Billing code 28035: Nerve decompressionMedicare rate & RVUs
Reports surgical release of the tibial nerve, commonly for tarsal tunnel compression causing pain, tingling, or numbness in the ankle and foot.
Medicare pays $545.44 for 28035 nationally in the office and $343.70 in a hospital or facility. Local office rates run $484.97–$709.99.
Medicare rate · 28035
Nerve decompression
Swap in your local Medicare rate.
- Work RVUs
- 5.1
- Total RVUs
- 16.33
- Global days
- 090
National rate · 2026
$545.44
Office setting, before claim adjustments.
See every locality for 28035 → · Billed by an NP, PA or therapist? →
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 10 sections
What 28035 covers
This procedure releases pressure on the tibial nerve as it passes through the tarsal tunnel near the medial ankle. An orthopedic or podiatric surgeon typically performs it in an operating room for a patient with symptoms and findings consistent with tibial nerve compression. The surgeon opens the tunnel by releasing constricting tissue around the nerve; the operative details depend on the site and extent of compression.
Select this code when the operation decompresses the tibial nerve, rather than another nerve or a nerve that is excised. The operative report should identify the nerve and describe the decompression performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery is not paid; 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.
Where 28035 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$484.97 to $709.99
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $491.74 | $315.21 |
| Alaska* | $643.66 | $428.80 |
| Arizona | $531.32 | $335.83 |
| Arkansas | $484.97 | $311.67 |
| Atlanta | $556.03 | $351.06 |
| Austin | $563.74 | $350.30 |
| Bakersfield | $573.95 | $352.84 |
| Baltimore/Surr. Cntys | $579.16 | $362.69 |
| Beaumont | $512.10 | $328.51 |
| Brazoria | $538.77 | $338.85 |
| Chicago | $576.94 | $374.19 |
| Chico | $572.00 | $350.89 |
| Colorado | $565.25 | $350.60 |
| Connecticut | $580.66 | $363.38 |
| Dallas | $542.43 | $341.49 |
| Dc + Md/Va Suburbs | $619.97 | $382.32 |
| Delaware | $539.83 | $340.50 |
| Detroit | $548.20 | $353.52 |
| East St. Louis | $539.55 | $353.94 |
| El Centro | $572.11 | $351.00 |
| Fort Lauderdale | $567.84 | $363.47 |
| Fort Worth | $539.18 | $340.27 |
| Fresno | $572.00 | $350.89 |
| Galveston | $540.54 | $340.21 |
| Hanford-Corcoran | $572.00 | $350.89 |
| Hawaii, Guam | $584.52 | $355.14 |
| Houston | $552.62 | $352.29 |
| Idaho | $505.58 | $319.97 |
| Indiana | $508.33 | $321.32 |
| Iowa | $502.13 | $317.54 |
| Kansas | $500.61 | $318.24 |
| Kentucky | $504.37 | $325.03 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $609.62 | $370.96 |
| Madera | $572.00 | $350.89 |
| Manhattan | $626.45 | $392.03 |
| Merced | $572.00 | $350.89 |
| Metropolitan Boston | $618.49 | $377.61 |
| Metropolitan Kansas City | $523.39 | $333.96 |
| Metropolitan Philadelphia | $567.23 | $357.22 |
| Metropolitan St. Louis | $528.53 | $336.48 |
| Miami | $593.62 | $383.60 |
| Minnesota | $540.16 | $332.56 |
| Mississippi | $490.61 | $316.91 |
| Modesto | $572.00 | $350.89 |
| Montana** | $545.39 | $343.65 |
| Napa | $657.59 | $391.70 |
| Nebraska | $504.54 | $318.33 |
| Nevada** | $542.11 | $340.17 |
| New Hampshire | $557.16 | $347.14 |
| New Mexico | $520.56 | $335.57 |
| New Orleans | $527.60 | $337.77 |
| North Carolina | $513.82 | $325.60 |
| North Dakota** | $532.34 | $330.60 |
| Northern Nj | $614.16 | $380.13 |
| Nyc Suburbs/Long Island | $641.96 | $402.09 |
| Ohio | $514.90 | $330.71 |
| Oklahoma | $502.74 | $322.59 |
| Oxnard-Thousand Oaks-Ventura | $606.15 | $367.69 |
| Portland | $581.71 | $357.57 |
| Poughkpsie/N Nyc Suburbs | $591.27 | $370.36 |
| Puerto Rico | $548.99 | $345.03 |
| Queens | $630.34 | $391.88 |
| Redding | $572.00 | $350.89 |
| Rest Of California | $572.00 | $350.89 |
| Rest Of Florida | $540.99 | $348.13 |
| Rest Of Georgia | $511.54 | $331.59 |
| Rest Of Illinois | $527.13 | $342.94 |
| Rest Of Louisiana | $503.91 | $325.37 |
| Rest Of Maine | $508.86 | $323.26 |
| Rest Of Maryland | $549.57 | $345.41 |
| Rest Of Massachusetts | $562.40 | $349.96 |
| Rest Of Michigan | $517.57 | $333.38 |
| Rest Of Missouri | $496.14 | $322.24 |
| Rest Of New Jersey | $586.87 | $366.57 |
| Rest Of New York | $521.24 | $329.58 |
| Rest Of Oregon | $537.48 | $336.54 |
| Rest Of Pennsylvania | $515.27 | $330.08 |
| Rest Of Texas | $525.29 | $333.84 |
| Rest Of Washington | $561.09 | $348.66 |
| Rhode Island | $557.94 | $349.54 |
| Riverside-San Bernardino-Ontario | $579.15 | $358.05 |
| Sacramento-Roseville-Folsom | $598.89 | $364.26 |
| Salinas | $596.62 | $362.80 |
| San Diego-Chula Vista-Carlsbad | $609.65 | $368.37 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $694.44 | $409.99 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $693.69 | $409.24 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $709.99 | $419.08 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $706.93 | $416.02 |
| San Luis Obispo-Paso Robles | $587.18 | $357.39 |
| Santa Cruz-Watsonville | $614.69 | $369.57 |
| Santa Maria-Santa Barbara | $598.58 | $363.35 |
| Santa Rosa-Petaluma | $620.81 | $373.07 |
| Seattle (King Cnty) | $630.06 | $382.52 |
| South Carolina | $515.30 | $328.89 |
| South Dakota** | $530.80 | $329.06 |
| Southern Maine | $534.12 | $334.20 |
| Stockton | $572.00 | $350.89 |
| Suburban Chicago | $573.18 | $365.99 |
| Tennessee | $503.10 | $319.72 |
| Utah | $522.01 | $332.37 |
| Vallejo | $656.51 | $390.62 |
| Vermont | $531.02 | $331.29 |
| Virgin Islands | $548.99 | $345.03 |
| Virginia | $532.95 | $334.64 |
| Visalia | $572.00 | $350.89 |
| West Virginia | $508.69 | $333.38 |
| Wisconsin | $515.35 | $322.09 |
| Wyoming** | $539.71 | $337.96 |
| Yuba City | $572.00 | $350.89 |
28035 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.
$484.97
$643.66
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 | $643.66 | 1 |
| AL | $491.74 | 1 |
| AR | $484.97 | 1 |
| AZ | $531.32 | 1 |
| CA | $572.00–$709.99 | 29 |
| CO | $565.25 | 1 |
| CT | $580.66 | 1 |
| DC | $619.97 | 1 |
| DE | $539.83 | 1 |
| FL | $540.99–$593.62 | 3 |
| GA | $511.54–$556.03 | 2 |
| GU | $584.52 | 1 |
| HI | $584.52 | 1 |
| IA | $502.13 | 1 |
| ID | $505.58 | 1 |
| IL | $527.13–$576.94 | 4 |
| IN | $508.33 | 1 |
| KS | $500.61 | 1 |
| KY | $504.37 | 1 |
| LA | $503.91–$527.60 | 2 |
| MA | $562.40–$618.49 | 2 |
| MD | $549.57–$619.97 | 3 |
| ME | $508.86–$534.12 | 2 |
| MI | $517.57–$548.20 | 2 |
| MN | $540.16 | 1 |
| MO | $496.14–$528.53 | 3 |
| MS | $490.61 | 1 |
| MT | $545.39 | 1 |
| NC | $513.82 | 1 |
| ND | $532.34 | 1 |
| NE | $504.54 | 1 |
| NH | $557.16 | 1 |
| NJ | $586.87–$614.16 | 2 |
| NM | $520.56 | 1 |
| NV | $542.11 | 1 |
| NY | $521.24–$641.96 | 5 |
| OH | $514.90 | 1 |
| OK | $502.74 | 1 |
| OR | $537.48–$581.71 | 2 |
| PA | $515.27–$567.23 | 2 |
| PR | $548.99 | 1 |
| RI | $557.94 | 1 |
| SC | $515.30 | 1 |
| SD | $530.80 | 1 |
| TN | $503.10 | 1 |
| TX | $512.10–$563.74 | 8 |
| UT | $522.01 | 1 |
| VA | $532.95–$619.97 | 2 |
| VI | $548.99 | 1 |
| VT | $531.02 | 1 |
| WA | $561.09–$630.06 | 2 |
| WI | $515.35 | 1 |
| WV | $508.69 | 1 |
| WY | $539.71 | 1 |
How the 28035 rate is calculated
Each of 28035’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 · 28035
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.10Practice expense 10.57Malpractice 0.66
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28035
28035 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28035
Nerve decompression
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 28035
Nerve decompression
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
28035 without 50 · national office
$545.44
Nerve decompression
28035-50 · Bilateral: 150%
$818.16
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).
28035 compared with similar codes
Compare codes
28035 vs 64708 vs 28055: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64708Nerve neuroplasty
- This code identifies tibial nerve decompression. Code 64708 is a broader open neuroplasty option for a major peripheral nerve when no more specific nerve code applies.
- 28055Foot neurectomy
- Tibial nerve decompression relieves pressure while preserving the nerve; 28055 describes nerve excision in the foot.
28035 billing questions
When is this code appropriate instead of 28036?
Use this code for decompression of the tibial nerve. Code 28036 is for decompression of a different nerve in the leg.
Does the procedure include release of the tarsal tunnel?
The code describes tibial nerve decompression, commonly performed by releasing constricting tissue over the nerve in the tarsal tunnel. The operative report should establish that the tibial nerve was decompressed.
Can modifier 50 be used for bilateral surgery?
Yes. CMS pays bilateral procedures reported with modifier 50 at 150%.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
An assistant at surgery is not paid under the statutory restriction. Co-surgeons are paid only when supporting documentation is provided.
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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