Billing code 28262: Midfoot releaseMedicare rate & RVUs
Report this procedure for an extensive surgical release of contracted midfoot structures, such as correction of a rigid residual clubfoot deformity.
Medicare pays $1,480.33 for 28262 nationally in the office and $1,033.76 in a hospital or facility. Local office rates run $1,313.86–$1,851.72.
Medicare rate · 28262
Midfoot release
Swap in your local Medicare rate.
- Work RVUs
- 16.78
- Total RVUs
- 44.32
- Global days
- 090
National rate · 2026
$1,480.33
Office setting, before claim adjustments.
See every locality for 28262 → · 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 28262 covers
This operation releases tight soft tissues around the midfoot joints to improve a fixed deformity or restricted position. An orthopedic foot and ankle surgeon or podiatric surgeon may perform it in an operating room, including for a rigid residual deformity after clubfoot treatment. The operative report should identify the midfoot joints and contracted structures addressed and describe why the release was extensive rather than a more limited capsular release.
Report 28262 when the documented work supports an extensive midfoot release; do not select it solely because the procedure is described generally as a foot release. The service has a 90-day global period, including 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 multiple procedure reduction. For bilateral work, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 28262 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
$1313.86 to $1851.72
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,332.32 | $941.57 |
| Alaska* | $1,765.41 | $1,289.82 |
| Arizona | $1,439.73 | $1,007.01 |
| Arkansas | $1,313.86 | $930.26 |
| Atlanta | $1,516.50 | $1,062.79 |
| Austin | $1,516.42 | $1,043.95 |
| Bakersfield | $1,527.23 | $1,037.79 |
| Baltimore/Surr. Cntys | $1,573.97 | $1,094.80 |
| Beaumont | $1,399.57 | $993.19 |
| Brazoria | $1,453.98 | $1,011.43 |
| Chicago | $1,626.73 | $1,177.93 |
| Chico | $1,518.31 | $1,028.87 |
| Colorado | $1,515.68 | $1,040.53 |
| Connecticut | $1,576.58 | $1,095.63 |
| Dallas | $1,466.94 | $1,022.16 |
| Dc + Md/Va Suburbs | $1,667.38 | $1,141.32 |
| Delaware | $1,462.58 | $1,021.37 |
| Detroit | $1,525.20 | $1,094.26 |
| East St. Louis | $1,523.67 | $1,112.82 |
| El Centro | $1,518.84 | $1,029.40 |
| Fort Lauderdale | $1,577.26 | $1,124.88 |
| Fort Worth | $1,460.20 | $1,019.88 |
| Fresno | $1,518.31 | $1,028.87 |
| Galveston | $1,460.74 | $1,017.29 |
| Hanford-Corcoran | $1,518.31 | $1,028.87 |
| Hawaii, Guam | $1,546.71 | $1,038.96 |
| Houston | $1,519.31 | $1,075.86 |
| Idaho | $1,358.96 | $948.12 |
| Indiana | $1,366.04 | $952.07 |
| Iowa | $1,346.77 | $938.16 |
| Kansas | $1,349.27 | $945.57 |
| Kentucky | $1,381.00 | $984.00 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,616.17 | $1,087.88 |
| Madera | $1,518.31 | $1,028.87 |
| Manhattan | $1,710.53 | $1,191.62 |
| Merced | $1,518.31 | $1,028.87 |
| Metropolitan Boston | $1,649.27 | $1,116.06 |
| Metropolitan Kansas City | $1,428.28 | $1,008.95 |
| Metropolitan Philadelphia | $1,544.38 | $1,079.50 |
| Metropolitan St. Louis | $1,441.52 | $1,016.38 |
| Miami | $1,677.08 | $1,212.20 |
| Minnesota | $1,428.66 | $969.14 |
| Mississippi | $1,339.43 | $954.93 |
| Modesto | $1,518.31 | $1,028.87 |
| Montana** | $1,480.11 | $1,033.54 |
| Napa | $1,721.58 | $1,133.00 |
| Nebraska | $1,351.25 | $939.06 |
| Nevada** | $1,463.29 | $1,016.27 |
| New Hampshire | $1,500.30 | $1,035.42 |
| New Mexico | $1,434.33 | $1,024.83 |
| New Orleans | $1,446.90 | $1,026.68 |
| North Carolina | $1,387.27 | $970.62 |
| North Dakota** | $1,416.84 | $970.27 |
| Northern Nj | $1,652.98 | $1,134.96 |
| Nyc Suburbs/Long Island | $1,761.45 | $1,230.48 |
| Ohio | $1,410.45 | $1,002.74 |
| Oklahoma | $1,369.50 | $970.72 |
| Oxnard-Thousand Oaks-Ventura | $1,603.69 | $1,075.84 |
| Portland | $1,552.17 | $1,056.03 |
| Poughkpsie/N Nyc Suburbs | $1,605.23 | $1,116.23 |
| Puerto Rico | $1,487.67 | $1,036.19 |
| Queens | $1,711.40 | $1,183.56 |
| Redding | $1,518.31 | $1,028.87 |
| Rest Of California | $1,518.31 | $1,028.87 |
| Rest Of Florida | $1,498.32 | $1,071.40 |
| Rest Of Georgia | $1,413.05 | $1,014.71 |
| Rest Of Illinois | $1,469.77 | $1,062.06 |
| Rest Of Louisiana | $1,382.35 | $987.13 |
| Rest Of Maine | $1,374.89 | $964.04 |
| Rest Of Maryland | $1,486.92 | $1,035.00 |
| Rest Of Massachusetts | $1,510.69 | $1,040.45 |
| Rest Of Michigan | $1,423.39 | $1,015.67 |
| Rest Of Missouri | $1,365.36 | $980.41 |
| Rest Of New Jersey | $1,587.91 | $1,100.25 |
| Rest Of New York | $1,407.93 | $983.69 |
| Rest Of Oregon | $1,445.33 | $1,000.55 |
| Rest Of Pennsylvania | $1,407.79 | $997.83 |
| Rest Of Texas | $1,428.50 | $1,004.70 |
| Rest Of Washington | $1,505.16 | $1,034.92 |
| Rhode Island | $1,506.26 | $1,044.95 |
| Riverside-San Bernardino-Ontario | $1,552.75 | $1,063.31 |
| Sacramento-Roseville-Folsom | $1,583.43 | $1,064.07 |
| Salinas | $1,577.37 | $1,059.80 |
| San Diego-Chula Vista-Carlsbad | $1,607.53 | $1,073.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,809.07 | $1,179.41 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,805.44 | $1,175.77 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,851.72 | $1,207.77 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,836.87 | $1,192.91 |
| San Luis Obispo-Paso Robles | $1,553.27 | $1,044.62 |
| Santa Cruz-Watsonville | $1,617.29 | $1,074.71 |
| Santa Maria-Santa Barbara | $1,581.38 | $1,060.68 |
| Santa Rosa-Petaluma | $1,632.91 | $1,084.52 |
| Seattle (King Cnty) | $1,673.34 | $1,125.40 |
| South Carolina | $1,402.51 | $989.88 |
| South Dakota** | $1,409.36 | $962.79 |
| Southern Maine | $1,433.57 | $991.02 |
| Stockton | $1,518.31 | $1,028.87 |
| Suburban Chicago | $1,588.72 | $1,130.09 |
| Tennessee | $1,356.86 | $950.93 |
| Utah | $1,420.65 | $1,000.87 |
| Vallejo | $1,716.34 | $1,127.76 |
| Vermont | $1,419.40 | $977.29 |
| Virgin Islands | $1,487.67 | $1,036.19 |
| Virginia | $1,435.08 | $996.11 |
| Visalia | $1,518.31 | $1,028.87 |
| West Virginia | $1,419.89 | $1,031.82 |
| Wisconsin | $1,372.22 | $944.41 |
| Wyoming** | $1,452.54 | $1,005.97 |
| Yuba City | $1,518.31 | $1,028.87 |
28262 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.
$1,313.86
$1,765.41
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 | $1,765.41 | 1 |
| AL | $1,332.32 | 1 |
| AR | $1,313.86 | 1 |
| AZ | $1,439.73 | 1 |
| CA | $1,518.31–$1,851.72 | 29 |
| CO | $1,515.68 | 1 |
| CT | $1,576.58 | 1 |
| DC | $1,667.38 | 1 |
| DE | $1,462.58 | 1 |
| FL | $1,498.32–$1,677.08 | 3 |
| GA | $1,413.05–$1,516.50 | 2 |
| GU | $1,546.71 | 1 |
| HI | $1,546.71 | 1 |
| IA | $1,346.77 | 1 |
| ID | $1,358.96 | 1 |
| IL | $1,469.77–$1,626.73 | 4 |
| IN | $1,366.04 | 1 |
| KS | $1,349.27 | 1 |
| KY | $1,381.00 | 1 |
| LA | $1,382.35–$1,446.90 | 2 |
| MA | $1,510.69–$1,649.27 | 2 |
| MD | $1,486.92–$1,667.38 | 3 |
| ME | $1,374.89–$1,433.57 | 2 |
| MI | $1,423.39–$1,525.20 | 2 |
| MN | $1,428.66 | 1 |
| MO | $1,365.36–$1,441.52 | 3 |
| MS | $1,339.43 | 1 |
| MT | $1,480.11 | 1 |
| NC | $1,387.27 | 1 |
| ND | $1,416.84 | 1 |
| NE | $1,351.25 | 1 |
| NH | $1,500.30 | 1 |
| NJ | $1,587.91–$1,652.98 | 2 |
| NM | $1,434.33 | 1 |
| NV | $1,463.29 | 1 |
| NY | $1,407.93–$1,761.45 | 5 |
| OH | $1,410.45 | 1 |
| OK | $1,369.50 | 1 |
| OR | $1,445.33–$1,552.17 | 2 |
| PA | $1,407.79–$1,544.38 | 2 |
| PR | $1,487.67 | 1 |
| RI | $1,506.26 | 1 |
| SC | $1,402.51 | 1 |
| SD | $1,409.36 | 1 |
| TN | $1,356.86 | 1 |
| TX | $1,399.57–$1,519.31 | 8 |
| UT | $1,420.65 | 1 |
| VA | $1,435.08–$1,667.38 | 2 |
| VI | $1,487.67 | 1 |
| VT | $1,419.40 | 1 |
| WA | $1,505.16–$1,673.34 | 2 |
| WI | $1,372.22 | 1 |
| WV | $1,419.89 | 1 |
| WY | $1,452.54 | 1 |
How the 28262 rate is calculated
Each of 28262’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 · 28262
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.78Practice expense 24.34Malpractice 3.20
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28262
28262 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28262
Midfoot release
| 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) | 2 | Paid. |
| 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 · 28262
Midfoot release
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
28262 without 50 · national office
$1,480.33
Midfoot release
28262-50 · Bilateral: 150%
$2,220.50
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).
28262 compared with similar codes
Compare codes
28262 vs 28260 vs 28264 vs 28272: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28260Midfoot release
- Use 28260 for a less extensive midfoot capsular release. Choose 28262 when the operative work documents an extensive release.
- 28264Midfoot release
- Both codes concern midfoot release procedures, but they represent distinct billing code definitions. Match the code to the specific procedure documented rather than relying on a general description of midfoot release.
- 28272Toe joint release
- 28272 addresses release at a toe joint. 28262 is for extensive release involving the midfoot.
28262 billing questions
How is 28262 distinguished from 28260?
28262 is for an extensive midfoot release. Use 28260 when the documented midfoot capsular release is less extensive.
What documentation supports reporting 28262?
Document the affected midfoot joints, the contracted structures released, the extent of the release, and the fixed deformity or restriction being treated.
Can modifier 50 be reported for bilateral surgery?
CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are assistant or co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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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