CPT code 28490: Toe fracture care, without manipulation2026 Medicare rate & RVUs in Puerto Rico
Reports closed treatment of a great toe fracture managed without manipulation, such as a stable fracture treated with immobilization and follow-up.
In Puerto Rico, Medicare pays $159.83 for 28490 in the office and $133.16 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28490 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 28490 covers
This code represents closed treatment of a great toe fracture when the treating clinician manages the fracture without manipulating it to change alignment. It commonly describes care for a stable fracture managed with measures such as buddy taping, a protective shoe, splinting, or casting. Orthopedic surgeons, podiatrists, and other clinicians who assume responsibility for fracture treatment may report it in an office, emergency, or other appropriate setting. A visit that only evaluates the injury before the patient is referred elsewhere is not the same as assuming fracture care.
Document the great toe fracture, the decision to treat it without manipulation, and the treatment plan. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery 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 Puerto Rico compares for 28490
Across 109 of 109 payment localities, the office rate for 28490 runs from $139.70 in Arkansas to $210.99 in San Benito County, CA. Puerto Rico pays $159.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$159.83
- Los Angeles, CA · California$179.33+$19.50
- Washington, DC area · District of Columbia$181.80+$21.97
- Miami, FL · Florida$172.05+$12.22
- Chicago, IL · Illinois$166.85+$7.02
- Manhattan, NY · New York$183.03+$23.20
- Alaska · Alaska$182.61+$22.78
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $141.83 | $118.74 |
| ArkansasArkansas | $139.70 | $117.03 |
| ArizonaArizona | $154.27 | $128.71 |
| Bakersfield, CACalifornia | $168.19 | $139.27 |
| Chico, CACalifornia | $167.70 | $138.78 |
| El Centro, CACalifornia | $167.73 | $138.81 |
| Fresno, CACalifornia | $167.70 | $138.78 |
| Hanford, CACalifornia | $167.70 | $138.78 |
| Madera, CACalifornia | $167.70 | $138.78 |
| Merced, CACalifornia | $167.70 | $138.78 |
| Modesto, CACalifornia | $167.70 | $138.78 |
| Napa, CACalifornia | $194.80 | $160.02 |
| Oxnard, CACalifornia | $178.49 | $147.30 |
| Redding, CACalifornia | $167.70 | $138.78 |
| Rest of CaliforniaCalifornia | $167.70 | $138.78 |
| Riverside, CACalifornia | $169.54 | $140.62 |
| Sacramento, CACalifornia | $176.12 | $145.43 |
| Salinas, CACalifornia | $175.47 | $144.89 |
| San Diego, CACalifornia | $179.72 | $148.16 |
| Marin County, CACalifornia | $206.31 | $169.10 |
| San Francisco, CACalifornia | $206.12 | $168.91 |
| San Benito County, CACalifornia | $210.99 | $172.94 |
| Santa Clara County, CACalifornia | $210.20 | $172.15 |
| San Luis Obispo, CACalifornia | $172.64 | $142.58 |
| Santa Cruz, CACalifornia | $181.52 | $149.46 |
| Santa Maria, CACalifornia | $176.16 | $145.39 |
| Santa Rosa, CACalifornia | $183.36 | $150.96 |
| Stockton, CACalifornia | $167.70 | $138.78 |
| Vallejo, CACalifornia | $194.52 | $159.74 |
| Visalia, CACalifornia | $167.70 | $138.78 |
| Yuba City, CACalifornia | $167.70 | $138.78 |
| ColoradoColorado | $165.22 | $137.15 |
| ConnecticutConnecticut | $169.46 | $141.04 |
| DelawareDelaware | $156.89 | $130.82 |
| Fort Lauderdale, FLFlorida | $164.74 | $138.01 |
| Rest of FloridaFlorida | $156.45 | $131.23 |
| Atlanta, GAGeorgia | $161.75 | $134.94 |
| Rest of GeorgiaGeorgia | $147.34 | $123.80 |
| Hawaii, Guam, HIHawaii | $172.00 | $142.00 |
| IowaIowa | $145.46 | $121.32 |
| IdahoIdaho | $146.47 | $122.19 |
| East St. Louis, ILIllinois | $155.22 | $130.94 |
| Rest of IllinoisIllinois | $151.85 | $127.76 |
| Suburban Chicago, ILIllinois | $166.41 | $139.31 |
| IndianaIndiana | $147.35 | $122.89 |
| KansasKansas | $144.81 | $120.95 |
| KentuckyKentucky | $145.42 | $121.96 |
| New Orleans, LALouisiana | $152.65 | $127.82 |
| Rest of LouisianaLouisiana | $145.20 | $121.85 |
| Metropolitan Boston, MAMassachusetts | $181.88 | $150.38 |
| Rest of MassachusettsMassachusetts | $164.20 | $136.42 |
| Baltimore area, MDMaryland | $169.00 | $140.68 |
| Rest of MarylandMaryland | $159.95 | $133.24 |
| Rest of MaineMaine | $147.32 | $123.04 |
| Southern Maine, MEMaine | $155.52 | $129.38 |
| Detroit, MIMichigan | $158.53 | $133.06 |
| Rest of MichiganMichigan | $149.39 | $125.30 |
| MinnesotaMinnesota | $157.99 | $130.84 |
| Metropolitan Kansas City, MOMissouri | $151.51 | $126.74 |
| Metropolitan St. Louis, MOMissouri | $153.15 | $128.03 |
| Rest of MissouriMissouri | $142.65 | $119.91 |
| MississippiMississippi | $141.20 | $118.48 |
| MontanaMontana | $158.64 | $132.26 |
| North CarolinaNorth Carolina | $148.91 | $124.29 |
| North DakotaNorth Dakota | $155.28 | $128.89 |
| NebraskaNebraska | $146.28 | $121.92 |
| New HampshireNew Hampshire | $162.66 | $135.19 |
| Northern New JerseyNew Jersey | $179.82 | $149.21 |
| Rest of New JerseyNew Jersey | $171.30 | $142.48 |
| New MexicoNew Mexico | $150.26 | $126.06 |
| NevadaNevada | $157.82 | $131.41 |
| NYC suburbs and Long Island, NYNew York | $187.67 | $156.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $172.48 | $143.58 |
| Queens, NYNew York | $184.51 | $153.32 |
| Rest of New YorkNew York | $151.22 | $126.16 |
| OhioOhio | $148.70 | $124.61 |
| OklahomaOklahoma | $145.09 | $121.53 |
| Portland, OROregon | $170.56 | $141.25 |
| Rest of OregonOregon | $156.51 | $130.23 |
| Metropolitan Philadelphia, PAPennsylvania | $165.15 | $137.68 |
| Rest of PennsylvaniaPennsylvania | $148.92 | $124.70 |
| Rhode IslandRhode Island | $162.56 | $135.30 |
| South CarolinaSouth Carolina | $149.07 | $124.69 |
| South DakotaSouth Dakota | $154.88 | $128.50 |
| TennesseeTennessee | $145.57 | $121.58 |
| Austin, TXTexas | $164.75 | $136.83 |
| Beaumont, TXTexas | $147.91 | $123.90 |
| Brazoria, TXTexas | $156.68 | $130.53 |
| Dallas, TXTexas | $157.73 | $131.45 |
| Fort Worth, TXTexas | $156.66 | $130.64 |
| Galveston, TXTexas | $157.18 | $130.98 |
| Houston, TXTexas | $160.29 | $134.09 |
| Rest of TexasTexas | $152.24 | $127.20 |
| UtahUtah | $151.18 | $126.38 |
| VirginiaVirginia | $155.03 | $129.09 |
| Virgin Islands, VIUnited States Virgin Islands | $159.83 | $133.16 |
| VermontVermont | $154.70 | $128.58 |
| Rest of WashingtonWashington | $163.88 | $136.10 |
| King County, WAWashington | $185.60 | $153.22 |
| WisconsinWisconsin | $149.90 | $124.62 |
| West VirginiaWest Virginia | $146.05 | $123.12 |
| WyomingWyoming | $157.18 | $130.79 |
28490 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.
$139.70
$189.35
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 | $182.61 | 1 |
| AL | $141.83 | 1 |
| AR | $139.70 | 1 |
| AZ | $154.27 | 1 |
| CA | $167.70–$210.99 | 29 |
| CO | $165.22 | 1 |
| CT | $169.46 | 1 |
| DC | $181.80 | 1 |
| DE | $156.89 | 1 |
| FL | $156.45–$172.05 | 3 |
| GA | $147.34–$161.75 | 2 |
| GU | $172.00 | 1 |
| HI | $172.00 | 1 |
| IA | $145.46 | 1 |
| ID | $146.47 | 1 |
| IL | $151.85–$166.85 | 4 |
| IN | $147.35 | 1 |
| KS | $144.81 | 1 |
| KY | $145.42 | 1 |
| LA | $145.20–$152.65 | 2 |
| MA | $164.20–$181.88 | 2 |
| MD | $159.95–$181.80 | 3 |
| ME | $147.32–$155.52 | 2 |
| MI | $149.39–$158.53 | 2 |
| MN | $157.99 | 1 |
| MO | $142.65–$153.15 | 3 |
| MS | $141.20 | 1 |
| MT | $158.64 | 1 |
| NC | $148.91 | 1 |
| ND | $155.28 | 1 |
| NE | $146.28 | 1 |
| NH | $162.66 | 1 |
| NJ | $171.30–$179.82 | 2 |
| NM | $150.26 | 1 |
| NV | $157.82 | 1 |
| NY | $151.22–$187.67 | 5 |
| OH | $148.70 | 1 |
| OK | $145.09 | 1 |
| OR | $156.51–$170.56 | 2 |
| PA | $148.92–$165.15 | 2 |
| PR | $159.83 | 1 |
| RI | $162.56 | 1 |
| SC | $149.07 | 1 |
| SD | $154.88 | 1 |
| TN | $145.57 | 1 |
| TX | $147.91–$164.75 | 8 |
| UT | $151.18 | 1 |
| VA | $155.03–$181.80 | 2 |
| VI | $159.83 | 1 |
| VT | $154.70 | 1 |
| WA | $163.88–$185.60 | 2 |
| WI | $149.90 | 1 |
| WV | $146.05 | 1 |
| WY | $157.18 | 1 |
How the 28490 rate is calculated
Each of 28490’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 · 28490
RVUs × geographic indexes × conversion factor
Work1.14
1.14 RVUs× 1.000 GPCI
Practice expense3.44
3.44 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
4.7500
Conversion factor
$33.4009
Medicare rate
$158.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,216
- Code
- 28490
- Physician work
- 1.14
- Practice expense
- 3.44
- Malpractice
- 0.17
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.14 | × 1.000 | 1.1400 |
| Practice expense | 3.44 | × 1.011 | 3.4778 |
| Malpractice | 0.17 | × 0.985 | 0.1675 |
| Total RVUs | 4.7853 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$159.83
Office: (1.14 × 1 + 3.44 × 1.011 + 0.17 × 0.985) × $33.4009 = $159.83
Facility: (1.14 × 1 + 2.65 × 1.011 + 0.17 × 0.985) × $33.4009 = $133.16
Payment rules and modifiers for 28490
28490 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28490
Toe fracture care, without manipulation
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 28490
Toe fracture care, without manipulation
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
28490 without 50 · national office
$158.65
Toe fracture care, without manipulation
28490-50 · Bilateral: 150%
$237.98
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 28490 has changed in Puerto Rico
28490 · Office / nonfacility
$159.83
Effective 2026-10-01
The base rate is $14.95 higher than on 2025-10-01, moving from $144.88 to $159.83 (10.3%).
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
$144.88changed to$159.83
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.17 changed to 1.14
- Practice expense RVU 3.13 changed to 3.44
- Malpractice RVU 0.16 changed to 0.17
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$147.08changed to$144.88
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.07 changed to 3.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$144.68changed to$147.08
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$146.77changed to$144.68
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.97 changed to 3.07
- Malpractice RVU 0.17 changed to 0.16
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$146.05changed to$146.77
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$146.06changed to$146.05
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.86 changed to 2.97
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$145.52changed to$146.06
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.83 changed to 2.86
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$147.61changed to$145.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.74 changed to 2.83
- Malpractice RVU 0.16 changed to 0.15
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$149.13changed to$147.61
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.80 changed to 2.74
- Malpractice RVU 0.15 changed to 0.16
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$152.23changed to$149.13
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.89 changed to 2.80
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$132.69changed to$152.23
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.84 changed to 2.89
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$115.40changed to$132.69
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.85 changed to 2.84
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$116.07changed to$115.40
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.86 changed to 2.85
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$115.50changed to$116.07
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$113.03changed to$115.50
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.81 changed to 2.86
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$113.36changed to$113.03
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.13 changed to 2.81
- Malpractice RVU 0.16 changed to 0.15
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $113.36
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $159.83 | $133.16 | RVU26D |
| 2026-07-01 | $159.83 | $133.16 | RVU26C |
| 2026-04-01 | $159.83 | $133.16 | RVU26B |
| 2026-01-01 | $159.83 | $133.16 | RVU26A |
| 2025-10-01 | $144.88 | $127.62 | RVU25D |
| 2025-07-01 | $144.88 | $127.62 | RVU25C |
| 2025-04-01 | $144.88 | $127.62 | RVU25B |
| 2025-01-01 | $144.88 | $127.62 | RVU25A |
| 2024-10-01 | $147.08 | $129.32 | RVU24D |
| 2024-07-01 | $147.08 | $129.32 | RVU24C |
| 2024-04-01 | $147.08 | $129.32 | RVU24B |
| 2024-03-09 | $147.08 | $129.32 | RVU24AR |
| 2024-01-01 | $144.68 | $127.21 | RVU24A |
| 2023-10-01 | $146.77 | $129.35 | RVU23D |
| 2023-07-01 | $146.05 | $128.77 | RVU23C |
| 2023-04-01 | $146.05 | $128.77 | RVU23B |
| 2023-01-01 | $146.05 | $128.77 | RVU23A |
| 2022-10-01 | $146.06 | $128.27 | RVU22D |
| 2022-07-01 | $146.06 | $128.27 | RVU22C |
| 2022-04-01 | $146.06 | $128.27 | RVU22B |
| 2022-01-01 | $146.06 | $128.27 | RVU22A |
| 2021-10-01 | $145.52 | $126.88 | RVU21D |
| 2021-07-01 | $145.52 | $126.88 | RVU21C |
| 2021-04-01 | $145.52 | $126.88 | RVU21B |
| 2021-01-01 | $145.52 | $126.88 | RVU21A |
| 2020-10-01 | $147.61 | $128.69 | RVU20D |
| 2020-07-01 | $147.61 | $128.69 | RVU20C |
| 2020-04-01 | $147.61 | $128.69 | RVU20B |
| 2020-01-01 | $147.61 | $128.69 | RVU20A |
| 2019-10-01 | $149.13 | $129.17 | RVU19D |
| 2019-07-01 | $149.13 | $129.17 | RVU19C |
| 2019-04-01 | $149.13 | $129.17 | RVU19B |
| 2019-01-01 | $149.13 | $129.17 | RVU19A |
| 2018-10-01 | $152.23 | $129.76 | RVU18D |
| 2018-07-01 | $152.23 | $129.76 | RVU18C |
| 2018-04-01 | $152.23 | $129.76 | RVU18B |
| 2018-01-01 | $152.23 | $129.76 | RVU18AR1 |
| 2017-10-01 | $132.69 | $114.87 | RVU17D |
| 2017-07-01 | $132.69 | $114.87 | RVU17C |
| 2017-04-01 | $132.69 | $114.87 | RVU17B |
| 2017-01-01 | $132.69 | $114.87 | RVU17A |
| 2016-10-01 | $115.40 | $100.76 | RVU16D |
| 2016-07-01 | $115.40 | $100.76 | RVU16C |
| 2016-04-01 | $115.40 | $100.76 | RVU16B |
| 2016-01-01 | $115.40 | $100.76 | RVU16A |
| 2015-10-01 | $116.07 | $101.38 | RVU15D |
| 2015-07-01 | $116.07 | $101.38 | RVU15C |
| 2015-04-01 | $115.50 | $100.88 | RVU15B |
| 2015-01-01 | $115.50 | $100.88 | RVU15A |
| 2014-10-01 | $113.03 | $98.65 | RVU14D |
| 2014-07-01 | $113.03 | $98.65 | RVU14C |
| 2014-04-01 | $113.03 | $98.65 | RVU14B |
| 2014-01-01 | $113.03 | $98.65 | RVU14A |
| 2013-10-01 | $113.36 | $98.60 | RVU13D |
| 2013-07-01 | $113.36 | $98.60 | RVU13C |
| 2013-04-01 | $113.36 | $98.60 | RVU13B |
| 2013-01-01 | $113.36 | $98.60 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
28490 billing questions
How is 28490 distinguished from 28495?
Use 28490 when the great toe fracture is treated without manipulation. When the clinician manipulates the fracture to alter alignment, consider 28495 instead.
When is 28496 considered instead?
28496 describes percutaneous skeletal fixation of a great toe fracture with manipulation. It is not the code for closed treatment without manipulation.
Does routine fracture follow-up fall within this code's global period?
CMS assigns 28490 a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
How is treatment of both great toes handled?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment of both sides.
Can an assistant, co-surgeon, or surgical team be paid for this service?
CMS applies a statutory restriction to assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.
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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