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CPT code 28740: Foot fusion, single midtarsal or tarsometatarsal joint2026 Medicare rate & RVUs in Nevada

Reports surgical fusion of one midtarsal or tarsometatarsal joint, commonly for painful arthritis, instability, or deformity requiring permanent stabilization.

CMS RVU26DEffective Oct 1, 2026One payment locality5.7K Medicare services in 2024

In Nevada, Medicare pays $841.69 for 28740 in the office and $570.54 when it’s performed in a hospital or facility.

$841.69Office (non-facility)
$570.54Hospital or facility
−0.8%vs the national office rate ($848.38)

Check a contract rate as a % of Medicare · 28740 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 28740 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 28740 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 28740 covers

An orthopedic or podiatric surgeon fuses one midtarsal or tarsometatarsal joint to reduce painful motion and stabilize the foot. The operation typically prepares the joint surfaces for bone healing and holds the bones in position with fixation. Common clinical settings include operative treatment of arthritic or unstable midfoot joints, including a single tarsometatarsal joint. The service is generally performed in a hospital or ambulatory surgery center.

Report this code when the operative documentation supports fusion of one joint in the midtarsal or tarsometatarsal region. A fusion involving multiple joints or a transverse fusion is distinguished from this single-joint service. The procedure has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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. Modifier 50 identifies a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require 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 Nevada compares for 28740

Across 109 of 109 payment localities, the office rate for 28740 runs from $756.61 in Arkansas to $1,083.86 in San Benito County, CA. Nevada pays $841.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

28740 in Nevada vs other payment areas
  1. Nevada · this page$841.69
  2. Los Angeles, CA · California$938.30+$96.61
  3. Washington, DC area · District of Columbia$959.07+$117.38
  4. Miami, FL · Florida$934.87+$93.18
  5. Chicago, IL · Illinois$908.81+$67.12
  6. Manhattan, NY · New York$974.43+$132.74
  7. Alaska · Alaska$1,013.02+$171.33

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

Every other payment area

28740 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$766.85$529.83
ArkansasArkansas$756.61$523.92
ArizonaArizona$826.60$564.11
Bakersfield, CACalifornia$885.54$588.66
Chico, CACalifornia$881.79$584.91
El Centro, CACalifornia$882.01$585.12
Fresno, CACalifornia$881.79$584.91
Hanford, CACalifornia$881.79$584.91

28740 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$756.61

$1,013.02

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28740 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,013.021
AL$766.851
AR$756.611
AZ$826.601
CA$881.79–$1,083.8629
CO$874.751
CT$902.191
DC$959.071
DE$839.511
FL$847.94–$934.873
GA$802.37–$865.992
GU$899.111
HI$899.111
IA$779.671
ID$785.461
IL$828.91–$908.814
IN$789.541
KS$778.751
KY$788.921
LA$788.76–$824.582
MA$871.12–$953.572
MD$853.91–$959.073
ME$791.88–$827.962
MI$810.21–$860.352
MN$832.631
MO$777.89–$824.343
MS$767.261
MT$848.301
NC$799.151
ND$822.791
NE$782.881
NH$863.611
NJ$910.91–$950.812
NM$815.321
NV$841.691
NY$810.45–$999.685
OH$804.991
OK$784.991
OR$833.58–$897.992
PA$804.79–$882.762
PR$853.271
RI$866.071
SC$803.721
SD$819.771
TN$782.691
TX$800.08–$873.238
UT$813.831
VA$827.17–$959.072
VI$853.271
VT$822.071
WA$868.66–$969.742
WI$797.451
WV$801.101
WY$837.181

See 28740 in every payment locality

How the 28740 rate is calculated

Each of 28740’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 · 28740

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.06

9.06 RVUs× 1.000 GPCI

Practice expense15.05

15.05 RVUs× 1.000 GPCI

Malpractice1.29

1.29 RVUs× 1.000 GPCI

Adjusted RVUs

25.4000

Conversion factor

$33.4009

Medicare rate

$848.38

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,251

Code
28740
Physician work
9.06
Practice expense
15.05
Malpractice
1.29

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 28740 in Nevada
ComponentRVULocality factorAdjusted
Physician work9.06× 1.0009.0600
Practice expense15.05× 1.00115.0650
Malpractice1.29× 0.8331.0746
Total RVUs25.1996
Conversion factor× 33.4009

Office rate, Nevada$841.69

Office: (9.06 × 1 + 15.05 × 1.001 + 1.29 × 0.833) × $33.4009 = $841.69

Facility: (9.06 × 1 + 6.94 × 1.001 + 1.29 × 0.833) × $33.4009 = $570.54

Open 28740 in the RVU calculator

Payment rules and modifiers for 28740

28740 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28740

Foot fusion, single midtarsal or tarsometatarsal joint

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 · 28740

Foot fusion, single midtarsal or tarsometatarsal joint

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

28740 without 50 · national office

$848.38

Foot fusion, single midtarsal or tarsometatarsal joint

28740-50 · Bilateral: 150%

$1,272.57

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 28740

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

Codes related to 28740
CodeHow it relatesOffice range, Nevada
Same family
28730Midfoot fusion, multiple joints or transverseFor multiple-joint or transverse midtarsal or tarsometatarsal fusion.No office rate
28735Midfoot fusion, multiple joints with osteotomyFor multiple-joint or transverse fusion performed with an osteotomy.No office rate
Used instead
28725Subtalar fusion, single subtalar jointFuses the subtalar joint rather than one midtarsal or tarsometatarsal joint.No office rate
28715Hindfoot fusion, three-joint arthrodesisDescribes triple arthrodesis, a broader hindfoot fusion.No office rate

How 28740 has changed in Nevada

28740 · Office / nonfacility

$841.69

Effective 2026-10-01

The base rate is $47.47 higher than on 2025-10-01, moving from $794.22 to $841.69 (6.0%).

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

    $794.22changed to$841.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.29 changed to 9.06
    • Practice expense RVU 14.20 changed to 15.05
    • Malpractice RVU 1.26 changed to 1.29
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $820.27changed to$794.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.28 changed to 14.20
    • Malpractice RVU 1.27 changed to 1.26

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $806.88changed to$820.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $841.54changed to$806.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.16 changed to 14.28
    • Malpractice RVU 1.26 changed to 1.27
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $866.63changed to$841.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.95 changed to 14.16
    • Malpractice RVU 1.30 changed to 1.26
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $879.49changed to$866.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.18 changed to 13.95
    • Malpractice RVU 1.25 changed to 1.30

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $880.57changed to$879.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.66 changed to 14.18
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $881.56changed to$880.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.80 changed to 13.66
    • Malpractice RVU 1.23 changed to 1.25
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $885.35changed to$881.56

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.93 changed to 13.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $891.94changed to$885.35

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.89 changed to 13.93
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $900.54changed to$891.94

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.88 changed to 13.89
    • Malpractice RVU 1.25 changed to 1.23
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $905.23changed to$900.54

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.89 changed to 13.88
    • Malpractice RVU 1.28 changed to 1.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $900.73changed to$905.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $907.74changed to$900.73

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.84 changed to 13.89
    • Malpractice RVU 1.30 changed to 1.28
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $917.34changed to$907.74

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 15.12 changed to 13.84
    • Malpractice RVU 1.36 changed to 1.30
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$917.34

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$841.69$570.54RVU26D
2026-07-01$841.69$570.54RVU26C
2026-04-01$841.69$570.54RVU26B
2026-01-01$841.69$570.54RVU26A
2025-10-01$794.22$599.82RVU25D
2025-07-01$794.22$599.82RVU25C
2025-04-01$794.22$599.82RVU25B
2025-01-01$794.22$599.82RVU25A
2024-10-01$820.27$614.22RVU24D
2024-07-01$820.27$614.22RVU24C
2024-04-01$820.27$614.22RVU24B
2024-03-09$820.27$614.22RVU24AR
2024-01-01$806.88$604.19RVU24A
2023-10-01$841.54$629.74RVU23D
2023-07-01$841.54$629.74RVU23C
2023-04-01$841.54$629.74RVU23B
2023-01-01$841.54$629.74RVU23A
2022-10-01$866.63$648.62RVU22D
2022-07-01$866.63$648.62RVU22C
2022-04-01$866.63$648.62RVU22B
2022-01-01$866.63$648.62RVU22A
2021-10-01$879.49$649.19RVU21D
2021-07-01$879.49$649.19RVU21C
2021-04-01$879.49$649.19RVU21B
2021-01-01$879.49$649.19RVU21A
2020-10-01$880.57$653.21RVU20D
2020-07-01$880.57$653.21RVU20C
2020-04-01$880.57$653.21RVU20B
2020-01-01$880.57$653.21RVU20A
2019-10-01$881.56$646.62RVU19D
2019-07-01$881.56$646.62RVU19C
2019-04-01$881.56$646.62RVU19B
2019-01-01$881.56$646.62RVU19A
2018-10-01$885.35$646.65RVU18D
2018-07-01$885.35$646.65RVU18C
2018-04-01$885.35$646.65RVU18B
2018-01-01$885.35$646.65RVU18AR1
2017-10-01$891.94$651.48RVU17D
2017-07-01$891.94$651.48RVU17C
2017-04-01$891.94$651.48RVU17B
2017-01-01$891.94$651.48RVU17A
2016-10-01$900.54$656.70RVU16D
2016-07-01$900.54$656.70RVU16C
2016-04-01$900.54$656.70RVU16B
2016-01-01$900.54$656.70RVU16A
2015-10-01$905.23$659.75RVU15D
2015-07-01$905.23$659.75RVU15C
2015-04-01$900.73$656.47RVU15B
2015-01-01$900.73$656.47RVU15A
2014-10-01$907.74$665.10RVU14D
2014-07-01$907.74$665.10RVU14C
2014-04-01$907.74$665.10RVU14B
2014-01-01$907.74$665.10RVU14A
2013-10-01$917.34$661.05RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28740 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

28740 billing questions

When should 28740 be chosen over 28730?

Use 28740 for fusion of one midtarsal or tarsometatarsal joint. Code 28730 describes a multiple-joint or transverse fusion.

Does 28740 include postoperative visits?

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

How is bilateral fusion reported?

Report modifier 50 for a bilateral procedure; CMS pays it at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment may be available for this procedure. Co-surgeons are paid only when supporting documentation is provided.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction to 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 28740PPRRVU2026_Oct_nonQPP.csv, line 3,251 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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