CPT code 28306: Metatarsal osteotomy, first metatarsal2026 Medicare rate & RVUs in North Carolina
Reports a first metatarsal bone cut used to correct its alignment or length when the work is not included in a broader procedure.
In North Carolina, Medicare pays $591.22 for 28306 in the office and $364.97 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28306 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28306 covers
The surgeon makes a controlled cut in the first metatarsal and repositions or reshapes the bone to address a deformity or alignment problem. Orthopedic foot and ankle surgeons and podiatrists commonly perform this work in an operating room. The operative report should identify the bone treated, the deformity, the osteotomy performed, and the correction achieved.
Select this code for the first metatarsal when the documented work is not part of a more comprehensive procedure that includes the osteotomy. Use the graft-specific sibling when an autograft is used. The code 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 one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 North Carolina compares for 28306
Across 109 of 109 payment localities, the office rate for 28306 runs from $557.81 in Arkansas to $816.28 in San Benito County, CA. North Carolina pays $591.22. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$591.22
- Los Angeles, CA · California$701.28+$110.06
- Washington, DC area · District of Columbia$714.09+$122.87
- Miami, FL · Florida$686.77+$95.55
- Chicago, IL · Illinois$667.13+$75.91
- Manhattan, NY · New York$722.51+$131.29
- Alaska · Alaska$740.03+$148.81
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $565.70 | $353.52 |
| ArkansasArkansas | $557.81 | $349.51 |
| ArizonaArizona | $611.76 | $376.78 |
| Bakersfield, CACalifornia | $660.20 | $394.43 |
| Chico, CACalifornia | $657.81 | $392.04 |
| El Centro, CACalifornia | $657.95 | $392.18 |
| Fresno, CACalifornia | $657.81 | $392.04 |
| Hanford, CACalifornia | $657.81 | $392.04 |
| Madera, CACalifornia | $657.81 | $392.04 |
| Merced, CACalifornia | $657.81 | $392.04 |
| Modesto, CACalifornia | $657.81 | $392.04 |
| Napa, CACalifornia | $756.05 | $436.45 |
| Oxnard, CACalifornia | $697.22 | $410.59 |
| Redding, CACalifornia | $657.81 | $392.04 |
| Rest of CaliforniaCalifornia | $657.81 | $392.04 |
| Riverside, CACalifornia | $666.69 | $400.92 |
| Sacramento, CACalifornia | $688.69 | $406.67 |
| Salinas, CACalifornia | $686.09 | $405.05 |
| San Diego, CACalifornia | $701.06 | $411.05 |
| Marin County, CACalifornia | $798.27 | $456.35 |
| San Francisco, CACalifornia | $797.33 | $455.42 |
| San Benito County, CACalifornia | $816.28 | $466.61 |
| Santa Clara County, CACalifornia | $812.47 | $462.80 |
| San Luis Obispo, CACalifornia | $675.25 | $399.05 |
| Santa Cruz, CACalifornia | $706.85 | $412.22 |
| Santa Maria, CACalifornia | $688.34 | $405.60 |
| Santa Rosa, CACalifornia | $713.88 | $416.10 |
| Stockton, CACalifornia | $657.81 | $392.04 |
| Vallejo, CACalifornia | $754.71 | $435.11 |
| Visalia, CACalifornia | $657.81 | $392.04 |
| Yuba City, CACalifornia | $657.81 | $392.04 |
| ColoradoColorado | $650.57 | $392.56 |
| ConnecticutConnecticut | $669.15 | $407.99 |
| DelawareDelaware | $621.62 | $382.04 |
| Fort Lauderdale, FLFlorida | $655.67 | $410.03 |
| Rest of FloridaFlorida | $624.21 | $392.39 |
| Atlanta, GAGeorgia | $640.85 | $394.48 |
| Rest of GeorgiaGeorgia | $589.74 | $373.44 |
| Hawaii, Guam, HIHawaii | $672.29 | $396.58 |
| IowaIowa | $577.29 | $355.41 |
| IdahoIdaho | $581.40 | $358.31 |
| East St. Louis, ILIllinois | $623.60 | $400.51 |
| Rest of IllinoisIllinois | $608.41 | $387.02 |
| Suburban Chicago, ILIllinois | $661.73 | $412.69 |
| IndianaIndiana | $584.59 | $359.80 |
| KansasKansas | $575.76 | $356.55 |
| KentuckyKentucky | $580.93 | $365.36 |
| New Orleans, LALouisiana | $608.07 | $379.89 |
| Rest of LouisianaLouisiana | $580.49 | $365.89 |
| Metropolitan Boston, MAMassachusetts | $711.93 | $422.40 |
| Rest of MassachusettsMassachusetts | $647.33 | $391.99 |
| Baltimore area, MDMaryland | $667.49 | $407.30 |
| Rest of MarylandMaryland | $632.84 | $387.44 |
| Rest of MaineMaine | $585.48 | $362.39 |
| Southern Maine, MEMaine | $614.52 | $374.21 |
| Detroit, MIMichigan | $632.87 | $398.86 |
| Rest of MichiganMichigan | $596.53 | $375.13 |
| MinnesotaMinnesota | $620.75 | $371.23 |
| Metropolitan Kansas City, MOMissouri | $602.91 | $375.21 |
| Metropolitan St. Louis, MOMissouri | $608.86 | $378.01 |
| Rest of MissouriMissouri | $571.60 | $362.57 |
| MississippiMississippi | $564.76 | $355.98 |
| MontanaMontana | $628.22 | $385.73 |
| North DakotaNorth Dakota | $612.00 | $369.51 |
| NebraskaNebraska | $580.01 | $356.19 |
| New HampshireNew Hampshire | $641.47 | $389.04 |
| Northern New JerseyNew Jersey | $707.32 | $426.03 |
| Rest of New JerseyNew Jersey | $676.05 | $411.25 |
| New MexicoNew Mexico | $600.12 | $377.76 |
| NevadaNevada | $624.10 | $381.37 |
| NYC suburbs and Long Island, NYNew York | $740.89 | $452.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $681.34 | $415.81 |
| Queens, NYNew York | $726.68 | $440.06 |
| Rest of New YorkNew York | $599.86 | $369.50 |
| OhioOhio | $593.21 | $371.82 |
| OklahomaOklahoma | $578.78 | $362.23 |
| Portland, OROregon | $669.39 | $399.99 |
| Rest of OregonOregon | $618.51 | $376.99 |
| Metropolitan Philadelphia, PAPennsylvania | $653.70 | $401.27 |
| Rest of PennsylvaniaPennsylvania | $593.51 | $370.91 |
| Puerto RicoPuerto Rico | $632.32 | $387.16 |
| Rhode IslandRhode Island | $642.41 | $391.91 |
| South CarolinaSouth Carolina | $593.35 | $369.28 |
| South DakotaSouth Dakota | $610.08 | $367.59 |
| TennesseeTennessee | $578.69 | $358.27 |
| Austin, TXTexas | $649.06 | $392.50 |
| Beaumont, TXTexas | $589.83 | $369.17 |
| Brazoria, TXTexas | $620.16 | $379.85 |
| Dallas, TXTexas | $624.52 | $383.00 |
| Fort Worth, TXTexas | $620.82 | $381.72 |
| Galveston, TXTexas | $622.28 | $381.49 |
| Houston, TXTexas | $637.29 | $396.50 |
| Rest of TexasTexas | $604.93 | $374.81 |
| UtahUtah | $601.15 | $373.21 |
| VirginiaVirginia | $613.33 | $374.96 |
| Virgin Islands, VIUnited States Virgin Islands | $632.32 | $387.16 |
| VermontVermont | $610.69 | $370.62 |
| Rest of WashingtonWashington | $645.76 | $390.41 |
| King County, WAWashington | $725.07 | $427.54 |
| WisconsinWisconsin | $592.29 | $359.98 |
| West VirginiaWest Virginia | $586.96 | $376.23 |
| WyomingWyoming | $621.15 | $378.66 |
28306 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$557.81
$740.03
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $740.03 | 1 |
| AL | $565.70 | 1 |
| AR | $557.81 | 1 |
| AZ | $611.76 | 1 |
| CA | $657.81–$816.28 | 29 |
| CO | $650.57 | 1 |
| CT | $669.15 | 1 |
| DC | $714.09 | 1 |
| DE | $621.62 | 1 |
| FL | $624.21–$686.77 | 3 |
| GA | $589.74–$640.85 | 2 |
| GU | $672.29 | 1 |
| HI | $672.29 | 1 |
| IA | $577.29 | 1 |
| ID | $581.40 | 1 |
| IL | $608.41–$667.13 | 4 |
| IN | $584.59 | 1 |
| KS | $575.76 | 1 |
| KY | $580.93 | 1 |
| LA | $580.49–$608.07 | 2 |
| MA | $647.33–$711.93 | 2 |
| MD | $632.84–$714.09 | 3 |
| ME | $585.48–$614.52 | 2 |
| MI | $596.53–$632.87 | 2 |
| MN | $620.75 | 1 |
| MO | $571.60–$608.86 | 3 |
| MS | $564.76 | 1 |
| MT | $628.22 | 1 |
| NC | $591.22 | 1 |
| ND | $612.00 | 1 |
| NE | $580.01 | 1 |
| NH | $641.47 | 1 |
| NJ | $676.05–$707.32 | 2 |
| NM | $600.12 | 1 |
| NV | $624.10 | 1 |
| NY | $599.86–$740.89 | 5 |
| OH | $593.21 | 1 |
| OK | $578.78 | 1 |
| OR | $618.51–$669.39 | 2 |
| PA | $593.51–$653.70 | 2 |
| PR | $632.32 | 1 |
| RI | $642.41 | 1 |
| SC | $593.35 | 1 |
| SD | $610.08 | 1 |
| TN | $578.69 | 1 |
| TX | $589.83–$649.06 | 8 |
| UT | $601.15 | 1 |
| VA | $613.33–$714.09 | 2 |
| VI | $632.32 | 1 |
| VT | $610.69 | 1 |
| WA | $645.76–$725.07 | 2 |
| WI | $592.29 | 1 |
| WV | $586.96 | 1 |
| WY | $621.15 | 1 |
How the 28306 rate is calculated
Each of 28306’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 · 28306
RVUs × geographic indexes × conversion factor
Work5.85
5.85 RVUs× 1.000 GPCI
Practice expense12.14
12.14 RVUs× 1.000 GPCI
Malpractice0.82
0.82 RVUs× 1.000 GPCI
Adjusted RVUs
18.8100
Conversion factor
$33.4009
Medicare rate
$628.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,183
- Code
- 28306
- Physician work
- 5.85
- Practice expense
- 12.14
- Malpractice
- 0.82
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.85 | × 1.000 | 5.8500 |
| Practice expense | 12.14 | × 0.933 | 11.3266 |
| Malpractice | 0.82 | × 0.639 | 0.5240 |
| Total RVUs | 17.7006 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$591.22
Office: (5.85 × 1 + 12.14 × 0.933 + 0.82 × 0.639) × $33.4009 = $591.22
Facility: (5.85 × 1 + 4.88 × 0.933 + 0.82 × 0.639) × $33.4009 = $364.97
Payment rules and modifiers for 28306
28306 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28306
Metatarsal osteotomy, first metatarsal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28306
Metatarsal osteotomy, first metatarsal
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28306 without 50 · national office
$628.27
Metatarsal osteotomy, first metatarsal
28306-50 · Bilateral: 150%
$942.41
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).
How 28306 has changed in North Carolina
28306 · Office / nonfacility
$591.22
Effective 2026-10-01
The base rate is $38.17 higher than on 2025-10-01, moving from $553.05 to $591.22 (6.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$553.05changed to$591.22
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 6.00 changed to 5.85
- Practice expense RVU 11.41 changed to 12.14
- Malpractice RVU 0.80 changed to 0.82
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$573.68changed to$553.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 11.55 changed to 11.41
- Malpractice RVU 0.81 changed to 0.80
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$564.31changed to$573.68
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$579.79changed to$564.31
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 11.36 changed to 11.55
- Malpractice RVU 0.78 changed to 0.81
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$587.50changed to$579.79
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 11.14 changed to 11.36
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$592.85changed to$587.50
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 11.19 changed to 11.14
- Malpractice RVU 0.74 changed to 0.78
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$597.44changed to$592.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.73 changed to 11.19
- Malpractice RVU 0.76 changed to 0.74
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$601.83changed to$597.44
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.94 changed to 10.73
- Malpractice RVU 0.74 changed to 0.76
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$605.11changed to$601.83
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 11.05 changed to 10.94
- Malpractice RVU 0.75 changed to 0.74
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$602.91changed to$605.11
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 11.01 changed to 11.05
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$601.00changed to$602.91
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 10.97 changed to 11.01
- Malpractice RVU 0.76 changed to 0.75
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$603.72changed to$601.00
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.78 changed to 0.76
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$600.72changed to$603.72
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$596.40changed to$600.72
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 10.84 changed to 10.97
- Malpractice RVU 0.79 changed to 0.78
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$601.92changed to$596.40
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 11.99 changed to 10.84
- Malpractice RVU 0.83 changed to 0.79
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $601.92
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $591.22 | $364.97 | RVU26D |
| 2026-07-01 | $591.22 | $364.97 | RVU26C |
| 2026-04-01 | $591.22 | $364.97 | RVU26B |
| 2026-01-01 | $591.22 | $364.97 | RVU26A |
| 2025-10-01 | $553.05 | $379.92 | RVU25D |
| 2025-07-01 | $553.05 | $379.92 | RVU25C |
| 2025-04-01 | $553.05 | $379.92 | RVU25B |
| 2025-01-01 | $553.05 | $379.92 | RVU25A |
| 2024-10-01 | $573.68 | $388.73 | RVU24D |
| 2024-07-01 | $573.68 | $388.73 | RVU24C |
| 2024-04-01 | $573.68 | $388.73 | RVU24B |
| 2024-03-09 | $573.68 | $388.73 | RVU24AR |
| 2024-01-01 | $564.31 | $382.39 | RVU24A |
| 2023-10-01 | $579.79 | $390.68 | RVU23D |
| 2023-07-01 | $579.79 | $390.68 | RVU23C |
| 2023-04-01 | $579.79 | $390.68 | RVU23B |
| 2023-01-01 | $579.79 | $390.68 | RVU23A |
| 2022-10-01 | $587.50 | $393.53 | RVU22D |
| 2022-07-01 | $587.50 | $393.53 | RVU22C |
| 2022-04-01 | $587.50 | $393.53 | RVU22B |
| 2022-01-01 | $587.50 | $393.53 | RVU22A |
| 2021-10-01 | $592.85 | $390.79 | RVU21D |
| 2021-07-01 | $592.85 | $390.79 | RVU21C |
| 2021-04-01 | $592.85 | $390.79 | RVU21B |
| 2021-01-01 | $592.85 | $390.79 | RVU21A |
| 2020-10-01 | $597.44 | $398.07 | RVU20D |
| 2020-07-01 | $597.44 | $398.07 | RVU20C |
| 2020-04-01 | $597.44 | $398.07 | RVU20B |
| 2020-01-01 | $597.44 | $398.07 | RVU20A |
| 2019-10-01 | $601.83 | $398.17 | RVU19D |
| 2019-07-01 | $601.83 | $398.17 | RVU19C |
| 2019-04-01 | $601.83 | $398.17 | RVU19B |
| 2019-01-01 | $601.83 | $398.17 | RVU19A |
| 2018-10-01 | $605.11 | $398.99 | RVU18D |
| 2018-07-01 | $605.11 | $398.99 | RVU18C |
| 2018-04-01 | $605.11 | $398.99 | RVU18B |
| 2018-01-01 | $605.11 | $398.99 | RVU18AR1 |
| 2017-10-01 | $602.91 | $398.09 | RVU17D |
| 2017-07-01 | $602.91 | $398.09 | RVU17C |
| 2017-04-01 | $602.91 | $398.09 | RVU17B |
| 2017-01-01 | $602.91 | $398.09 | RVU17A |
| 2016-10-01 | $601.00 | $397.89 | RVU16D |
| 2016-07-01 | $601.00 | $397.89 | RVU16C |
| 2016-04-01 | $601.00 | $397.89 | RVU16B |
| 2016-01-01 | $601.00 | $397.89 | RVU16A |
| 2015-10-01 | $603.72 | $399.20 | RVU15D |
| 2015-07-01 | $603.72 | $399.20 | RVU15C |
| 2015-04-01 | $600.72 | $397.22 | RVU15B |
| 2015-01-01 | $600.72 | $397.22 | RVU15A |
| 2014-10-01 | $596.40 | $396.39 | RVU14D |
| 2014-07-01 | $596.40 | $396.39 | RVU14C |
| 2014-04-01 | $596.40 | $396.39 | RVU14B |
| 2014-01-01 | $596.40 | $396.39 | RVU14A |
| 2013-10-01 | $601.92 | $390.29 | RVU13D |
| 2013-07-01 | $601.92 | $390.29 | RVU13C |
| 2013-04-01 | $601.92 | $390.29 | RVU13B |
| 2013-01-01 | $601.92 | $390.29 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
28306 billing questions
How does 28306 differ from 28307?
Both address an osteotomy of the first metatarsal. Use 28307 when the procedure includes autograft; 28306 describes the osteotomy without that graft-specific distinction.
Can 28306 be reported with a bunion correction code?
Do not separately report 28306 for an osteotomy already included in a comprehensive bunion correction procedure, such as a procedure that includes a distal metatarsal osteotomy. The operative documentation must support distinct work before separate reporting is considered.
What documentation supports 28306?
Document the first metatarsal as the treated bone, the reason for correction, the osteotomy and any repositioning performed, and the resulting alignment. Identify any autograft, which may point to the graft-specific sibling code.
How is bilateral 28306 reported?
For procedures on both first metatarsals, report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Related routine follow-up during that period is included in the surgical payment.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires 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
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