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CPT code 28306: Metatarsal osteotomy, first metatarsal2026 Medicare rate & RVUs in Austin, TX

Reports a first metatarsal bone cut used to correct its alignment or length when the work is not included in a broader procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5K Medicare services in 2024

In Austin, TX, Medicare pays $649.06 for 28306 in the office and $392.50 when it’s performed in a hospital or facility.

$649.06Office (non-facility)
$392.50Hospital or facility
+3.3%vs the national office rate ($628.27)

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.

We’ll open 28306 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Austin, TX
  2. What 28306 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 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 Austin, TX 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. Austin, TX pays $649.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

28306 in Austin, TX vs other payment areas
  1. Austin, TX · this page$649.06
  2. Beaumont, TX · Texas$589.83−$59.23
  3. Brazoria, TX · Texas$620.16−$28.90
  4. Dallas, TX · Texas$624.52−$24.54
  5. Fort Worth, TX · Texas$620.82−$28.24
  6. Galveston, TX · Texas$622.28−$26.78
  7. Houston, TX · Texas$637.29−$11.77

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

Every other payment area

28306 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$604.93$374.81
Los Angeles, CACalifornia$701.28$414.42
Washington, DC areaDistrict of Columbia$714.09$428.44
Miami, FLFlorida$686.77$434.34
Chicago, ILIllinois$667.13$423.43
Manhattan, NYNew York$722.51$440.74
AlaskaAlaska$740.03$481.78
AlabamaAlabama$565.70$353.52

28306 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
28306 office rate range by state
State / territoryOffice rate rangeLocalities
AK$740.031
AL$565.701
AR$557.811
AZ$611.761
CA$657.81–$816.2829
CO$650.571
CT$669.151
DC$714.091
DE$621.621
FL$624.21–$686.773
GA$589.74–$640.852
GU$672.291
HI$672.291
IA$577.291
ID$581.401
IL$608.41–$667.134
IN$584.591
KS$575.761
KY$580.931
LA$580.49–$608.072
MA$647.33–$711.932
MD$632.84–$714.093
ME$585.48–$614.522
MI$596.53–$632.872
MN$620.751
MO$571.60–$608.863
MS$564.761
MT$628.221
NC$591.221
ND$612.001
NE$580.011
NH$641.471
NJ$676.05–$707.322
NM$600.121
NV$624.101
NY$599.86–$740.895
OH$593.211
OK$578.781
OR$618.51–$669.392
PA$593.51–$653.702
PR$632.321
RI$642.411
SC$593.351
SD$610.081
TN$578.691
TX$589.83–$649.068
UT$601.151
VA$613.33–$714.092
VI$632.321
VT$610.691
WA$645.76–$725.072
WI$592.291
WV$586.961
WY$621.151

See 28306 in every payment locality

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

Office or facility?

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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 28306 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work5.85× 1.0025.8617
Practice expense12.14× 1.05812.8441
Malpractice0.82× 0.8860.7265
Total RVUs19.4323
Conversion factor× 33.4009

Office rate, Austin, TX$649.06

Office: (5.85 × 1.002 + 12.14 × 1.058 + 0.82 × 0.886) × $33.4009 = $649.06

Facility: (5.85 × 1.002 + 4.88 × 1.058 + 0.82 × 0.886) × $33.4009 = $392.50

Open 28306 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 28306

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

Codes related to 28306
CodeHow it relatesOffice range, Austin, TX
Same family
28307Metatarsal osteotomy, with autograftFirst metatarsal osteotomy with autograft.$874.14
28308Metatarsal osteotomy, other than first metatarsalOsteotomy of a metatarsal other than the first.$605.58
28309Metatarsal osteotomy, multiple metatarsalsMultiple-metatarsal osteotomy with autograft.No office rate

How 28306 has changed in Austin, TX

28306 · Office / nonfacility

$649.06

Effective 2026-10-01

The base rate is $45.28 higher than on 2025-10-01, moving from $603.78 to $649.06 (7.5%).

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

    $603.78changed to$649.06

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $626.53changed to$603.78

    • 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.

  3. March 9, 2024

    RVU24AR

    $616.30changed to$626.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $627.90changed to$616.30

    • 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 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914

  5. January 1, 2023

    RVU23A

    $630.44changed to$627.90

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.14 changed to 11.36
    • Practice expense GPCI 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $636.77changed to$630.44

    • 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.

  7. January 1, 2021

    RVU21A

    $636.90changed to$636.77

    • 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 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $638.70changed to$636.90

    • 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 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $642.32changed to$638.70

    • 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.

  10. January 1, 2018

    RVU18AR1

    $638.75changed to$642.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.01 changed to 11.05
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $635.91changed to$638.75

    • 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 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $638.75changed to$635.91

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.78 changed to 0.76

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $635.57changed to$638.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $630.17changed to$635.57

    • 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 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $636.95changed to$630.17

    • 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 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $636.95

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$649.06$392.50RVU26D
2026-07-01$649.06$392.50RVU26C
2026-04-01$649.06$392.50RVU26B
2026-01-01$649.06$392.50RVU26A
2025-10-01$603.78$408.22RVU25D
2025-07-01$603.78$408.22RVU25C
2025-04-01$603.78$408.22RVU25B
2025-01-01$603.78$408.22RVU25A
2024-10-01$626.53$417.61RVU24D
2024-07-01$626.53$417.61RVU24C
2024-04-01$626.53$417.61RVU24B
2024-03-09$626.53$417.61RVU24AR
2024-01-01$616.30$410.80RVU24A
2023-10-01$627.90$413.09RVU23D
2023-07-01$627.90$413.09RVU23C
2023-04-01$627.90$413.09RVU23B
2023-01-01$627.90$413.09RVU23A
2022-10-01$630.44$409.09RVU22D
2022-07-01$630.44$409.09RVU22C
2022-04-01$630.44$409.09RVU22B
2022-01-01$630.44$409.09RVU22A
2021-10-01$636.77$406.19RVU21D
2021-07-01$636.77$406.19RVU21C
2021-04-01$636.77$406.19RVU21B
2021-01-01$636.77$406.19RVU21A
2020-10-01$636.90$413.96RVU20D
2020-07-01$636.90$413.96RVU20C
2020-04-01$636.90$413.96RVU20B
2020-01-01$636.90$413.96RVU20A
2019-10-01$638.70$415.35RVU19D
2019-07-01$638.70$415.35RVU19C
2019-04-01$638.70$415.35RVU19B
2019-01-01$638.70$415.35RVU19A
2018-10-01$642.32$416.27RVU18D
2018-07-01$642.32$416.27RVU18C
2018-04-01$642.32$416.27RVU18B
2018-01-01$642.32$416.27RVU18AR1
2017-10-01$638.75$414.35RVU17D
2017-07-01$638.75$414.35RVU17C
2017-04-01$638.75$414.35RVU17B
2017-01-01$638.75$414.35RVU17A
2016-10-01$635.91$413.35RVU16D
2016-07-01$635.91$413.35RVU16C
2016-04-01$635.91$413.35RVU16B
2016-01-01$635.91$413.35RVU16A
2015-10-01$638.75$414.66RVU15D
2015-07-01$638.75$414.66RVU15C
2015-04-01$635.57$412.60RVU15B
2015-01-01$635.57$412.60RVU15A
2014-10-01$630.17$411.86RVU14D
2014-07-01$630.17$411.86RVU14C
2014-04-01$630.17$411.86RVU14B
2014-01-01$630.17$411.86RVU14A
2013-10-01$636.95$406.60RVU13D
2013-07-01$636.95$406.60RVU13C
2013-04-01$636.95$406.60RVU13B
2013-01-01$636.95$406.60RVU13AR

Price 28306 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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
RVUs for 28306PPRRVU2026_Oct_nonQPP.csv, line 3,183 (RVU26D)
Geographic factors for Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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