CPT 28740: Foot fusionMedicare rate & RVUs
Reports surgical fusion of one midtarsal or tarsometatarsal joint, commonly for painful arthritis, instability, or deformity requiring permanent stabilization.
Medicare pays $848.38 for 28740 nationally in the office and $577.50 in a hospital or facility. Local office rates run $756.61–$1,083.86.
Medicare rate · 28740
Foot fusion
Swap in your local Medicare rate.
- Work RVUs
- 9.06
- Total RVUs
- 25.40
- Global days
- 090
National rate · 2026
$848.38
Office setting, before claim adjustments.
See every locality for 28740 → · 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 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.
Where 28740 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
$756.61 to $1083.86
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $766.85 | $529.83 |
| Alaska* | $1,013.02 | $724.53 |
| Arizona | $826.60 | $564.11 |
| Arkansas | $756.61 | $523.92 |
| Atlanta | $865.99 | $590.78 |
| Austin | $873.23 | $586.64 |
| Bakersfield | $885.54 | $588.66 |
| Baltimore/Surr. Cntys | $900.13 | $609.48 |
| Beaumont | $800.08 | $553.58 |
| Brazoria | $836.80 | $568.36 |
| Chicago | $908.81 | $636.58 |
| Chico | $881.79 | $584.91 |
| Colorado | $874.75 | $586.53 |
| Connecticut | $902.19 | $610.45 |
| Dallas | $842.98 | $573.18 |
| Dc + Md/Va Suburbs | $959.07 | $639.97 |
| Delaware | $839.51 | $571.88 |
| Detroit | $860.35 | $598.95 |
| East St. Louis | $851.86 | $602.65 |
| El Centro | $882.01 | $585.12 |
| Fort Lauderdale | $889.73 | $615.33 |
| Fort Worth | $838.51 | $571.42 |
| Fresno | $881.79 | $584.91 |
| Galveston | $839.87 | $570.89 |
| Hanford-Corcoran | $881.79 | $584.91 |
| Hawaii, Guam | $899.11 | $591.12 |
| Houston | $863.49 | $594.50 |
| Idaho | $785.46 | $536.25 |
| Indiana | $789.54 | $538.43 |
| Iowa | $779.67 | $531.82 |
| Kansas | $778.75 | $533.88 |
| Kentucky | $788.92 | $548.11 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $938.30 | $617.85 |
| Madera | $881.79 | $584.91 |
| Manhattan | $974.43 | $659.67 |
| Merced | $881.79 | $584.91 |
| Metropolitan Boston | $953.57 | $630.14 |
| Metropolitan Kansas City | $816.73 | $562.37 |
| Metropolitan Philadelphia | $882.76 | $600.77 |
| Metropolitan St. Louis | $824.34 | $566.46 |
| Miami | $934.87 | $652.89 |
| Minnesota | $832.63 | $553.89 |
| Mississippi | $767.26 | $534.04 |
| Modesto | $881.79 | $584.91 |
| Montana** | $848.30 | $577.42 |
| Napa | $1,006.10 | $649.08 |
| Nebraska | $782.88 | $532.85 |
| Nevada** | $841.69 | $570.54 |
| New Hampshire | $863.61 | $581.62 |
| New Mexico | $815.32 | $566.92 |
| New Orleans | $824.58 | $569.69 |
| North Carolina | $799.15 | $546.42 |
| North Dakota** | $822.79 | $551.91 |
| Northern Nj | $950.81 | $636.58 |
| Nyc Suburbs/Long Island | $999.68 | $677.61 |
| Ohio | $804.99 | $557.68 |
| Oklahoma | $784.99 | $543.09 |
| Oxnard-Thousand Oaks-Ventura | $932.10 | $611.92 |
| Portland | $897.99 | $597.04 |
| Poughkpsie/N Nyc Suburbs | $918.80 | $622.19 |
| Puerto Rico | $853.27 | $579.41 |
| Queens | $978.28 | $658.10 |
| Redding | $881.79 | $584.91 |
| Rest Of California | $881.79 | $584.91 |
| Rest Of Florida | $847.94 | $588.98 |
| Rest Of Georgia | $802.37 | $560.74 |
| Rest Of Illinois | $828.91 | $581.59 |
| Rest Of Louisiana | $788.76 | $549.03 |
| Rest Of Maine | $791.88 | $542.67 |
| Rest Of Maryland | $853.91 | $579.78 |
| Rest Of Massachusetts | $871.12 | $585.88 |
| Rest Of Michigan | $810.21 | $562.89 |
| Rest Of Missouri | $777.89 | $544.39 |
| Rest Of New Jersey | $910.91 | $615.11 |
| Rest Of New York | $810.45 | $553.11 |
| Rest Of Oregon | $833.58 | $563.78 |
| Rest Of Pennsylvania | $804.79 | $556.12 |
| Rest Of Texas | $818.57 | $561.50 |
| Rest Of Washington | $868.66 | $583.42 |
| Rhode Island | $866.07 | $586.25 |
| Riverside-San Bernardino-Ontario | $895.75 | $598.87 |
| Sacramento-Roseville-Folsom | $921.22 | $606.19 |
| Salinas | $917.70 | $603.75 |
| San Diego-Chula Vista-Carlsbad | $936.25 | $612.28 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,059.92 | $677.98 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,058.46 | $676.51 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,083.86 | $693.25 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,077.87 | $687.26 |
| San Luis Obispo-Paso Robles | $903.41 | $594.87 |
| Santa Cruz-Watsonville | $942.82 | $613.70 |
| Santa Maria-Santa Barbara | $920.31 | $604.46 |
| Santa Rosa-Petaluma | $952.08 | $619.44 |
| Seattle (King Cnty) | $969.74 | $637.37 |
| South Carolina | $803.72 | $553.42 |
| South Dakota** | $819.77 | $548.89 |
| Southern Maine | $827.96 | $559.52 |
| Stockton | $881.79 | $584.91 |
| Suburban Chicago | $897.34 | $619.14 |
| Tennessee | $782.69 | $536.46 |
| Utah | $813.83 | $559.20 |
| Vallejo | $1,003.99 | $646.97 |
| Vermont | $822.07 | $553.90 |
| Virgin Islands | $853.27 | $579.41 |
| Virginia | $827.17 | $560.89 |
| Visalia | $881.79 | $584.91 |
| West Virginia | $801.10 | $565.71 |
| Wisconsin | $797.45 | $537.95 |
| Wyoming** | $837.18 | $566.30 |
| Yuba City | $881.79 | $584.91 |
28740 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.
$756.61
$1,013.02
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 | $1,013.02 | 1 |
| AL | $766.85 | 1 |
| AR | $756.61 | 1 |
| AZ | $826.60 | 1 |
| CA | $881.79–$1,083.86 | 29 |
| CO | $874.75 | 1 |
| CT | $902.19 | 1 |
| DC | $959.07 | 1 |
| DE | $839.51 | 1 |
| FL | $847.94–$934.87 | 3 |
| GA | $802.37–$865.99 | 2 |
| GU | $899.11 | 1 |
| HI | $899.11 | 1 |
| IA | $779.67 | 1 |
| ID | $785.46 | 1 |
| IL | $828.91–$908.81 | 4 |
| IN | $789.54 | 1 |
| KS | $778.75 | 1 |
| KY | $788.92 | 1 |
| LA | $788.76–$824.58 | 2 |
| MA | $871.12–$953.57 | 2 |
| MD | $853.91–$959.07 | 3 |
| ME | $791.88–$827.96 | 2 |
| MI | $810.21–$860.35 | 2 |
| MN | $832.63 | 1 |
| MO | $777.89–$824.34 | 3 |
| MS | $767.26 | 1 |
| MT | $848.30 | 1 |
| NC | $799.15 | 1 |
| ND | $822.79 | 1 |
| NE | $782.88 | 1 |
| NH | $863.61 | 1 |
| NJ | $910.91–$950.81 | 2 |
| NM | $815.32 | 1 |
| NV | $841.69 | 1 |
| NY | $810.45–$999.68 | 5 |
| OH | $804.99 | 1 |
| OK | $784.99 | 1 |
| OR | $833.58–$897.99 | 2 |
| PA | $804.79–$882.76 | 2 |
| PR | $853.27 | 1 |
| RI | $866.07 | 1 |
| SC | $803.72 | 1 |
| SD | $819.77 | 1 |
| TN | $782.69 | 1 |
| TX | $800.08–$873.23 | 8 |
| UT | $813.83 | 1 |
| VA | $827.17–$959.07 | 2 |
| VI | $853.27 | 1 |
| VT | $822.07 | 1 |
| WA | $868.66–$969.74 | 2 |
| WI | $797.45 | 1 |
| WV | $801.10 | 1 |
| WY | $837.18 | 1 |
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
Swap in your local Medicare rate.
Work 9.06Practice expense 15.05Malpractice 1.29
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| 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 · 28740
Foot 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.
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
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).
28740 compared with similar codes
Compare codes
28740 vs 28730 vs 28735 vs 28725: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28730Midfoot fusion
- 28740 is for one midtarsal or tarsometatarsal joint; 28730 is for multiple joints or a transverse fusion.
- 28735Midfoot fusion
- Use 28735 for a multiple-joint or transverse midtarsal or tarsometatarsal fusion with an osteotomy, rather than a single-joint fusion.
- 28725Subtalar fusion
- 28725 addresses fusion of the subtalar joint. Choose 28740 when the fused joint is in the midtarsal or tarsometatarsal region.
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
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