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CMS RVU26D · Effective 2026-10-01

28285 in Delaware

Office / nonfacility

$543.13

Base rate per service

Facility setting

$367.57

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 28285: Lesser-toe hammertoe surgical correction

Reports surgical correction of a hammertoe deformity, commonly involving a contracted lesser toe treated with joint fusion or bone resection.

This procedure corrects a hammertoe, typically a lesser toe with a flexed, contracted joint that cannot be adequately addressed by conservative care. A foot and ankle surgeon or podiatrist may correct the deformity by treating the interphalangeal joint, for example with fusion or partial bone resection. The operation is commonly performed in an outpatient surgical setting. The specific technique depends on the deformity and operative findings.

Report the service for each toe surgically corrected, identifying the toe and side in the claim and operative documentation. The record should describe the deformity, the toe treated, and the corrective work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Modifier 50 applies to bilateral performance, paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 28285

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.48 · 33%
  • Practice expense (office) RVU10.32 · 63%
  • Malpractice RVU0.62 · 4%

74.8K

Medicare services in 2024 · #648 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.

28285 compared with similar codes

Office rates for Delaware, from the same CMS release.

28286

Hammertoe repair

With MTP joint release

$426.45

Choose 28285 for hammertoe correction. 28286 is specific to correction of a cock-up fifth toe.

28272

Toe joint release

Interphalangeal joint, each

$373.70

28272 describes interphalangeal joint contracture release. Use 28285 when the operation corrects the hammertoe deformity rather than reporting only a joint release.

28270

Foot contracture release

Midfoot joint, each joint

$484.04

28270 describes metatarsophalangeal joint contracture release. It is not the code for surgical correction of the hammertoe itself.

The same code, a different location

How does Delaware compare?

28285 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $543.13

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $612.07

    $68.94 higher than Delaware

  3. Dc + Md/Va Suburbs

    $622.02

    $78.89 higher than Delaware

  4. Miami

    $594.24

    $51.11 higher than Delaware

  5. Chicago

    $578.27

    $35.14 higher than Delaware

  6. Manhattan

    $628.13

    $85.00 higher than Delaware

  7. Alaska*

    $653.07

    $109.94 higher than Delaware

Other payment areas listed in Delaware 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, 28285 ranges from $489.80 in Arkansas to $711.32 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

  • Alabama

    Alabama · 28285

    Office

    $496.37

    Facility

    $340.89

    $46.76 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28285

    Office

    $489.80

    Facility

    $337.16

    $53.33 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28285

    Office

    $534.78

    Facility

    $362.59

    $8.35 lower than Delaware for the office setting.

  • Bakersfield

    California · 28285

    Office

    $576.91

    Facility

    $382.16

    $33.78 higher than Delaware for the office setting.

  • Chico

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • El Centro

    California · 28285

    Office

    $575.14

    Facility

    $380.39

    $32.01 higher than Delaware for the office setting.

  • Fresno

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Madera

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Merced

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Modesto

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Napa

    California · 28285

    Office

    $659.40

    Facility

    $425.20

    $116.27 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28285

    Office

    $608.50

    Facility

    $398.46

    $65.37 higher than Delaware for the office setting.

  • Redding

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Rest Of California

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28285

    Office

    $581.78

    Facility

    $387.03

    $38.65 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28285

    Office

    $601.61

    Facility

    $394.95

    $58.48 higher than Delaware for the office setting.

  • Salinas

    California · 28285

    Office

    $599.32

    Facility

    $393.37

    $56.19 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28285

    Office

    $612.01

    Facility

    $399.49

    $68.88 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28285

    Office

    $695.95

    Facility

    $445.41

    $152.82 higher than Delaware for the office setting.

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

    California · 28285

    Office

    $695.25

    Facility

    $444.70

    $152.12 higher than Delaware for the office setting.

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

    California · 28285

    Office

    $711.32

    Facility

    $455.09

    $168.19 higher than Delaware for the office setting.

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

    California · 28285

    Office

    $708.45

    Facility

    $452.21

    $165.32 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28285

    Office

    $589.86

    Facility

    $387.47

    $46.73 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28285

    Office

    $616.79

    Facility

    $400.89

    $73.66 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28285

    Office

    $601.18

    Facility

    $393.99

    $58.05 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28285

    Office

    $622.92

    Facility

    $404.71

    $79.79 higher than Delaware for the office setting.

  • Stockton

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Vallejo

    California · 28285

    Office

    $658.38

    Facility

    $424.19

    $115.25 higher than Delaware for the office setting.

  • Visalia

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Yuba City

    California · 28285

    Office

    $575.04

    Facility

    $380.29

    $31.91 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28285

    Office

    $568.16

    Facility

    $379.10

    $25.03 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28285

    Office

    $582.99

    Facility

    $391.62

    $39.86 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28285

    Office

    $569.66

    Facility

    $389.65

    $26.53 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28285

    Office

    $543.69

    Facility

    $373.82

    $0.56 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28285

    Office

    $558.67

    Facility

    $378.13

    $15.54 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28285

    Office

    $515.19

    Facility

    $356.69

    $27.94 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28285

    Office

    $586.95

    Facility

    $384.91

    $43.82 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28285

    Office

    $506.66

    Facility

    $344.07

    $36.47 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28285

    Office

    $509.95

    Facility

    $346.48

    $33.18 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28285

    Office

    $541.87

    Facility

    $378.39

    $1.26 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28285

    Office

    $530.11

    Facility

    $367.88

    $13.02 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28285

    Office

    $575.02

    Facility

    $392.53

    $31.89 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28285

    Office

    $512.64

    Facility

    $347.91

    $30.49 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28285

    Office

    $505.08

    Facility

    $344.45

    $38.05 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28285

    Office

    $508.42

    Facility

    $350.45

    $34.71 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28285

    Office

    $530.92

    Facility

    $363.71

    $12.21 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28285

    Office

    $507.93

    Facility

    $350.67

    $35.20 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28285

    Office

    $620.54

    Facility

    $408.38

    $77.41 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28285

    Office

    $565.44

    Facility

    $378.33

    $22.31 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28285

    Office

    $581.44

    Facility

    $390.78

    $38.31 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28285

    Office

    $552.71

    Facility

    $372.89

    $9.58 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28285

    Office

    $513.04

    Facility

    $349.56

    $30.09 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28285

    Office

    $537.70

    Facility

    $361.61

    $5.43 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28285

    Office

    $550.58

    Facility

    $379.11

    $7.45 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28285

    Office

    $521.13

    Facility

    $358.89

    $22.00 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28285

    Office

    $543.86

    Facility

    $361.01

    $0.73 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28285

    Office

    $526.94

    Facility

    $360.09

    $16.19 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28285

    Office

    $531.94

    Facility

    $362.78

    $11.19 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28285

    Office

    $500.34

    Facility

    $347.16

    $42.79 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28285

    Office

    $495.12

    Facility

    $342.13

    $48.01 lower than Delaware for the office setting.

  • Montana**

    Montana · 28285

    Office

    $548.40

    Facility

    $370.71

    $5.27 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28285

    Office

    $517.87

    Facility

    $352.08

    $25.26 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28285

    Office

    $536.14

    Facility

    $358.45

    $6.99 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28285

    Office

    $509.02

    Facility

    $345.01

    $34.11 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28285

    Office

    $559.99

    Facility

    $375.01

    $16.86 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28285

    Office

    $616.53

    Facility

    $410.41

    $73.40 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28285

    Office

    $589.49

    Facility

    $395.44

    $46.36 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28285

    Office

    $524.00

    Facility

    $361.05

    $19.13 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28285

    Office

    $545.33

    Facility

    $367.46

    $2.20 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28285

    Office

    $643.05

    Facility

    $431.78

    $99.92 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28285

    Office

    $593.77

    Facility

    $399.20

    $50.64 higher than Delaware for the office setting.

  • Queens

    New York · 28285

    Office

    $632.05

    Facility

    $422.01

    $88.92 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28285

    Office

    $525.06

    Facility

    $356.25

    $18.07 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28285

    Office

    $518.62

    Facility

    $356.39

    $24.51 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28285

    Office

    $506.94

    Facility

    $348.26

    $36.19 lower than Delaware for the office setting.

  • Portland

    Oregon · 28285

    Office

    $584.33

    Facility

    $386.91

    $41.20 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28285

    Office

    $540.91

    Facility

    $363.93

    $2.22 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28285

    Office

    $569.87

    Facility

    $384.89

    $26.74 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28285

    Office

    $519.04

    Facility

    $355.92

    $24.09 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28285

    Office

    $551.92

    Facility

    $372.28

    $8.79 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28285

    Office

    $561.06

    Facility

    $377.50

    $17.93 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28285

    Office

    $519.14

    Facility

    $354.95

    $23.99 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28285

    Office

    $534.69

    Facility

    $357.00

    $8.44 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28285

    Office

    $507.49

    Facility

    $345.96

    $35.64 lower than Delaware for the office setting.

  • Austin

    Texas · 28285

    Office

    $566.44

    Facility

    $378.44

    $23.31 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28285

    Office

    $515.95

    Facility

    $354.25

    $27.18 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28285

    Office

    $542.25

    Facility

    $366.16

    $0.88 lower than Delaware for the office setting.

  • Dallas

    Texas · 28285

    Office

    $545.77

    Facility

    $368.79

    $2.64 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28285

    Office

    $542.59

    Facility

    $367.39

    $0.54 lower than Delaware for the office setting.

  • Galveston

    Texas · 28285

    Office

    $543.93

    Facility

    $367.48

    $0.80 higher than Delaware for the office setting.

  • Houston

    Texas · 28285

    Office

    $555.28

    Facility

    $378.83

    $12.15 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28285

    Office

    $528.85

    Facility

    $360.22

    $14.28 lower than Delaware for the office setting.

  • Utah

    Utah · 28285

    Office

    $525.65

    Facility

    $358.62

    $17.48 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28285

    Office

    $536.49

    Facility

    $361.82

    $6.64 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28285

    Office

    $551.92

    Facility

    $372.28

    $8.79 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28285

    Office

    $534.77

    Facility

    $358.85

    $8.36 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28285

    Office

    $564.14

    Facility

    $377.03

    $21.01 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28285

    Office

    $632.05

    Facility

    $414.02

    $88.92 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28285

    Office

    $519.64

    Facility

    $349.41

    $23.49 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28285

    Office

    $512.21

    Facility

    $357.80

    $30.92 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28285

    Office

    $543.06

    Facility

    $365.37

    $0.07 lower than Delaware for the office setting.

See how rates vary across the country

28285 · 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.

$489.80

$653.07

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$653.071
AL$496.371
AR$489.801
AZ$534.781
CA$575.04–$711.3229
CO$568.161
CT$582.991
DC$622.021
DE$543.131
FL$543.69–$594.243
GA$515.19–$558.672
GU$586.951
HI$586.951
IA$506.661
ID$509.951
IL$530.11–$578.274
IN$512.641
KS$505.081
KY$508.421
LA$507.93–$530.922
MA$565.44–$620.542
MD$552.71–$622.023
ME$513.04–$537.702
MI$521.13–$550.582
MN$543.861
MO$500.34–$531.943
MS$495.121
MT$548.401
NC$517.871
ND$536.141
NE$509.021
NH$559.991
NJ$589.49–$616.532
NM$524.001
NV$545.331
NY$525.06–$643.055
OH$518.621
OK$506.941
OR$540.91–$584.332
PA$519.04–$569.872
PR$551.921
RI$561.061
SC$519.141
SD$534.691
TN$507.491
TX$515.95–$566.448
UT$525.651
VA$536.49–$622.022
VI$551.921
VT$534.771
WA$564.14–$632.052
WI$519.641
WV$512.211
WY$543.061

Explore 28285 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 28285 in Delaware, the physician’s office rate is $543.13 and the facility-setting rate is $367.57: a difference of $175.56.

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 28285 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$597.44

$543.13 × 110% = $597.44

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.

Compare your contract offer →

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 28285 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,168

Code
28285
Physician work
5.48
Practice expense
10.32
Malpractice
0.62

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28285 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.48× 1.0055.5074
Practice expense10.32× 0.98810.1962
Malpractice0.62× 0.8990.5574
Total RVUs16.2609
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$543.13

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

Open 28285 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.481.005
Practice expense10.320.988
Malpractice0.620.899

(5.48 × 1.005 + 10.32 × 0.988 + 0.62 × 0.899) × $33.4009 = $543.13

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.481.005
Practice expense50.988
Malpractice0.620.899

(5.48 × 1.005 + 5 × 0.988 + 0.62 × 0.899) × $33.4009 = $367.57

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

28285 · Office / nonfacility

$543.13

Effective 2026-10-01

The base rate is $19.77 higher than on 2025-10-01, moving from $523.36 to $543.13 (3.8%).

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

    $523.36changed to$543.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.62 changed to 5.48
    • Practice expense RVU 10.02 changed to 10.32
    • Malpractice RVU 0.60 changed to 0.62
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $523.36

    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$543.13$367.57RVU26D
2026-07-01$543.13$367.57RVU26C
2026-04-01$543.13$367.57RVU26B
2026-01-01$543.13$367.57RVU26A
2025-10-01$523.36$383.46RVU25D
2025-07-01$523.36$383.46RVU25C
2025-04-01$523.36$383.46RVU25B
2025-01-01$523.36$383.46RVU25A

28285 billing questions

How is 28285 different from 28286?

28285 is for hammertoe correction. 28286 describes correction of a cock-up fifth toe, a distinct deformity and procedure.

What documentation supports 28285?

Document the hammertoe deformity, the specific toe and side, and the operative correction performed, such as interphalangeal joint fusion or bone resection.

How should multiple corrected toes be reported?

Report the service for each corrected toe and identify the individual toe and side using the applicable toe modifiers. The operative note should make the treated toes clear.

How does Medicare handle bilateral correction?

CMS identifies this as a bilateral procedure: modifier 50 is paid at 150%. Document the procedures performed on each side.

Is postoperative care included?

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

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeon payment is allowed only with 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 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 28285PPRRVU2026_Oct_nonQPP.csv, line 3,168 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet