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Billing code 28360: Foot reconstructionMedicare rate & RVUs

Reconstructs a congenital cleft foot by surgically correcting the split-foot deformity, typically during operative treatment of a structural birth anomaly.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,025.07 for 28360 nationally in a facility.

Medicare rate · 28360

Foot reconstruction

Swap in your local Medicare rate.

Work RVUs
14.55
Total RVUs
30.69
Global days
090

National rate · 2026

$1,025.07

Facility setting, before claim adjustments.

See every locality for 28360 → · 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
  1. Medicare rate
  2. What 28360 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 28360 covers

This major operation corrects a congenital cleft foot, also called split foot or ectrodactyly. An orthopedic or podiatric surgeon reconstructs the affected foot’s structure; the specific work depends on the patient’s anatomy and the deformity being addressed. The service is generally performed in an operating room, often as part of planned treatment for a congenital foot abnormality. The operative report should identify the cleft-foot diagnosis and describe the reconstruction performed.

Report 28360 for the cleft-foot reconstruction itself, rather than a procedure directed only at an extra toe, webbed toes, or an isolated toe deformity. The 90-day global period 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% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are 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 28360 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28360 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$925.80
Alaska*Unavailable$1,250.06
ArizonaUnavailable$996.70
ArkansasUnavailable$913.56
AtlantaUnavailable$1,054.25
AustinUnavailable$1,039.56
BakersfieldUnavailable$1,035.80
Baltimore/Surr. CntysUnavailable$1,089.13
BeaumontUnavailable$978.52
BrazoriaUnavailable$1,002.33

28360 rates by state

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

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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
28360 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

How the 28360 rate is calculated

Each of 28360’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 · 28360

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.55Practice expense 13.05Malpractice 3.09

30.6900 adjusted RVUs×$33.4009 conversion factor=$1,025.07

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 28360

28360 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28360

Foot reconstruction

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)0Not permitted.
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 · 28360

Foot reconstruction

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

28360 without 50 · national facility

$1,025.07

Foot reconstruction

28360-50 · Bilateral: 150%

$1,537.61

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

28360 compared with similar codes

Compare codes

28360 vs 28344 vs 28345 vs 28313: national Medicare rates

Swap in your local Medicare rate.

  • 28360
    Foot reconstruction · 14.55 wRVU
    —
  • 28344
    Toe reconstruction · 4.29 wRVU
    $410.16
  • 28345
    Webbed toe repair · 5.94 wRVU
    $502.68
  • 28313
    Toe deformity repair · 5.02 wRVU
    $545.77

How to choose

28344Toe reconstruction
28344 addresses reconstruction for polydactyly, or extra toe tissue. Use 28360 when the operation reconstructs a cleft-foot deformity.
28345Webbed toe repair
28345 addresses reconstruction for syndactyly, or webbed toes. It is not a substitute for reconstruction of the cleft foot itself.
28313Toe deformity repair
28313 is directed at repair of a toe deformity. Choose 28360 when the operative target is the congenital cleft-foot structure.

Codes related to 28360

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

Codes related to 28360
CodeHow it relatesNational office range
Often billed with
28344Toe reconstructionMay accompany cleft-foot reconstruction when a separate polydactyly deformity is also treated.$368.28–$532.69
28345Webbed toe repairMay accompany cleft-foot reconstruction when a separate syndactyly deformity is also treated.$454.15–$644.17
28313Toe deformity repairMay be reported for a distinct toe deformity repaired during the same operative session.$484.42–$710.15

28360 billing questions

How is 28360 distinguished from toe reconstruction codes?

Use 28360 for reconstruction of the cleft-foot deformity. Codes for polydactyly, syndactyly, or an isolated toe deformity address those specific conditions instead.

Does the 90-day global period include routine postoperative care?

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

How is bilateral cleft-foot reconstruction reported?

Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment may be made for 28360. Co-surgeons and team surgery are not permitted.

What happens when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

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 28360PPRRVU2026_Oct_nonQPP.csv, line 3,197 (RVU26D)

Open CMS sourceHow we calculate rates

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