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

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 Dallas, TX, Medicare pays $699.83 for 28292 in the office and $457.64 when it’s performed in a hospital or facility.

$699.83Office (non-facility)
$457.64Hospital or facility
−0.5%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 Dallas, TX
  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 Dallas, TX 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. Dallas, TX pays $699.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

28292 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$699.83
  2. Austin, TX · Texas$725.83+$26.00
  3. Beaumont, TX · Texas$662.10−$37.73
  4. Brazoria, TX · Texas$695.38−$4.45
  5. Fort Worth, TX · Texas$695.82−$4.01
  6. Galveston, TX · Texas$697.50−$2.33
  7. Houston, TX · Texas$711.78+$11.95

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

Every other payment area

28292 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$678.38$447.63
Los Angeles, CACalifornia$783.85$496.19
Washington, DC areaDistrict of Columbia$796.52$510.08
Miami, FLFlorida$760.75$507.63
Chicago, ILIllinois$740.70$496.32
Manhattan, NYNew York$804.30$521.75
AlaskaAlaska$840.74$581.77
AlabamaAlabama$637.42$424.66

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 Dallas, TX 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

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 28292 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work7.25× 1.0097.3152
Practice expense13.02× 0.99612.9679
Malpractice0.78× 0.8580.6692
Total RVUs20.9524
Conversion factor× 33.4009

Office rate, Dallas, TX$699.83

Office: (7.25 × 1.009 + 13.02 × 0.996 + 0.78 × 0.858) × $33.4009 = $699.83

Facility: (7.25 × 1.009 + 5.74 × 0.996 + 0.78 × 0.858) × $33.4009 = $457.64

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, Dallas, TX
Same family
28295Bunion correction, proximal metatarsal osteotomyHallux valgus correction using a proximal metatarsal osteotomy.$1,058.90
28296Bunion correction, distal first metatarsal osteotomyHallux valgus correction using a distal metatarsal osteotomy.$879.63
28297Bunion correction, first tarsometatarsal fusionHallux valgus correction using joint arthrodesis.$1,025.40
28298Bunion correction, proximal phalanx osteotomyHallux valgus correction using a proximal phalanx osteotomy.$855.68
28299Bunion correction, double osteotomyHallux valgus correction using double osteotomies.$1,031.01

How 28292 has changed in Dallas, TX

28292 · Office / nonfacility

$699.83

Effective 2026-10-01

The base rate is $19.53 higher than on 2025-10-01, moving from $680.30 to $699.83 (2.9%).

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

    $680.30changed to$699.83

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $702.39changed to$680.30

    • 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

    $690.93changed to$702.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $705.58changed to$690.93

    • 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 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $715.33changed to$705.58

    • 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 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $739.49changed to$715.33

    • 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

    $759.02changed to$739.49

    • 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 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $774.28changed to$759.02

    • 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 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $787.22changed to$774.28

    • 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

    $778.67changed to$787.22

    • 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 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $817.92changed to$778.67

    • 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 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $822.71changed to$817.92

    • 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

    $818.61changed to$822.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $815.29changed to$818.61

    • 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
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $818.75changed to$815.29

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $818.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$699.83$457.64RVU26D
2026-07-01$699.83$457.64RVU26C
2026-04-01$699.83$457.64RVU26B
2026-01-01$699.83$457.64RVU26A
2025-10-01$680.30$481.93RVU25D
2025-07-01$680.30$481.93RVU25C
2025-04-01$680.30$481.93RVU25B
2025-01-01$680.30$481.93RVU25A
2024-10-01$702.39$491.21RVU24D
2024-07-01$702.39$491.21RVU24C
2024-04-01$702.39$491.21RVU24B
2024-03-09$702.39$491.21RVU24AR
2024-01-01$690.93$483.19RVU24A
2023-10-01$705.58$488.46RVU23D
2023-07-01$705.58$488.46RVU23C
2023-04-01$705.58$488.46RVU23B
2023-01-01$705.58$488.46RVU23A
2022-10-01$715.33$488.80RVU22D
2022-07-01$715.33$488.80RVU22C
2022-04-01$715.33$488.80RVU22B
2022-01-01$715.33$488.80RVU22A
2021-10-01$739.49$489.61RVU21D
2021-07-01$739.49$489.61RVU21C
2021-04-01$739.49$489.61RVU21B
2021-01-01$739.49$489.61RVU21A
2020-10-01$759.02$502.81RVU20D
2020-07-01$759.02$502.81RVU20C
2020-04-01$759.02$502.81RVU20B
2020-01-01$759.02$502.81RVU20A
2019-10-01$774.28$504.59RVU19D
2019-07-01$774.28$504.59RVU19C
2019-04-01$774.28$504.59RVU19B
2019-01-01$774.28$504.59RVU19A
2018-10-01$787.22$504.68RVU18D
2018-07-01$787.22$504.68RVU18C
2018-04-01$787.22$504.68RVU18B
2018-01-01$787.22$504.68RVU18AR1
2017-10-01$778.67$500.46RVU17D
2017-07-01$778.67$500.46RVU17C
2017-04-01$778.67$500.46RVU17B
2017-01-01$778.67$500.46RVU17A
2016-10-01$817.92$620.67RVU16D
2016-07-01$817.92$620.67RVU16C
2016-04-01$817.92$620.67RVU16B
2016-01-01$817.92$620.67RVU16A
2015-10-01$822.71$624.02RVU15D
2015-07-01$822.71$624.02RVU15C
2015-04-01$818.61$620.92RVU15B
2015-01-01$818.61$620.92RVU15A
2014-10-01$815.29$620.06RVU14D
2014-07-01$815.29$620.06RVU14C
2014-04-01$815.29$620.06RVU14B
2014-01-01$815.29$620.06RVU14A
2013-10-01$818.75$612.52RVU13D
2013-07-01$818.75$612.52RVU13C
2013-04-01$818.75$612.52RVU13B
2013-01-01$818.75$612.52RVU13AR

Price 28292 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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