CPT code 28310: Toe osteotomy, first toe, proximal phalanx2026 Medicare rate & RVUs in Aromas, California

CPT 28310: $617.84–$734.45 office ($368.15–$423.79 facility) across 2 localities in Aromas, CA in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $617.84–$734.45 for 28310 in the office in Aromas, California, from Salinas, CA to San Benito County, CA. Which amount applies depends on the service address.

$617.84–$734.45Office (non-facility)
$368.15–$423.79Hospital or facility

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 28310 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Aromas, California
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 28310 pays more and less in Aromas, California

Aromas, California maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

28310 office and facility rates by payment locality
Payment localityOfficeFacility
Salinas, CA$617.84$368.15
San Benito County, CA$734.45$423.79

How payment areas work in Aromas

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Monterey · Monterey County
  • San Benito · San Benito County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 28310 rate is calculated

Each of 28310’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 · 28310

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.43

5.43 RVUs× 1.000 GPCI

Practice expense10.82

10.82 RVUs× 1.000 GPCI

Malpractice0.67

0.67 RVUs× 1.000 GPCI

Adjusted RVUs

16.9200

Conversion factor

$33.4009

Medicare rate

$565.14

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 28310

28310 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28310

Toe osteotomy, first toe, proximal phalanx

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)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 · 28310

Toe osteotomy, first toe, proximal phalanx

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

28310 without 50 · national office

$565.14

Toe osteotomy, first toe, proximal phalanx

28310-50 · Bilateral: 150%

$847.71

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

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 28310PPRRVU2026_Oct_nonQPP.csv, line 3,187 (RVU26D)

Open CMS sourceHow we calculate rates

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