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

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 Queens, NY, Medicare pays $978.28 for 28740 in the office and $658.10 when it’s performed in a hospital or facility.

$978.28Office (non-facility)
$658.10Hospital or facility
+15.3%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $978.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

28740 in Queens, NY vs other payment areas
  1. Queens, NY · this page$978.28
  2. Manhattan, NY · New York$974.43−$3.85
  3. NYC suburbs and Long Island, NY · New York$999.68+$21.40
  4. Poughkeepsie and northern NYC suburbs, NY · New York$918.80−$59.48
  5. Rest of New York · New York$810.45−$167.83
  6. Los Angeles, CA · California$938.30−$39.98
  7. Washington, DC area · District of Columbia$959.07−$19.21

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

Every other payment area

28740 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$934.87$652.89
Chicago, ILIllinois$908.81$636.58
AlaskaAlaska$1,013.02$724.53
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

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 28740 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work9.06× 1.0649.6398
Practice expense15.05× 1.18217.7891
Malpractice1.29× 1.4421.8602
Total RVUs29.2891
Conversion factor× 33.4009

Office rate, Queens, NY$978.28

Office: (9.06 × 1.064 + 15.05 × 1.182 + 1.29 × 1.442) × $33.4009 = $978.28

Facility: (9.06 × 1.064 + 6.94 × 1.182 + 1.29 × 1.442) × $33.4009 = $658.10

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, Queens, NY
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 Queens, NY

28740 · Office / nonfacility

$978.28

Effective 2026-10-01

The base rate is $49.77 higher than on 2025-10-01, moving from $928.51 to $978.28 (5.4%).

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

    $928.51changed to$978.28

    • 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
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $959.19changed to$928.51

    • 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

    $943.53changed to$959.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1003.59changed to$943.53

    • 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
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $1052.03changed to$1003.59

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1065.97changed to$1052.03

    • 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

    $1059.72changed to$1065.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.66 changed to 14.18
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1043.04changed to$1059.72

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1047.51changed to$1043.04

    • 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

    $1043.89changed to$1047.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.89 changed to 13.93
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1043.39changed to$1043.89

    • 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
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1049.94changed to$1043.39

    • 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

    $1044.71changed to$1049.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1030.72changed to$1044.71

    • 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 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1019.40changed to$1030.72

    • 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 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1019.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$978.28$658.10RVU26D
2026-07-01$978.28$658.10RVU26C
2026-04-01$978.28$658.10RVU26B
2026-01-01$978.28$658.10RVU26A
2025-10-01$928.51$696.19RVU25D
2025-07-01$928.51$696.19RVU25C
2025-04-01$928.51$696.19RVU25B
2025-01-01$928.51$696.19RVU25A
2024-10-01$959.19$712.96RVU24D
2024-07-01$959.19$712.96RVU24C
2024-04-01$959.19$712.96RVU24B
2024-03-09$959.19$712.96RVU24AR
2024-01-01$943.53$701.32RVU24A
2023-10-01$1,003.59$746.89RVU23D
2023-07-01$1,003.59$746.89RVU23C
2023-04-01$1,003.59$746.89RVU23B
2023-01-01$1,003.59$746.89RVU23A
2022-10-01$1,052.03$784.31RVU22D
2022-07-01$1,052.03$784.31RVU22C
2022-04-01$1,052.03$784.31RVU22B
2022-01-01$1,052.03$784.31RVU22A
2021-10-01$1,065.97$783.17RVU21D
2021-07-01$1,065.97$783.17RVU21C
2021-04-01$1,065.97$783.17RVU21B
2021-01-01$1,065.97$783.17RVU21A
2020-10-01$1,059.72$783.70RVU20D
2020-07-01$1,059.72$783.70RVU20C
2020-04-01$1,059.72$783.70RVU20B
2020-01-01$1,059.72$783.70RVU20A
2019-10-01$1,043.04$765.83RVU19D
2019-07-01$1,043.04$765.83RVU19C
2019-04-01$1,043.04$765.83RVU19B
2019-01-01$1,043.04$765.83RVU19A
2018-10-01$1,047.51$765.85RVU18D
2018-07-01$1,047.51$765.85RVU18C
2018-04-01$1,047.51$765.85RVU18B
2018-01-01$1,047.51$765.85RVU18AR1
2017-10-01$1,043.89$764.82RVU17D
2017-07-01$1,043.89$764.82RVU17C
2017-04-01$1,043.89$764.82RVU17B
2017-01-01$1,043.89$764.82RVU17A
2016-10-01$1,043.39$765.21RVU16D
2016-07-01$1,043.39$765.21RVU16C
2016-04-01$1,043.39$765.21RVU16B
2016-01-01$1,043.39$765.21RVU16A
2015-10-01$1,049.94$769.89RVU15D
2015-07-01$1,049.94$769.89RVU15C
2015-04-01$1,044.71$766.06RVU15B
2015-01-01$1,044.71$766.06RVU15A
2014-10-01$1,030.72$755.43RVU14D
2014-07-01$1,030.72$755.43RVU14C
2014-04-01$1,030.72$755.43RVU14B
2014-01-01$1,030.72$755.43RVU14A
2013-10-01$1,019.40$729.92RVU13D
2013-07-01$1,019.40$729.92RVU13C
2013-04-01$1,019.40$729.92RVU13B
2013-01-01$1,019.40$729.92RVU13AR

Price 28740 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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