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CMS RVU26D · Effective 2026-10-01

28086 in Beaumont

Office / nonfacility

$506.63

Base rate per service

Facility setting

$320.31

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Foot surgery

About 28086: Foot tendon sheath excision

Surgical excision of diseased foot tendon sheath tissue, commonly for a sheath-associated ganglion, when the surgeon removes one tendon sheath.

This procedure removes abnormal tissue from a tendon sheath in the foot, often when a ganglion arises from or involves the sheath. An orthopedic surgeon or podiatric surgeon typically performs the excision in an operating room or ambulatory surgery setting. The operative report should identify the tendon and foot location, describe the sheath tissue removed, and clarify whether the target was a sheath-associated lesion rather than a joint, nerve, or separate soft-tissue mass.

Report 28086 for the primary tendon sheath excision; 28088 is the add-on code for an additional sheath. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 28086

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.80 · 30%
  • Practice expense (office) RVU10.73 · 66%
  • Malpractice RVU0.65 · 4%

671

Medicare services in 2024 · #3297 by national volume

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.

28086 compared with similar codes

Office rates for Beaumont, from the same CMS release.

28088

Tendon sheath surgery

Extensor tendon sheath

$450.27

28086 covers the primary tendon sheath excision; 28088 is reported for each additional sheath excised.

28010

Toe tendon release

Single tendon, percutaneous

$223.17

28010 is for incision of a toe tendon. Choose 28086 when the surgeon excises tendon sheath tissue rather than releasing the tendon.

28039

Tumor excision

Subcutaneous, 1.5 cm or larger

$449.98

28039 addresses a qualifying subcutaneous foot or toe tumor. Use 28086 when the excised target is tendon sheath tissue or a sheath-associated ganglion.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 28086 is $559.06—$52.43 higher than the $506.63 rate in Beaumont. Both use the same code, release and participation basis.

28086 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $506.63

  2. Austin

    $559.06

    $52.43 higher than Beaumont

  3. Brazoria

    $533.71

    $27.08 higher than Beaumont

  4. Dallas

    $537.35

    $30.72 higher than Beaumont

  5. Fort Worth

    $534.05

    $27.42 higher than Beaumont

  6. Galveston

    $535.47

    $28.84 higher than Beaumont

  7. Houston

    $547.36

    $40.73 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 28086 ranges from $479.36 in Arkansas to $706.40 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 28086

    Office

    $520.04

    Facility

    $325.74

    $13.41 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 28086

    Office

    $605.29

    Facility

    $363.07

    $98.66 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28086

    Office

    $615.33

    Facility

    $374.14

    $108.70 higher than Beaumont for the office setting.

  • Miami

    Florida · 28086

    Office

    $588.32

    Facility

    $375.17

    $81.69 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 28086

    Office

    $571.46

    Facility

    $365.68

    $64.83 higher than Beaumont for the office setting.

  • Manhattan

    New York · 28086

    Office

    $621.47

    Facility

    $383.55

    $114.84 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 28086

    Office

    $634.14

    Facility

    $416.08

    $127.51 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 28086

    Office

    $486.21

    Facility

    $307.05

    $20.42 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 28086

    Office

    $479.36

    Facility

    $303.49

    $27.27 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 28086

    Office

    $526.19

    Facility

    $327.79

    $19.56 higher than Beaumont for the office setting.

  • Bakersfield

    California · 28086

    Office

    $569.39

    Facility

    $344.99

    $62.76 higher than Beaumont for the office setting.

  • Chico

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • El Centro

    California · 28086

    Office

    $567.59

    Facility

    $343.19

    $60.96 higher than Beaumont for the office setting.

  • Fresno

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Madera

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Merced

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Modesto

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Napa

    California · 28086

    Office

    $653.81

    Facility

    $383.96

    $147.18 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28086

    Office

    $601.96

    Facility

    $359.95

    $95.33 higher than Beaumont for the office setting.

  • Redding

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Rest Of California

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28086

    Office

    $574.53

    Facility

    $350.12

    $67.90 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28086

    Office

    $594.54

    Facility

    $356.42

    $87.91 higher than Beaumont for the office setting.

  • Salinas

    California · 28086

    Office

    $592.31

    Facility

    $355.00

    $85.68 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28086

    Office

    $605.54

    Facility

    $360.66

    $98.91 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28086

    Office

    $690.85

    Facility

    $402.16

    $184.22 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 28086

    Office

    $690.11

    Facility

    $401.42

    $183.48 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 28086

    Office

    $706.40

    Facility

    $411.15

    $199.77 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 28086

    Office

    $703.38

    Facility

    $408.13

    $196.75 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28086

    Office

    $582.89

    Facility

    $349.69

    $76.26 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 28086

    Office

    $610.77

    Facility

    $362.01

    $104.14 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 28086

    Office

    $594.33

    Facility

    $355.60

    $87.70 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 28086

    Office

    $616.88

    Facility

    $365.45

    $110.25 higher than Beaumont for the office setting.

  • Stockton

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Vallejo

    California · 28086

    Office

    $652.75

    Facility

    $382.89

    $146.12 higher than Beaumont for the office setting.

  • Visalia

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Yuba City

    California · 28086

    Office

    $567.48

    Facility

    $343.08

    $60.85 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 28086

    Office

    $560.53

    Facility

    $342.68

    $53.90 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 28086

    Office

    $575.79

    Facility

    $355.28

    $69.16 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 28086

    Office

    $534.73

    Facility

    $332.44

    $28.10 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 28086

    Office

    $562.63

    Facility

    $355.22

    $56.00 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 28086

    Office

    $535.58

    Facility

    $339.84

    $28.95 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 28086

    Office

    $551.01

    Facility

    $342.98

    $44.38 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 28086

    Office

    $505.89

    Facility

    $323.25

    $0.74 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 28086

    Office

    $580.39

    Facility

    $347.59

    $73.76 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 28086

    Office

    $496.87

    Facility

    $309.53

    $9.76 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 28086

    Office

    $500.31

    Facility

    $311.95

    $6.32 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 28086

    Office

    $533.77

    Facility

    $345.40

    $27.14 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 28086

    Office

    $521.47

    Facility

    $334.54

    $14.84 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 28086

    Office

    $567.99

    Facility

    $357.71

    $61.36 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 28086

    Office

    $503.10

    Facility

    $313.30

    $3.53 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 28086

    Office

    $495.25

    Facility

    $310.16

    $11.38 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 28086

    Office

    $498.80

    Facility

    $316.78

    $7.83 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 28086

    Office

    $522.23

    Facility

    $329.57

    $15.60 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 28086

    Office

    $498.30

    Facility

    $317.10

    $8.33 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 28086

    Office

    $614.14

    Facility

    $369.67

    $107.51 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28086

    Office

    $557.58

    Facility

    $341.98

    $50.95 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28086

    Office

    $574.30

    Facility

    $354.61

    $67.67 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 28086

    Office

    $544.55

    Facility

    $337.35

    $37.92 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 28086

    Office

    $503.55

    Facility

    $315.18

    $3.08 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 28086

    Office

    $529.19

    Facility

    $326.29

    $22.56 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 28086

    Office

    $542.78

    Facility

    $345.19

    $36.15 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 28086

    Office

    $512.05

    Facility

    $325.11

    $5.42 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 28086

    Office

    $535.54

    Facility

    $324.85

    $28.91 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 28086

    Office

    $518.07

    Facility

    $325.81

    $11.44 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 28086

    Office

    $523.27

    Facility

    $328.35

    $16.64 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 28086

    Office

    $490.40

    Facility

    $313.91

    $16.23 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 28086

    Office

    $484.94

    Facility

    $308.66

    $21.69 lower than Beaumont for the office setting.

  • Montana**

    Montana · 28086

    Office

    $540.38

    Facility

    $335.64

    $33.75 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 28086

    Office

    $508.58

    Facility

    $317.55

    $1.95 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 28086

    Office

    $527.53

    Facility

    $322.78

    $20.90 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 28086

    Office

    $499.33

    Facility

    $310.34

    $7.30 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 28086

    Office

    $552.41

    Facility

    $339.26

    $45.78 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 28086

    Office

    $609.35

    Facility

    $371.84

    $102.72 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 28086

    Office

    $581.92

    Facility

    $358.33

    $75.29 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 28086

    Office

    $515.04

    Facility

    $327.29

    $8.41 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 28086

    Office

    $537.16

    Facility

    $332.21

    $30.53 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28086

    Office

    $637.03

    Facility

    $393.58

    $130.40 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28086

    Office

    $586.25

    Facility

    $362.05

    $79.62 higher than Beaumont for the office setting.

  • Queens

    New York · 28086

    Office

    $625.51

    Facility

    $383.50

    $118.88 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 28086

    Office

    $516.06

    Facility

    $321.55

    $9.43 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 28086

    Office

    $509.42

    Facility

    $322.49

    $2.79 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 28086

    Office

    $497.24

    Facility

    $314.40

    $9.39 lower than Beaumont for the office setting.

  • Portland

    Oregon · 28086

    Office

    $577.22

    Facility

    $349.74

    $70.59 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 28086

    Office

    $532.54

    Facility

    $328.62

    $25.91 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28086

    Office

    $562.20

    Facility

    $349.05

    $55.57 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28086

    Office

    $509.84

    Facility

    $321.89

    $3.21 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 28086

    Office

    $544.04

    Facility

    $337.04

    $37.41 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 28086

    Office

    $552.95

    Facility

    $341.45

    $46.32 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 28086

    Office

    $509.93

    Facility

    $320.75

    $3.30 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 28086

    Office

    $526.01

    Facility

    $321.26

    $19.38 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 28086

    Office

    $497.76

    Facility

    $311.65

    $8.87 lower than Beaumont for the office setting.

  • Utah

    Utah · 28086

    Office

    $516.71

    Facility

    $324.25

    $10.08 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 28086

    Office

    $527.95

    Facility

    $326.68

    $21.32 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28086

    Office

    $544.04

    Facility

    $337.04

    $37.41 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 28086

    Office

    $526.12

    Facility

    $323.42

    $19.49 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 28086

    Office

    $556.32

    Facility

    $340.72

    $49.69 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 28086

    Office

    $625.82

    Facility

    $374.60

    $119.19 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 28086

    Office

    $510.35

    Facility

    $314.20

    $3.72 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 28086

    Office

    $502.83

    Facility

    $324.91

    $3.80 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 28086

    Office

    $534.78

    Facility

    $330.03

    $28.15 higher than Beaumont for the office setting.

See how rates vary across the country

28086 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$479.36

$636.94

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$634.141
AL$486.211
AR$479.361
AZ$526.191
CA$567.48–$706.4029
CO$560.531
CT$575.791
DC$615.331
DE$534.731
FL$535.58–$588.323
GA$505.89–$551.012
GU$580.391
HI$580.391
IA$496.871
ID$500.311
IL$521.47–$571.464
IN$503.101
KS$495.251
KY$498.801
LA$498.30–$522.232
MA$557.58–$614.142
MD$544.55–$615.333
ME$503.55–$529.192
MI$512.05–$542.782
MN$535.541
MO$490.40–$523.273
MS$484.941
MT$540.381
NC$508.581
ND$527.531
NE$499.331
NH$552.411
NJ$581.92–$609.352
NM$515.041
NV$537.161
NY$516.06–$637.035
OH$509.421
OK$497.241
OR$532.54–$577.222
PA$509.84–$562.202
PR$544.041
RI$552.951
SC$509.931
SD$526.011
TN$497.761
TX$506.63–$559.068
UT$516.711
VA$527.95–$615.332
VI$544.041
VT$526.121
WA$556.32–$625.822
WI$510.351
WV$502.831
WY$534.781

Explore 28086 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 28086 in Beaumont, the physician’s office rate is $506.63 and the facility-setting rate is $320.31: a difference of $186.32.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 28086 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$557.29

$506.63 × 110% = $557.29

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28086 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

3,113

Code
28086
Physician work
4.80
Practice expense
10.73
Malpractice
0.65

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 28086 in Beaumont
ComponentRVULocality factorAdjusted
Physician work4.80× 1.0004.8000
Practice expense10.73× 0.9109.7643
Malpractice0.65× 0.9290.6038
Total RVUs15.1681
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$506.63

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 28086 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.81
Practice expense10.730.91
Malpractice0.650.929

(4.8 × 1 + 10.73 × 0.91 + 0.65 × 0.929) × $33.4009 = $506.63

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.81
Practice expense4.60.91
Malpractice0.650.929

(4.8 × 1 + 4.6 × 0.91 + 0.65 × 0.929) × $33.4009 = $320.31

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

28086 · Office / nonfacility

$506.63

Effective 2026-10-01

The base rate is $36.68 higher than on 2025-10-01, moving from $469.95 to $506.63 (7.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $469.95changed to$506.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.92 changed to 4.80
    • Practice expense RVU 9.98 changed to 10.73
    • Malpractice RVU 0.63 changed to 0.65
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $469.95

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$506.63$320.31RVU26D
2026-07-01$506.63$320.31RVU26C
2026-04-01$506.63$320.31RVU26B
2026-01-01$506.63$320.31RVU26A
2025-10-01$469.95$326.53RVU25D
2025-07-01$469.95$326.53RVU25C
2025-04-01$469.95$326.53RVU25B
2025-01-01$469.95$326.53RVU25A

28086 billing questions

When is 28086 used instead of 28088?

Use 28086 for the primary tendon sheath excision. Use 28088 for each additional sheath excised in the same operative session.

Is a tendon sheath ganglion included in this procedure?

Yes, a ganglion arising from or involving a foot tendon sheath is a typical reason for excision. The operative note should establish the sheath relationship and tissue removed.

How does 28086 differ from tendon incision codes 28010 and 28011?

28086 reports excision of tendon sheath tissue. Codes 28010 and 28011 describe tendon incision or release, not removal of the sheath.

What documentation supports reporting 28086?

Document the foot and tendon location, the sheath or sheath-associated lesion excised, and the extent of removal. If another sheath is excised, identify it to support the additional-sheath code.

What global and multiple-procedure payment rules apply?

The code has a 90-day global period. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can modifier 50 or an assistant-at-surgery service be reported?

Bilateral reporting with modifier 50 is paid at 150%, and assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 28086PPRRVU2026_Oct_nonQPP.csv, line 3,113 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet