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Billing code 28730: Midfoot fusionMedicare rate & RVUs

Reports surgical fusion across multiple midfoot joints or a transverse midfoot fusion, such as for painful arthritis or instability.

CMS RVU26DEffective Oct 1, 2026109 payment localities6.1K Medicare services in 2024

Medicare pays $678.37 for 28730 nationally in a facility.

Medicare rate · 28730

Midfoot fusion

Work RVUs
10.43
Total RVUs
20.31
Global days
090

National rate · 2026

$678.37

Facility setting, before claim adjustments.

See every locality for 28730 →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 28730 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 28730 covers

The surgeon prepares the involved midfoot joint surfaces and stabilizes them so the bones can unite. This code covers fusion involving multiple midtarsal or tarsometatarsal joints, or a transverse fusion across the midfoot. Orthopedic foot and ankle surgeons and podiatrists commonly perform these procedures in an operating room for conditions such as painful midfoot arthritis or instability.

Select this code when the operative report supports a multiple-joint or transverse fusion without the osteotomy distinction associated with 28735. Document the fused joints, side, indication, and any osteotomy performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. With modifier 50, a bilateral procedure is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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 28730 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

28730 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$620.40
Alaska*Unavailable$846.20
ArizonaUnavailable$662.03
ArkansasUnavailable$613.23
AtlantaUnavailable$694.71
AustinUnavailable$688.90
BakersfieldUnavailable$690.32
Baltimore/Surr. CntysUnavailable$716.91
BeaumontUnavailable$649.70
BrazoriaUnavailable$666.77

28730 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
28730 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 28730 rate is calculated

Each of 28730’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 · 28730

RVUs × geographic indexes × conversion factor

Work10.43

10.43 RVUs× 1.000 GPCI

Practice expense8.26

8.26 RVUs× 1.000 GPCI

Malpractice1.62

1.62 RVUs× 1.000 GPCI

Adjusted RVUs

20.3100

Conversion factor

$33.4009

Medicare rate

$678.37

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

Payment rules and modifiers for 28730

28730 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28730

Midfoot fusion

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 · 28730

Midfoot fusion

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

28730 without 50 · national facility

$678.37

Midfoot fusion

28730-50 · Bilateral: 150%

$1,017.56

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

28730 compared with similar codes

Compare codes · National

4 codes, side by side

  • 28730

    Midfoot fusion10.43 wRVU

    Not priced

  • 28735

    Midfoot fusion11.92 wRVU

    Not priced

  • 28740

    Foot fusion9.06 wRVU

    $848.38

  • 28715

    Hindfoot fusion13.08 wRVU

    Not priced

How to choose

28735Midfoot fusion
Choose 28735 when the multiple or transverse midfoot fusion includes an osteotomy. Code 28730 is for the corresponding fusion without that osteotomy distinction.
28740Foot fusion
Code 28740 applies to a single midtarsal or tarsometatarsal joint; 28730 represents multiple joints or a transverse fusion.
28715Hindfoot fusion
Code 28715 describes fusion across the triple-joint hindfoot complex. Code 28730 concerns multiple or transverse fusion in the midfoot.

Codes related to 28730

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

Codes related to 28730
CodeHow it relatesNational office range
Same family
28735Midfoot fusionRelated multiple or transverse midfoot fusion code when an osteotomy is performed.No office rate
28740Foot fusionMidtarsal or tarsometatarsal fusion limited to a single joint.$756.61–$1,083.86
Used instead
28715Hindfoot fusionFor a triple hindfoot fusion pattern rather than multiple or transverse midfoot fusion.No office rate

28730 billing questions

When should 28730 be selected instead of 28740?

Use 28730 for fusion of multiple midtarsal or tarsometatarsal joints, or a transverse midfoot fusion. Code 28740 describes fusion of a single joint in this region.

How does 28730 differ from 28735?

Code 28735 is the related multiple or transverse midfoot fusion code when an osteotomy is also performed. Check the operative report for the osteotomy and the specific joints fused.

What documentation supports 28730?

The operative report should identify the midfoot joints fused, laterality, and whether the work forms a multiple-joint or transverse fusion. It should also describe any osteotomy.

How are bilateral procedures reported?

CMS lists bilateral payment with modifier 50 at 150%. The operative documentation should support performance on both sides.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available for 28730. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.

What postoperative care is included?

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

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 28730PPRRVU2026_Oct_nonQPP.csv, line 3,248 (RVU26D)

Open CMS sourceHow we calculate rates

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