CPT code 28730: Midfoot fusion, multiple joints or transverse2026 Medicare rate & RVUs in Montana

Reports surgical fusion across multiple midfoot joints or a transverse midfoot fusion, such as for painful arthritis or instability.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1K Medicare services in 2024

In Montana, Medicare pays $678.26 for 28730 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$678.26Hospital or facility

Check a contract rate as a % of Medicare · 28730 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 28730 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 28730 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 28730 covers

The surgeon prepares the involved midfoot joint surfaces and stabilizes them so the bones can unite. This code covers fusion involving multiple midtarsal or tarsometatarsal joints, or a transverse fusion across the midfoot. Orthopedic foot and ankle surgeons and podiatrists commonly perform these procedures in an operating room for conditions such as painful midfoot arthritis or instability.

Select this code when the operative report supports a multiple-joint or transverse fusion without the osteotomy distinction associated with 28735. Document the fused joints, side, indication, and any osteotomy performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. With modifier 50, a bilateral procedure is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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 Montana compares for 28730

Across 109 of 109 payment localities, the facility rate for 28730 runs from $613.23 in Arkansas to $846.20 in Alaska. Montana pays $678.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

28730 in Montana vs other payment areas
  1. Montana · this page$678.26
  2. Los Angeles, CA · California$724.96+$46.70
  3. Washington, DC area · District of Columbia$752.41+$74.15
  4. Miami, FL · Florida$772.42+$94.16
  5. Chicago, IL · Illinois$752.26+$74.00
  6. Manhattan, NY · New York$777.07+$98.81
  7. Alaska · Alaska$846.20+$167.94

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

Every other payment area

28730 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$620.40
ArkansasArkansas—$613.23
ArizonaArizona—$662.03
Bakersfield, CACalifornia—$690.32
Chico, CACalifornia—$685.67
El Centro, CACalifornia—$685.94
Fresno, CACalifornia—$685.67
Hanford, CACalifornia—$685.67

28730 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.

View every state and territory as a table
28730 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 28730 in every payment locality

How the 28730 rate is calculated

Each of 28730’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 · 28730

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.43

10.43 RVUs× 1.000 GPCI

Practice expense8.26

8.26 RVUs× 1.000 GPCI

Malpractice1.62

1.62 RVUs× 1.000 GPCI

Adjusted RVUs

20.3100

Conversion factor

$33.4009

Medicare rate

$678.37

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,248

Code
28730
Physician work
10.43
Practice expense
8.26
Malpractice
1.62

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 28730 in Montana
ComponentRVULocality factorAdjusted
Physician work10.43× 1.00010.4300
Practice expense8.26× 1.0008.2600
Malpractice1.62× 0.9981.6168
Total RVUs20.3068
Conversion factor× 33.4009

Facility rate, Montana$678.26

Facility: (10.43 × 1 + 8.26 × 1 + 1.62 × 0.998) × $33.4009 = $678.26

Open 28730 in the RVU calculator

Payment rules and modifiers for 28730

28730 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28730

Midfoot fusion, multiple joints or transverse

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 · 28730

Midfoot fusion, multiple joints or transverse

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

28730 without 50 · national facility

$678.37

Midfoot fusion, multiple joints or transverse

28730-50 · Bilateral: 150%

$1,017.56

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

How 28730 has changed in Montana

28730 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$678.26RVU26D
2026-07-01Not available in this setting$678.26RVU26C
2026-04-01Not available in this setting$678.26RVU26B
2026-01-01Not available in this setting$678.26RVU26A
2025-10-01Not available in this setting$713.09RVU25D
2025-07-01Not available in this setting$713.09RVU25C
2025-04-01Not available in this setting$713.09RVU25B
2025-01-01Not available in this setting$713.09RVU25A
2024-10-01Not available in this setting$728.82RVU24D
2024-07-01Not available in this setting$728.82RVU24C
2024-04-01Not available in this setting$728.82RVU24B
2024-03-09Not available in this setting$728.82RVU24AR
2024-01-01Not available in this setting$716.93RVU24A
2023-10-01Not available in this setting$737.89RVU23D
2023-07-01Not available in this setting$737.89RVU23C
2023-04-01Not available in this setting$737.89RVU23B
2023-01-01Not available in this setting$737.89RVU23A
2022-10-01Not available in this setting$748.26RVU22D
2022-07-01Not available in this setting$748.26RVU22C
2022-04-01Not available in this setting$748.26RVU22B
2022-01-01Not available in this setting$748.26RVU22A
2021-10-01Not available in this setting$751.68RVU21D
2021-07-01Not available in this setting$751.68RVU21C
2021-04-01Not available in this setting$751.68RVU21B
2021-01-01Not available in this setting$751.68RVU21A
2020-10-01Not available in this setting$783.34RVU20D
2020-07-01Not available in this setting$783.34RVU20C
2020-04-01Not available in this setting$783.34RVU20B
2020-01-01Not available in this setting$783.34RVU20A
2019-10-01Not available in this setting$798.38RVU19D
2019-07-01Not available in this setting$798.38RVU19C
2019-04-01Not available in this setting$798.38RVU19B
2019-01-01Not available in this setting$798.38RVU19A
2018-10-01Not available in this setting$799.40RVU18D
2018-07-01Not available in this setting$799.40RVU18C
2018-04-01Not available in this setting$799.40RVU18B
2018-01-01Not available in this setting$799.40RVU18AR1
2017-10-01Not available in this setting$781.17RVU17D
2017-07-01Not available in this setting$781.17RVU17C
2017-04-01Not available in this setting$781.17RVU17B
2017-01-01Not available in this setting$781.17RVU17A
2016-10-01Not available in this setting$768.58RVU16D
2016-07-01Not available in this setting$768.58RVU16C
2016-04-01Not available in this setting$768.58RVU16B
2016-01-01Not available in this setting$768.58RVU16A
2015-10-01Not available in this setting$770.36RVU15D
2015-07-01Not available in this setting$770.36RVU15C
2015-04-01Not available in this setting$766.52RVU15B
2015-01-01Not available in this setting$766.52RVU15A
2014-10-01Not available in this setting$764.48RVU14D
2014-07-01Not available in this setting$764.48RVU14C
2014-04-01Not available in this setting$764.48RVU14B
2014-01-01Not available in this setting$764.48RVU14A
2013-10-01Not available in this setting$750.89RVU13D
2013-07-01Not available in this setting$750.89RVU13C
2013-04-01Not available in this setting$750.89RVU13B
2013-01-01Not available in this setting$750.89RVU13AR

Price 28730 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

28730 billing questions

When should 28730 be selected instead of 28740?

Use 28730 for fusion of multiple midtarsal or tarsometatarsal joints, or a transverse midfoot fusion. Code 28740 describes fusion of a single joint in this region.

How does 28730 differ from 28735?

Code 28735 is the related multiple or transverse midfoot fusion code when an osteotomy is also performed. Check the operative report for the osteotomy and the specific joints fused.

What documentation supports 28730?

The operative report should identify the midfoot joints fused, laterality, and whether the work forms a multiple-joint or transverse fusion. It should also describe any osteotomy.

How are bilateral procedures reported?

CMS lists bilateral payment with modifier 50 at 150%. The operative documentation should support performance on both sides.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available for 28730. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.

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 28730PPRRVU2026_Oct_nonQPP.csv, line 3,248 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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