CPT code 28313: Toe deformity repair, soft-tissue correction2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $530.67 for 28313 in the office and $333.59 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28313 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 28313 covers

CPT 28313 covers surgical correction of an angular toe deformity using soft-tissue procedures alone. A common clinical situation is an overlapping lesser toe, such as a second toe that crosses over an adjacent toe. The surgeon or podiatrist rebalances soft tissue around the affected toe to improve its alignment; the procedure is performed in an operating room or ambulatory surgery setting. This code is not the choice when the documented correction includes an osteotomy of a toe bone.

Report the service for each toe corrected and document the deformity, the toe involved, and the soft-tissue work performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are 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 Vermont compares for 28313

Across 109 of 109 payment localities, the office rate for 28313 runs from $484.42 in Arkansas to $710.15 in San Benito County, CA. Vermont pays $530.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28313 rates by state

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

See 28313 in every payment locality

How the 28313 rate is calculated

Each of 28313’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.

Payment rules and modifiers for 28313

28313 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 28313

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

How 28313 has changed in Vermont

Price 28313 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates