02 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

21.0500

Conversion factor

$33.4009

Medicare rate

$703.09

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

3,173

Code
28292
Physician work
7.25
Practice expense
13.02
Malpractice
0.78

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 28292 in Delaware
ComponentRVULocality factorAdjusted
Physician work7.25× 1.0057.2862
Practice expense13.02× 0.98812.8638
Malpractice0.78× 0.8990.7012
Total RVUs20.8512
Conversion factor× 33.4009

Office rate, Delaware$696.45

Office: (7.25 × 1.005 + 13.02 × 0.988 + 0.78 × 0.899) × $33.4009 = $696.45

Facility: (7.25 × 1.005 + 5.74 × 0.988 + 0.78 × 0.899) × $33.4009 = $456.21

Open 28292 in the RVU calculator

Payment rules and modifiers for 28292

28292 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28292

Bunion correction, proximal phalanx base resection

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 28292

Bunion correction, proximal phalanx base resection

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

28292 without 50 · national office

$703.09

Bunion correction, proximal phalanx base resection

28292-50 · Bilateral: 150%

$1,054.64

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 28292

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

Codes related to 28292
CodeHow it relatesOffice range, Delaware
Same family
28295Bunion correction, proximal metatarsal osteotomyHallux valgus correction using a proximal metatarsal osteotomy.$1,053.49
28296Bunion correction, distal first metatarsal osteotomyHallux valgus correction using a distal metatarsal osteotomy.$874.98
28297Bunion correction, first tarsometatarsal fusionHallux valgus correction using joint arthrodesis.$1,020.20
28298Bunion correction, proximal phalanx osteotomyHallux valgus correction using a proximal phalanx osteotomy.$851.43
28299Bunion correction, double osteotomyHallux valgus correction using double osteotomies.$1,025.78

How 28292 has changed in Delaware

28292 · Office / nonfacility

$696.45

Effective 2026-10-01

The base rate is $21.14 higher than on 2025-10-01, moving from $675.31 to $696.45 (3.1%).

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

    $675.31changed to$696.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.44 changed to 7.25
    • Practice expense RVU 12.78 changed to 13.02
    • Malpractice RVU 0.73 changed to 0.78
    • 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

    $697.26changed to$675.31

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.84 changed to 12.78
    • Malpractice RVU 0.74 changed to 0.73

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $685.88changed to$697.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $704.35changed to$685.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.53 changed to 12.84
    • Malpractice RVU 0.72 changed to 0.74
    • 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

    $718.61changed to$704.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.34 changed to 12.53
    • Malpractice RVU 0.73 changed to 0.72
    • 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

    $742.47changed to$718.61

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.86 changed to 12.34
    • Malpractice RVU 0.71 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $765.77changed to$742.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.73 changed to 12.86
    • Malpractice RVU 0.72 changed to 0.71
    • 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

    $784.06changed to$765.77

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.24 changed to 12.73
    • Malpractice RVU 0.69 changed to 0.72
    • 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

    $797.17changed to$784.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.61 changed to 13.24
    • Malpractice RVU 0.70 changed to 0.69

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $791.69changed to$797.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.46 changed to 13.61
    • Malpractice RVU 0.68 changed to 0.70
    • 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

    $835.15changed to$791.69

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 9.05 changed to 7.44
    • Practice expense RVU 12.89 changed to 13.46
    • Malpractice RVU 0.81 changed to 0.68
    • 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

    $840.46changed to$835.15

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.91 changed to 12.89
    • Malpractice RVU 0.85 changed to 0.81

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $836.28changed to$840.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $828.29changed to$836.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.75 changed to 12.91
    • Malpractice RVU 0.83 changed to 0.85
    • 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

    $827.71changed to$828.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.97 changed to 12.75
    • Malpractice RVU 0.87 changed to 0.83
    • 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: $827.71

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$696.45$456.21RVU26D
2026-07-01$696.45$456.21RVU26C
2026-04-01$696.45$456.21RVU26B
2026-01-01$696.45$456.21RVU26A
2025-10-01$675.31$479.90RVU25D
2025-07-01$675.31$479.90RVU25C
2025-04-01$675.31$479.90RVU25B
2025-01-01$675.31$479.90RVU25A
2024-10-01$697.26$489.22RVU24D
2024-07-01$697.26$489.22RVU24C
2024-04-01$697.26$489.22RVU24B
2024-03-09$697.26$489.22RVU24AR
2024-01-01$685.88$481.24RVU24A
2023-10-01$704.35$489.37RVU23D
2023-07-01$704.35$489.37RVU23C
2023-04-01$704.35$489.37RVU23B
2023-01-01$704.35$489.37RVU23A
2022-10-01$718.61$492.97RVU22D
2022-07-01$718.61$492.97RVU22C
2022-04-01$718.61$492.97RVU22B
2022-01-01$718.61$492.97RVU22A
2021-10-01$742.47$493.55RVU21D
2021-07-01$742.47$493.55RVU21C
2021-04-01$742.47$493.55RVU21B
2021-01-01$742.47$493.55RVU21A
2020-10-01$765.77$509.31RVU20D
2020-07-01$765.77$509.31RVU20C
2020-04-01$765.77$509.31RVU20B
2020-01-01$765.77$509.31RVU20A
2019-10-01$784.06$513.04RVU19D
2019-07-01$784.06$513.04RVU19C
2019-04-01$784.06$513.04RVU19B
2019-01-01$784.06$513.04RVU19A
2018-10-01$797.17$513.24RVU18D
2018-07-01$797.17$513.24RVU18C
2018-04-01$797.17$513.24RVU18B
2018-01-01$797.17$513.24RVU18AR1
2017-10-01$791.69$509.91RVU17D
2017-07-01$791.69$509.91RVU17C
2017-04-01$791.69$509.91RVU17B
2017-01-01$791.69$509.91RVU17A
2016-10-01$835.15$633.60RVU16D
2016-07-01$835.15$633.60RVU16C
2016-04-01$835.15$633.60RVU16B
2016-01-01$835.15$633.60RVU16A
2015-10-01$840.46$637.44RVU15D
2015-07-01$840.46$637.44RVU15C
2015-04-01$836.28$634.27RVU15B
2015-01-01$836.28$634.27RVU15A
2014-10-01$828.29$628.24RVU14D
2014-07-01$828.29$628.24RVU14C
2014-04-01$828.29$628.24RVU14B
2014-01-01$828.29$628.24RVU14A
2013-10-01$827.71$616.01RVU13D
2013-07-01$827.71$616.01RVU13C
2013-04-01$827.71$616.01RVU13B
2013-01-01$827.71$616.01RVU13AR

Price 28292 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

28292 billing questions

What operative detail supports 28292?

The report should document hallux valgus correction that includes resection at the base of the proximal phalanx. The diagnosis of bunion or a description of prominence removal alone does not establish this procedure.

Is sesamoidectomy separately reported?

Sesamoidectomy is included when performed as part of this hallux valgus correction.

How does 28292 differ from 28298?

28292 involves resection at the proximal phalanx base. 28298 is the hallux valgus correction code for a proximal phalanx osteotomy.

How is bilateral surgery paid?

When the procedure is performed bilaterally and reported with modifier 50, CMS pays 150%.

What postoperative care is included?

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

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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 28292PPRRVU2026_Oct_nonQPP.csv, line 3,173 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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