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CMS RVU26D · Effective 2026-10-01

28304 in Delaware

Office / nonfacility

$862.17

Base rate per service

Facility setting

$575.40

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 28304: Midfoot tarsal bone osteotomy

A surgeon cuts and reshapes a midfoot tarsal bone, other than the heel or talus, to correct alignment or structural deformity.

This service involves a planned cut in a midfoot tarsal bone, such as a cuneiform, navicular, or cuboid, to change its alignment or shape. Orthopedic foot-and-ankle surgeons and podiatrists perform these procedures to address structural deformity or abnormal foot mechanics, commonly in an operating room. The operated bone distinguishes this service from osteotomy of the calcaneus, talus, or a metatarsal. A tarsal osteotomy with autograft is reported with a different code.

Select this code when the operative work is a midfoot tarsal osteotomy without the autograft service represented by 28305. The operative report should identify the bone and side, the condition being corrected, the osteotomy and correction performed, and whether graft was used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 bilateral procedures are paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 28304

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 RVU9.17 · 35%
  • Practice expense (office) RVU15.47 · 59%
  • Malpractice RVU1.46 · 6%

937

Medicare services in 2024 · #3018 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.

28304 compared with similar codes

Office rates for Delaware, from the same CMS release.

28305

Midfoot osteotomy

With autograft

No office rate

Choose 28304 for a midfoot tarsal osteotomy without the autograft service. Choose 28305 when the tarsal osteotomy includes autograft.

28300

Heel osteotomy

Calcaneus realignment

No office rate

28300 is for an osteotomy of the calcaneus. Use 28304 when the operated bone is a midfoot tarsal bone instead.

28306

Metatarsal osteotomy

First metatarsal

$621.62

28306 applies to first-metatarsal osteotomy. 28304 is for a midfoot tarsal bone, not a metatarsal.

The same code, a different location

How does Delaware compare?

28304 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $862.17

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

    $962.49

    $100.32 higher than Delaware

  3. Dc + Md/Va Suburbs

    $985.79

    $123.62 higher than Delaware

  4. Miami

    $967.51

    $105.34 higher than Delaware

  5. Chicago

    $939.64

    $77.47 higher than Delaware

  6. Manhattan

    $1003.65

    $141.48 higher than Delaware

  7. Alaska*

    $1036.60

    $174.43 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, 28304 ranges from $775.26 in Arkansas to $1111.21 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 · 28304

    Office

    $786.01

    Facility

    $532.04

    $76.16 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28304

    Office

    $775.26

    Facility

    $525.93

    $86.91 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28304

    Office

    $848.72

    Facility

    $567.47

    $13.45 lower than Delaware for the office setting.

  • Bakersfield

    California · 28304

    Office

    $908.12

    Facility

    $590.00

    $45.95 higher than Delaware for the office setting.

  • Chico

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • El Centro

    California · 28304

    Office

    $904.19

    Facility

    $586.07

    $42.02 higher than Delaware for the office setting.

  • Fresno

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Madera

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Merced

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Modesto

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Napa

    California · 28304

    Office

    $1031.38

    Facility

    $648.83

    $169.21 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28304

    Office

    $956.00

    Facility

    $612.92

    $93.83 higher than Delaware for the office setting.

  • Redding

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Rest Of California

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28304

    Office

    $919.71

    Facility

    $601.59

    $57.54 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28304

    Office

    $944.39

    Facility

    $606.82

    $82.22 higher than Delaware for the office setting.

  • Salinas

    California · 28304

    Office

    $940.79

    Facility

    $604.38

    $78.62 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28304

    Office

    $959.89

    Facility

    $612.75

    $97.72 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28304

    Office

    $1086.33

    Facility

    $677.07

    $224.16 higher than Delaware for the office setting.

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

    California · 28304

    Office

    $1084.67

    Facility

    $675.41

    $222.50 higher than Delaware for the office setting.

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

    California · 28304

    Office

    $1111.21

    Facility

    $692.67

    $249.04 higher than Delaware for the office setting.

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

    California · 28304

    Office

    $1104.44

    Facility

    $685.89

    $242.27 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28304

    Office

    $926.17

    Facility

    $595.57

    $64.00 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28304

    Office

    $966.66

    Facility

    $614.00

    $104.49 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28304

    Office

    $943.49

    Facility

    $605.05

    $81.32 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28304

    Office

    $976.14

    Facility

    $619.70

    $113.97 higher than Delaware for the office setting.

  • Stockton

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Vallejo

    California · 28304

    Office

    $1028.99

    Facility

    $646.44

    $166.82 higher than Delaware for the office setting.

  • Visalia

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Yuba City

    California · 28304

    Office

    $903.95

    Facility

    $585.83

    $41.78 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28304

    Office

    $897.83

    Facility

    $589.00

    $35.66 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28304

    Office

    $927.92

    Facility

    $615.31

    $65.75 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28304

    Office

    $917.88

    Facility

    $623.86

    $55.71 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28304

    Office

    $873.56

    Facility

    $596.07

    $11.39 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28304

    Office

    $890.75

    Facility

    $595.85

    $28.58 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28304

    Office

    $825.32

    Facility

    $566.42

    $36.85 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28304

    Office

    $922.02

    Facility

    $592.00

    $59.85 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28304

    Office

    $798.44

    Facility

    $532.86

    $63.73 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28304

    Office

    $804.73

    Facility

    $537.69

    $57.44 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28304

    Office

    $879.87

    Facility

    $612.84

    $17.70 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28304

    Office

    $854.26

    Facility

    $589.26

    $7.91 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28304

    Office

    $925.51

    Facility

    $627.41

    $63.34 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28304

    Office

    $808.98

    Facility

    $539.91

    $53.19 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28304

    Office

    $797.97

    Facility

    $535.58

    $64.20 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28304

    Office

    $810.26

    Facility

    $552.23

    $51.91 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28304

    Office

    $847.91

    Facility

    $574.78

    $14.26 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28304

    Office

    $810.29

    Facility

    $553.42

    $51.88 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28304

    Office

    $979.20

    Facility

    $632.64

    $117.03 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28304

    Office

    $894.15

    Facility

    $588.51

    $31.98 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28304

    Office

    $925.94

    Facility

    $614.50

    $63.77 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28304

    Office

    $877.03

    Facility

    $583.29

    $14.86 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28304

    Office

    $811.99

    Facility

    $544.96

    $50.18 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28304

    Office

    $849.12

    Facility

    $561.48

    $13.05 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28304

    Office

    $887.13

    Facility

    $607.04

    $24.96 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28304

    Office

    $833.10

    Facility

    $568.10

    $29.07 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28304

    Office

    $852.42

    Facility

    $553.75

    $9.75 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28304

    Office

    $839.12

    Facility

    $566.57

    $23.05 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28304

    Office

    $847.06

    Facility

    $570.74

    $15.11 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28304

    Office

    $799.19

    Facility

    $548.99

    $62.98 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28304

    Office

    $787.21

    Facility

    $537.30

    $74.96 lower than Delaware for the office setting.

  • Montana**

    Montana · 28304

    Office

    $871.67

    Facility

    $581.41

    $9.50 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28304

    Office

    $819.54

    Facility

    $548.73

    $42.63 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28304

    Office

    $842.80

    Facility

    $552.54

    $19.37 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28304

    Office

    $801.64

    Facility

    $533.74

    $60.53 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28304

    Office

    $886.85

    Facility

    $584.70

    $24.68 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28304

    Office

    $977.05

    Facility

    $640.36

    $114.88 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28304

    Office

    $936.28

    Facility

    $619.33

    $74.11 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28304

    Office

    $838.68

    Facility

    $572.52

    $23.49 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28304

    Office

    $864.14

    Facility

    $573.59

    $1.97 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28304

    Office

    $1030.82

    Facility

    $685.70

    $168.65 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28304

    Office

    $944.87

    Facility

    $627.05

    $82.70 higher than Delaware for the office setting.

  • Queens

    New York · 28304

    Office

    $1006.96

    Facility

    $663.88

    $144.79 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28304

    Office

    $831.44

    Facility

    $555.70

    $30.73 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28304

    Office

    $827.20

    Facility

    $562.20

    $34.97 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28304

    Office

    $805.60

    Facility

    $546.40

    $56.57 lower than Delaware for the office setting.

  • Portland

    Oregon · 28304

    Office

    $921.54

    Facility

    $599.06

    $59.37 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28304

    Office

    $855.21

    Facility

    $566.12

    $6.96 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28304

    Office

    $907.87

    Facility

    $605.72

    $45.70 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28304

    Office

    $826.71

    Facility

    $560.26

    $35.46 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28304

    Office

    $876.72

    Facility

    $583.27

    $14.55 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28304

    Office

    $889.37

    Facility

    $589.54

    $27.20 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28304

    Office

    $825.18

    Facility

    $556.98

    $36.99 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28304

    Office

    $839.38

    Facility

    $549.13

    $22.79 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28304

    Office

    $802.16

    Facility

    $538.32

    $60.01 lower than Delaware for the office setting.

  • Austin

    Texas · 28304

    Office

    $896.79

    Facility

    $589.70

    $34.62 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28304

    Office

    $821.80

    Facility

    $557.67

    $40.37 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28304

    Office

    $858.84

    Facility

    $571.19

    $3.33 lower than Delaware for the office setting.

  • Dallas

    Texas · 28304

    Office

    $865.53

    Facility

    $576.44

    $3.36 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28304

    Office

    $861.00

    Facility

    $574.81

    $1.17 lower than Delaware for the office setting.

  • Galveston

    Texas · 28304

    Office

    $862.21

    Facility

    $573.99

    $0.04 higher than Delaware for the office setting.

  • Houston

    Texas · 28304

    Office

    $888.93

    Facility

    $600.71

    $26.76 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28304

    Office

    $840.68

    Facility

    $565.23

    $21.49 lower than Delaware for the office setting.

  • Utah

    Utah · 28304

    Office

    $835.79

    Facility

    $562.95

    $26.38 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28304

    Office

    $848.64

    Facility

    $563.32

    $13.53 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28304

    Office

    $876.72

    Facility

    $583.27

    $14.55 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28304

    Office

    $842.51

    Facility

    $555.16

    $19.66 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28304

    Office

    $891.48

    Facility

    $585.84

    $29.31 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28304

    Office

    $995.45

    Facility

    $639.31

    $133.28 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28304

    Office

    $816.32

    Facility

    $538.25

    $45.85 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28304

    Office

    $825.09

    Facility

    $572.86

    $37.08 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28304

    Office

    $859.08

    Facility

    $568.83

    $3.09 lower than Delaware for the office setting.

See how rates vary across the country

28304 · 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.

$775.26

$1,036.60

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,036.601
AL$786.011
AR$775.261
AZ$848.721
CA$903.95–$1,111.2129
CO$897.831
CT$927.921
DC$985.791
DE$862.171
FL$873.56–$967.513
GA$825.32–$890.752
GU$922.021
HI$922.021
IA$798.441
ID$804.731
IL$854.26–$939.644
IN$808.981
KS$797.971
KY$810.261
LA$810.29–$847.912
MA$894.15–$979.202
MD$877.03–$985.793
ME$811.99–$849.122
MI$833.10–$887.132
MN$852.421
MO$799.19–$847.063
MS$787.211
MT$871.671
NC$819.541
ND$842.801
NE$801.641
NH$886.851
NJ$936.28–$977.052
NM$838.681
NV$864.141
NY$831.44–$1,030.825
OH$827.201
OK$805.601
OR$855.21–$921.542
PA$826.71–$907.872
PR$876.721
RI$889.371
SC$825.181
SD$839.381
TN$802.161
TX$821.80–$896.798
UT$835.791
VA$848.64–$985.792
VI$876.721
VT$842.511
WA$891.48–$995.452
WI$816.321
WV$825.091
WY$859.081

Explore 28304 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 28304 in Delaware, the physician’s office rate is $862.17 and the facility-setting rate is $575.40: a difference of $286.77.

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 28304 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$948.39

$862.17 × 110% = $948.39

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 28304 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,181

Code
28304
Physician work
9.17
Practice expense
15.47
Malpractice
1.46

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28304 in Delaware
ComponentRVULocality factorAdjusted
Physician work9.17× 1.0059.2158
Practice expense15.47× 0.98815.2844
Malpractice1.46× 0.8991.3125
Total RVUs25.8128
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$862.17

Open 28304 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work9.171.005
Practice expense15.470.988
Malpractice1.460.899

(9.17 × 1.005 + 15.47 × 0.988 + 1.46 × 0.899) × $33.4009 = $862.17

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.171.005
Practice expense6.780.988
Malpractice1.460.899

(9.17 × 1.005 + 6.78 × 0.988 + 1.46 × 0.899) × $33.4009 = $575.40

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

28304 · Office / nonfacility

$862.17

Effective 2026-10-01

The base rate is $58.94 higher than on 2025-10-01, moving from $803.23 to $862.17 (7.3%).

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

    $803.23changed to$862.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.41 changed to 9.17
    • Practice expense RVU 14.16 changed to 15.47
    • Malpractice RVU 1.36 changed to 1.46
    • 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: $803.23

    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$862.17$575.40RVU26D
2026-07-01$862.17$575.40RVU26C
2026-04-01$862.17$575.40RVU26B
2026-01-01$862.17$575.40RVU26A
2025-10-01$803.23$605.57RVU25D
2025-07-01$803.23$605.57RVU25C
2025-04-01$803.23$605.57RVU25B
2025-01-01$803.23$605.57RVU25A

28304 billing questions

How does 28304 differ from 28305?

Both describe osteotomy of a midfoot tarsal bone other than the calcaneus or talus. Use 28305 when the tarsal osteotomy includes autograft; 28304 is the option without that graft service.

Which bone determines whether this code applies?

The osteotomy must involve a midfoot tarsal bone, such as a cuneiform, navicular, or cuboid. A calcaneal, talar, or metatarsal osteotomy belongs to a different code.

What should the operative report document?

Document the specific bone and side, the deformity or alignment problem, the osteotomy and correction performed, and whether autograft was used.

How is a bilateral procedure handled under the CMS facts?

A bilateral procedure reported with modifier 50 is paid at 150%.

What postoperative care is included in the global period?

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

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeons are paid 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 28304PPRRVU2026_Oct_nonQPP.csv, line 3,181 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet