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CMS RVU26D · Effective 2026-10-01

28308 in Delaware

Office / nonfacility

$579.50

Base rate per service

Facility setting

$368.30

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 28308: Lesser metatarsal osteotomy

Reports an osteotomy of a lesser metatarsal to change its length or alignment, commonly for a structural forefoot problem such as metatarsalgia.

A foot and ankle orthopedic surgeon or podiatric surgeon cuts a metatarsal other than the first to change its length or alignment. The procedure may address a lesser metatarsal that contributes to forefoot pain or abnormal pressure, including metatarsalgia associated with a long or malaligned bone. The bone may be repositioned and stabilized as part of the correction. These operations are commonly performed in an ambulatory surgery center or hospital outpatient department; some are done in an office-based surgical setting.

Select this code for an osteotomy of a lesser metatarsal, rather than an osteotomy of the first metatarsal or a multiple-metatarsal realignment procedure. Document the specific bone, the reason for changing its length or alignment, and the work performed; report the treated lesser metatarsal count as supported by the operative record. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

CMS billing rules for 28308

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 RVU5.34 · 30%
  • Practice expense (office) RVU11.51 · 66%
  • Malpractice RVU0.68 · 4%

26K

Medicare services in 2024 · #1034 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.

28308 compared with similar codes

Office rates for Delaware, from the same CMS release.

28306

Metatarsal osteotomy

First metatarsal

$621.62

Choose 28306 when the osteotomy involves the first metatarsal. Code 28308 is for a metatarsal other than the first.

28307

Metatarsal osteotomy

With autograft

$834.19

28307 involves a first-metatarsal osteotomy with an autogenous graft. It is not the code for an osteotomy of a lesser metatarsal.

28309

Metatarsal osteotomy

Multiple metatarsals

No office rate

28309 applies to multiple metatarsal osteotomies with realignment. Distinguish it from 28308 by the number and nature of the osteotomies documented.

The same code, a different location

How does Delaware compare?

28308 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $579.50

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

    $655.55

    $76.05 higher than Delaware

  3. Dc + Md/Va Suburbs

    $666.15

    $86.65 higher than Delaware

  4. Miami

    $636.01

    $56.51 higher than Delaware

  5. Chicago

    $618.10

    $38.60 higher than Delaware

  6. Manhattan

    $672.52

    $93.02 higher than Delaware

  7. Alaska*

    $689.49

    $109.99 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, 28308 ranges from $520.30 in Arkansas to $764.52 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 · 28308

    Office

    $527.60

    Facility

    $340.56

    $51.90 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28308

    Office

    $520.30

    Facility

    $336.67

    $59.20 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28308

    Office

    $570.33

    Facility

    $363.19

    $9.17 lower than Delaware for the office setting.

  • Bakersfield

    California · 28308

    Office

    $616.93

    Facility

    $382.65

    $37.43 higher than Delaware for the office setting.

  • Chico

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • El Centro

    California · 28308

    Office

    $615.03

    Facility

    $380.74

    $35.53 higher than Delaware for the office setting.

  • Fresno

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Madera

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Merced

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Modesto

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Napa

    California · 28308

    Office

    $707.83

    Facility

    $426.09

    $128.33 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28308

    Office

    $651.92

    Facility

    $399.25

    $72.42 higher than Delaware for the office setting.

  • Redding

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Rest Of California

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28308

    Office

    $622.30

    Facility

    $388.01

    $42.80 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28308

    Office

    $644.06

    Facility

    $395.45

    $64.56 higher than Delaware for the office setting.

  • Salinas

    California · 28308

    Office

    $641.63

    Facility

    $393.88

    $62.13 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28308

    Office

    $655.82

    Facility

    $400.15

    $76.32 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28308

    Office

    $747.80

    Facility

    $446.39

    $168.30 higher than Delaware for the office setting.

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

    California · 28308

    Office

    $747.02

    Facility

    $445.61

    $167.52 higher than Delaware for the office setting.

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

    California · 28308

    Office

    $764.52

    Facility

    $456.27

    $185.02 higher than Delaware for the office setting.

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

    California · 28308

    Office

    $761.37

    Facility

    $453.12

    $181.87 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28308

    Office

    $631.45

    Facility

    $387.97

    $51.95 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28308

    Office

    $661.38

    Facility

    $401.65

    $81.88 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28308

    Office

    $643.79

    Facility

    $394.54

    $64.29 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28308

    Office

    $667.98

    Facility

    $405.48

    $88.48 higher than Delaware for the office setting.

  • Stockton

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Vallejo

    California · 28308

    Office

    $706.72

    Facility

    $424.98

    $127.22 higher than Delaware for the office setting.

  • Visalia

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Yuba City

    California · 28308

    Office

    $614.92

    Facility

    $380.63

    $35.42 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28308

    Office

    $607.29

    Facility

    $379.84

    $27.79 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28308

    Office

    $623.46

    Facility

    $393.23

    $43.96 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28308

    Office

    $608.87

    Facility

    $392.32

    $29.37 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28308

    Office

    $580.03

    Facility

    $375.67

    $0.53 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28308

    Office

    $596.77

    Facility

    $379.58

    $17.27 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28308

    Office

    $548.36

    Facility

    $357.68

    $31.14 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28308

    Office

    $628.62

    Facility

    $385.57

    $49.12 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28308

    Office

    $539.14

    Facility

    $343.55

    $40.36 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28308

    Office

    $542.79

    Facility

    $346.13

    $36.71 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28308

    Office

    $577.79

    Facility

    $381.13

    $1.71 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28308

    Office

    $564.86

    Facility

    $369.69

    $14.64 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28308

    Office

    $614.68

    Facility

    $395.14

    $35.18 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28308

    Office

    $545.78

    Facility

    $347.62

    $33.72 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28308

    Office

    $537.35

    Facility

    $344.10

    $42.15 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28308

    Office

    $540.91

    Facility

    $350.88

    $38.59 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28308

    Office

    $565.92

    Facility

    $364.77

    $13.58 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28308

    Office

    $540.35

    Facility

    $351.17

    $39.15 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28308

    Office

    $664.91

    Facility

    $409.68

    $85.41 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28308

    Office

    $604.14

    Facility

    $379.04

    $24.64 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28308

    Office

    $621.82

    Facility

    $392.45

    $42.32 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28308

    Office

    $590.05

    Facility

    $373.72

    $10.55 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28308

    Office

    $546.18

    Facility

    $349.51

    $33.32 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28308

    Office

    $573.68

    Facility

    $361.83

    $5.82 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28308

    Office

    $587.64

    Facility

    $381.36

    $8.14 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28308

    Office

    $555.00

    Facility

    $359.83

    $24.50 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28308

    Office

    $580.68

    Facility

    $360.71

    $1.18 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28308

    Office

    $561.54

    Facility

    $360.82

    $17.96 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28308

    Office

    $567.11

    Facility

    $363.60

    $12.39 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28308

    Office

    $531.87

    Facility

    $347.61

    $47.63 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28308

    Office

    $526.15

    Facility

    $342.10

    $53.35 lower than Delaware for the office setting.

  • Montana**

    Montana · 28308

    Office

    $585.47

    Facility

    $371.71

    $5.97 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28308

    Office

    $551.56

    Facility

    $352.12

    $27.94 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28308

    Office

    $572.03

    Facility

    $358.26

    $7.47 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28308

    Office

    $541.79

    Facility

    $344.48

    $37.71 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28308

    Office

    $598.44

    Facility

    $375.91

    $18.94 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28308

    Office

    $659.81

    Facility

    $411.84

    $80.31 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28308

    Office

    $630.22

    Facility

    $396.79

    $50.72 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28308

    Office

    $558.17

    Facility

    $362.15

    $21.33 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28308

    Office

    $582.11

    Facility

    $368.13

    $2.61 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28308

    Office

    $689.06

    Facility

    $434.89

    $109.56 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28308

    Office

    $634.84

    Facility

    $400.76

    $55.34 higher than Delaware for the office setting.

  • Queens

    New York · 28308

    Office

    $676.94

    Facility

    $424.27

    $97.44 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28308

    Office

    $559.55

    Facility

    $356.47

    $19.95 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28308

    Office

    $552.25

    Facility

    $357.08

    $27.25 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28308

    Office

    $539.32

    Facility

    $348.42

    $40.18 lower than Delaware for the office setting.

  • Portland

    Oregon · 28308

    Office

    $625.23

    Facility

    $387.74

    $45.73 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28308

    Office

    $577.23

    Facility

    $364.32

    $2.27 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28308

    Office

    $608.87

    Facility

    $386.34

    $29.37 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28308

    Office

    $552.74

    Facility

    $356.51

    $26.76 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28308

    Office

    $589.41

    Facility

    $373.29

    $9.91 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28308

    Office

    $599.14

    Facility

    $378.32

    $19.64 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28308

    Office

    $552.89

    Facility

    $355.37

    $26.61 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28308

    Office

    $570.44

    Facility

    $356.67

    $9.06 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28308

    Office

    $540.02

    Facility

    $345.70

    $39.48 lower than Delaware for the office setting.

  • Austin

    Texas · 28308

    Office

    $605.58

    Facility

    $379.42

    $26.08 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28308

    Office

    $549.31

    Facility

    $354.78

    $30.19 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28308

    Office

    $578.49

    Facility

    $366.65

    $1.01 lower than Delaware for the office setting.

  • Dallas

    Texas · 28308

    Office

    $582.36

    Facility

    $369.45

    $2.86 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28308

    Office

    $578.81

    Facility

    $368.04

    $0.69 lower than Delaware for the office setting.

  • Galveston

    Texas · 28308

    Office

    $580.35

    Facility

    $368.08

    $0.85 higher than Delaware for the office setting.

  • Houston

    Texas · 28308

    Office

    $592.79

    Facility

    $380.52

    $13.29 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28308

    Office

    $563.71

    Facility

    $360.84

    $15.79 lower than Delaware for the office setting.

  • Utah

    Utah · 28308

    Office

    $560.13

    Facility

    $359.19

    $19.37 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28308

    Office

    $572.30

    Facility

    $362.17

    $7.20 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28308

    Office

    $589.41

    Facility

    $373.29

    $9.91 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28308

    Office

    $570.45

    Facility

    $358.83

    $9.05 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28308

    Office

    $602.78

    Facility

    $377.69

    $23.28 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28308

    Office

    $677.55

    Facility

    $415.26

    $98.05 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28308

    Office

    $553.65

    Facility

    $348.87

    $25.85 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28308

    Office

    $544.94

    Facility

    $359.18

    $34.56 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28308

    Office

    $579.61

    Facility

    $365.85

    $0.11 higher than Delaware for the office setting.

See how rates vary across the country

28308 · 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.

$520.30

$689.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$689.491
AL$527.601
AR$520.301
AZ$570.331
CA$614.92–$764.5229
CO$607.291
CT$623.461
DC$666.151
DE$579.501
FL$580.03–$636.013
GA$548.36–$596.772
GU$628.621
HI$628.621
IA$539.141
ID$542.791
IL$564.86–$618.104
IN$545.781
KS$537.351
KY$540.911
LA$540.35–$565.922
MA$604.14–$664.912
MD$590.05–$666.153
ME$546.18–$573.682
MI$555.00–$587.642
MN$580.681
MO$531.87–$567.113
MS$526.151
MT$585.471
NC$551.561
ND$572.031
NE$541.791
NH$598.441
NJ$630.22–$659.812
NM$558.171
NV$582.111
NY$559.55–$689.065
OH$552.251
OK$539.321
OR$577.23–$625.232
PA$552.74–$608.872
PR$589.411
RI$599.141
SC$552.891
SD$570.441
TN$540.021
TX$549.31–$605.588
UT$560.131
VA$572.30–$666.152
VI$589.411
VT$570.451
WA$602.78–$677.552
WI$553.651
WV$544.941
WY$579.611

Explore 28308 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 28308 in Delaware, the physician’s office rate is $579.50 and the facility-setting rate is $368.30: a difference of $211.20.

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 28308 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$637.45

$579.50 × 110% = $637.45

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 28308 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,185

Code
28308
Physician work
5.34
Practice expense
11.51
Malpractice
0.68

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28308 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.34× 1.0055.3667
Practice expense11.51× 0.98811.3719
Malpractice0.68× 0.8990.6113
Total RVUs17.3499
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$579.50

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

Open 28308 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.341.005
Practice expense11.510.988
Malpractice0.680.899

(5.34 × 1.005 + 11.51 × 0.988 + 0.68 × 0.899) × $33.4009 = $579.50

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.341.005
Practice expense5.110.988
Malpractice0.680.899

(5.34 × 1.005 + 5.11 × 0.988 + 0.68 × 0.899) × $33.4009 = $368.30

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

28308 · Office / nonfacility

$579.50

Effective 2026-10-01

The base rate is $28.69 higher than on 2025-10-01, moving from $550.81 to $579.50 (5.2%).

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

    $550.81changed to$579.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.48 changed to 5.34
    • Practice expense RVU 10.97 changed to 11.51
    • Malpractice RVU 0.65 changed to 0.68
    • 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: $550.81

    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$579.50$368.30RVU26D
2026-07-01$579.50$368.30RVU26C
2026-04-01$579.50$368.30RVU26B
2026-01-01$579.50$368.30RVU26A
2025-10-01$550.81$382.99RVU25D
2025-07-01$550.81$382.99RVU25C
2025-04-01$550.81$382.99RVU25B
2025-01-01$550.81$382.99RVU25A

28308 billing questions

How does this differ from 28306?

28306 is for an osteotomy of the first metatarsal. Use 28308 when the osteotomy is on a metatarsal other than the first.

When would 28309 be considered instead?

28309 describes multiple metatarsal osteotomies with realignment. Use 28308 for an individual lesser-metatarsal osteotomy when the operative work does not meet that multiple-osteotomy description.

What should the operative report document?

Document which lesser metatarsal was treated, the structural problem prompting the procedure, and the osteotomy and resulting change in length or alignment. The record should support the number of metatarsals reported.

Are related postoperative visits separately included?

The 90-day global period includes related postoperative care, as well as the day-before preoperative visit. Services unrelated to the surgery are not described by that global-care rule.

How is bilateral surgery reported under these CMS facts?

For a bilateral procedure, modifier 50 is paid at 150%. The operative documentation should support treatment on both sides.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment 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 28308PPRRVU2026_Oct_nonQPP.csv, line 3,185 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet