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CMS RVU26D · Effective 2026-10-01

28116 in El Centro

Office / nonfacility

$697.84

Base rate per service

Facility setting

$494.67

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 28116: Tarsal coalition resection

Resection of a tarsal coalition is reported when a surgeon removes an abnormal connection between foot bones, such as a calcaneonavicular or talocalcaneal coalition.

A foot and ankle orthopedic surgeon or podiatric surgeon uses this service to remove a bridge connecting tarsal bones, often for a symptomatic coalition that restricts hindfoot motion or causes pain. Common examples include calcaneonavicular and talocalcaneal coalitions. The procedure may include interposition of tissue or another material between the bones, or be performed without interposition.

Report the code for the coalition resection, whether or not interposition is used. The operative report should identify the coalition, the bones involved, the resection performed, and whether interposition was used. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 28116

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU8.91 · 44%
  • Practice expense (office) RVU10.42 · 52%
  • Malpractice RVU0.76 · 4%

121

Medicare services in 2024 · #4733 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.

28116 compared with similar codes

Office rates for El Centro, from the same CMS release.

28120

Bone excision

Talus or calcaneus

$716.04

28120 describes partial excision of the talus or calcaneus. Use 28116 when removing a tarsal coalition, rather than excising bone for another indication.

28122

Tarsal bone excision

Other tarsal bones

$625.44

28122 describes partial excision of a tarsal or metatarsal bone other than the talus or calcaneus. It is not the specific code for coalition resection.

28725

Subtalar fusion

Single subtalar joint

No office rate

28725 describes subtalar arthrodesis, which fuses the joint. Code 28116 describes resection of a coalition rather than joint fusion.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 28116 is $700.16—$2.32 higher than the $697.84 rate in El Centro. Both use the same code, release and participation basis.

28116 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $697.84

  2. Bakersfield

    $700.16

    $2.32 higher than El Centro

  3. Chico

    $697.72

    $0.12 lower than El Centro

  4. Fresno

    $697.72

    $0.12 lower than El Centro

  5. Hanford-Corcoran

    $697.72

    $0.12 lower than El Centro

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

    $738.39

    $40.55 higher than El Centro

  7. Madera

    $697.72

    $0.12 lower than El Centro

Other payment areas listed in California 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, 28116 ranges from $609.64 in Arkansas to $845.81 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

  • Merced

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Modesto

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Napa

    California · 28116

    Office

    $787.96

    Facility

    $543.64

    $90.12 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28116

    Office

    $733.13

    Facility

    $514.02

    $35.29 higher than El Centro for the office setting.

  • Redding

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Rest Of California

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28116

    Office

    $706.06

    Facility

    $502.89

    $8.22 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28116

    Office

    $726.69

    Facility

    $511.10

    $28.85 higher than El Centro for the office setting.

  • Salinas

    California · 28116

    Office

    $723.81

    Facility

    $508.96

    $25.97 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28116

    Office

    $736.54

    Facility

    $514.83

    $38.70 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28116

    Office

    $828.26

    Facility

    $566.88

    $130.42 higher than El Centro for the office setting.

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

    California · 28116

    Office

    $827.40

    Facility

    $566.02

    $129.56 higher than El Centro for the office setting.

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

    California · 28116

    Office

    $845.81

    Facility

    $578.50

    $147.97 higher than El Centro for the office setting.

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

    California · 28116

    Office

    $842.29

    Facility

    $574.98

    $144.45 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28116

    Office

    $712.68

    Facility

    $501.54

    $14.84 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 28116

    Office

    $740.32

    Facility

    $515.09

    $42.48 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 28116

    Office

    $725.35

    Facility

    $509.21

    $27.51 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 28116

    Office

    $747.53

    Facility

    $519.89

    $49.69 higher than El Centro for the office setting.

  • Stockton

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Vallejo

    California · 28116

    Office

    $786.72

    Facility

    $542.39

    $88.88 higher than El Centro for the office setting.

  • Visalia

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Yuba City

    California · 28116

    Office

    $697.72

    Facility

    $494.55

    $0.12 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28116

    Office

    $751.91

    Facility

    $533.54

    $54.07 higher than El Centro for the office setting.

  • Miami

    Florida · 28116

    Office

    $724.11

    Facility

    $531.13

    $26.27 higher than El Centro for the office setting.

  • Chicago

    Illinois · 28116

    Office

    $707.72

    Facility

    $521.42

    $9.88 higher than El Centro for the office setting.

  • Manhattan

    New York · 28116

    Office

    $761.33

    Facility

    $545.92

    $63.49 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 28116

    Office

    $831.05

    Facility

    $633.63

    $133.21 higher than El Centro for the office setting.

  • Alabama

    Alabama · 28116

    Office

    $616.50

    Facility

    $454.30

    $81.34 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 28116

    Office

    $609.64

    Facility

    $450.40

    $88.20 lower than El Centro for the office setting.

  • Arizona

    Arizona · 28116

    Office

    $656.58

    Facility

    $476.95

    $41.26 lower than El Centro for the office setting.

  • Colorado

    Colorado · 28116

    Office

    $691.31

    Facility

    $494.07

    $6.53 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 28116

    Office

    $709.11

    Facility

    $509.46

    $11.27 higher than El Centro for the office setting.

  • Delaware

    Delaware · 28116

    Office

    $665.77

    Facility

    $482.62

    $32.07 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 28116

    Office

    $696.06

    Facility

    $508.27

    $1.78 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 28116

    Office

    $668.48

    Facility

    $491.26

    $29.36 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 28116

    Office

    $682.59

    Facility

    $494.25

    $15.25 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 28116

    Office

    $638.31

    Facility

    $472.96

    $59.53 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 28116

    Office

    $708.02

    Facility

    $497.25

    $10.18 higher than El Centro for the office setting.

  • Iowa

    Iowa · 28116

    Office

    $626.13

    Facility

    $456.52

    $71.71 lower than El Centro for the office setting.

  • Idaho

    Idaho · 28116

    Office

    $629.80

    Facility

    $459.26

    $68.04 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 28116

    Office

    $668.92

    Facility

    $498.38

    $28.92 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 28116

    Office

    $655.04

    Facility

    $485.79

    $42.80 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 28116

    Office

    $702.10

    Facility

    $511.72

    $4.26 higher than El Centro for the office setting.

  • Indiana

    Indiana · 28116

    Office

    $632.57

    Facility

    $460.73

    $65.27 lower than El Centro for the office setting.

  • Kansas

    Kansas · 28116

    Office

    $625.02

    Facility

    $457.44

    $72.82 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 28116

    Office

    $630.23

    Facility

    $465.44

    $67.61 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 28116

    Office

    $653.94

    Facility

    $479.50

    $43.90 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 28116

    Office

    $629.93

    Facility

    $465.88

    $67.91 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 28116

    Office

    $747.95

    Facility

    $526.61

    $50.11 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28116

    Office

    $689.08

    Facility

    $493.88

    $8.76 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28116

    Office

    $707.21

    Facility

    $508.30

    $9.37 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 28116

    Office

    $676.10

    Facility

    $488.50

    $21.74 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 28116

    Office

    $633.59

    Facility

    $463.04

    $64.25 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 28116

    Office

    $658.52

    Facility

    $474.82

    $39.32 lower than El Centro for the office setting.

  • Detroit

    Michigan · 28116

    Office

    $676.26

    Facility

    $497.37

    $21.58 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 28116

    Office

    $644.02

    Facility

    $474.77

    $53.82 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 28116

    Office

    $663.25

    Facility

    $472.50

    $34.59 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 28116

    Office

    $649.21

    Facility

    $475.14

    $48.63 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 28116

    Office

    $654.37

    Facility

    $477.89

    $43.47 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 28116

    Office

    $622.33

    Facility

    $462.54

    $75.51 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 28116

    Office

    $616.02

    Facility

    $456.41

    $81.82 lower than El Centro for the office setting.

  • Montana**

    Montana · 28116

    Office

    $670.97

    Facility

    $485.60

    $26.87 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 28116

    Office

    $638.54

    Facility

    $465.59

    $59.30 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 28116

    Office

    $655.95

    Facility

    $470.57

    $41.89 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 28116

    Office

    $628.44

    Facility

    $457.33

    $69.40 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 28116

    Office

    $682.12

    Facility

    $489.15

    $15.72 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 28116

    Office

    $747.19

    Facility

    $532.15

    $49.35 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 28116

    Office

    $717.41

    Facility

    $514.98

    $19.57 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 28116

    Office

    $647.24

    Facility

    $477.25

    $50.60 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 28116

    Office

    $667.13

    Facility

    $481.57

    $30.71 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28116

    Office

    $777.60

    Facility

    $557.19

    $79.76 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28116

    Office

    $722.81

    Facility

    $519.82

    $24.97 higher than El Centro for the office setting.

  • Queens

    New York · 28116

    Office

    $764.63

    Facility

    $545.52

    $66.79 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 28116

    Office

    $646.08

    Facility

    $469.98

    $51.76 lower than El Centro for the office setting.

  • Ohio

    Ohio · 28116

    Office

    $640.95

    Facility

    $471.70

    $56.89 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 28116

    Office

    $628.12

    Facility

    $462.58

    $69.72 lower than El Centro for the office setting.

  • Portland

    Oregon · 28116

    Office

    $707.92

    Facility

    $501.97

    $10.08 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 28116

    Office

    $662.09

    Facility

    $477.46

    $35.75 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28116

    Office

    $695.55

    Facility

    $502.57

    $2.29 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28116

    Office

    $641.09

    Facility

    $470.91

    $56.75 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 28116

    Office

    $674.47

    Facility

    $487.06

    $23.37 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 28116

    Office

    $685.42

    Facility

    $493.93

    $12.42 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 28116

    Office

    $640.77

    Facility

    $469.48

    $57.07 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 28116

    Office

    $654.17

    Facility

    $468.79

    $43.67 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 28116

    Office

    $627.60

    Facility

    $459.09

    $70.24 lower than El Centro for the office setting.

  • Austin

    Texas · 28116

    Office

    $688.91

    Facility

    $492.78

    $8.93 lower than El Centro for the office setting.

  • Beaumont

    Texas · 28116

    Office

    $637.90

    Facility

    $469.21

    $59.94 lower than El Centro for the office setting.

  • Brazoria

    Texas · 28116

    Office

    $664.69

    Facility

    $480.98

    $33.15 lower than El Centro for the office setting.

  • Dallas

    Texas · 28116

    Office

    $668.71

    Facility

    $484.07

    $29.13 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 28116

    Office

    $665.56

    Facility

    $482.78

    $32.28 lower than El Centro for the office setting.

  • Galveston

    Texas · 28116

    Office

    $666.60

    Facility

    $482.53

    $31.24 lower than El Centro for the office setting.

  • Houston

    Texas · 28116

    Office

    $680.51

    Facility

    $496.44

    $17.33 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 28116

    Office

    $650.81

    Facility

    $474.89

    $47.03 lower than El Centro for the office setting.

  • Utah

    Utah · 28116

    Office

    $647.55

    Facility

    $473.30

    $50.29 lower than El Centro for the office setting.

  • Virginia

    Virginia · 28116

    Office

    $657.64

    Facility

    $475.42

    $40.20 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28116

    Office

    $674.47

    Facility

    $487.06

    $23.37 lower than El Centro for the office setting.

  • Vermont

    Vermont · 28116

    Office

    $655.00

    Facility

    $471.48

    $42.84 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 28116

    Office

    $687.27

    Facility

    $492.07

    $10.57 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 28116

    Office

    $760.26

    Facility

    $532.81

    $62.42 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 28116

    Office

    $638.84

    Facility

    $461.25

    $59.00 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 28116

    Office

    $636.37

    Facility

    $475.28

    $61.47 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 28116

    Office

    $664.42

    Facility

    $479.05

    $33.42 lower than El Centro for the office setting.

See how rates vary across the country

28116 · 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.

$609.64

$831.05

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$831.051
AL$616.501
AR$609.641
AZ$656.581
CA$697.72–$845.8129
CO$691.311
CT$709.111
DC$751.911
DE$665.771
FL$668.48–$724.113
GA$638.31–$682.592
GU$708.021
HI$708.021
IA$626.131
ID$629.801
IL$655.04–$707.724
IN$632.571
KS$625.021
KY$630.231
LA$629.93–$653.942
MA$689.08–$747.952
MD$676.10–$751.913
ME$633.59–$658.522
MI$644.02–$676.262
MN$663.251
MO$622.33–$654.373
MS$616.021
MT$670.971
NC$638.541
ND$655.951
NE$628.441
NH$682.121
NJ$717.41–$747.192
NM$647.241
NV$667.131
NY$646.08–$777.605
OH$640.951
OK$628.121
OR$662.09–$707.922
PA$641.09–$695.552
PR$674.471
RI$685.421
SC$640.771
SD$654.171
TN$627.601
TX$637.90–$688.918
UT$647.551
VA$657.64–$751.912
VI$674.471
VT$655.001
WA$687.27–$760.262
WI$638.841
WV$636.371
WY$664.421

Explore 28116 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 28116 in El Centro, the physician’s office rate is $697.84 and the facility-setting rate is $494.67: a difference of $203.17.

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 28116 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$767.62

$697.84 × 110% = $767.62

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 28116 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,129

Code
28116
Physician work
8.91
Practice expense
10.42
Malpractice
0.76

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 28116 in El Centro
ComponentRVULocality factorAdjusted
Physician work8.91× 1.0179.0615
Practice expense10.42× 1.09611.4203
Malpractice0.76× 0.5410.4112
Total RVUs20.8929
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$697.84

Open 28116 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.911.017
Practice expense10.421.096
Malpractice0.760.541

(8.91 × 1.017 + 10.42 × 1.096 + 0.76 × 0.541) × $33.4009 = $697.84

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.911.017
Practice expense4.871.096
Malpractice0.760.541

(8.91 × 1.017 + 4.87 × 1.096 + 0.76 × 0.541) × $33.4009 = $494.67

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

28116 · Office / nonfacility

$697.84

Effective 2026-10-01

The base rate is $10.56 higher than on 2025-10-01, moving from $687.28 to $697.84 (1.5%).

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

    $687.28changed to$697.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.14 changed to 8.91
    • Practice expense RVU 10.59 changed to 10.42
    • Malpractice RVU 0.71 changed to 0.76
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $687.28

    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$697.84$494.67RVU26D
2026-07-01$697.84$494.67RVU26C
2026-04-01$697.84$494.67RVU26B
2026-01-01$697.84$494.67RVU26A
2025-10-01$687.28$524.65RVU25D
2025-07-01$687.28$524.65RVU25C
2025-04-01$687.28$524.65RVU25B
2025-01-01$687.28$524.65RVU25A

28116 billing questions

Does this code include interposition?

Yes. The code covers coalition resection with or without interposition; document whether an interposition material was used.

How is this different from partial excision of a tarsal bone?

Use this code when the target is a coalition connecting tarsal bones. Partial-excision codes describe bone removal for other indications, rather than resection of a coalition.

Is related postoperative care separately reported?

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

How does Medicare handle bilateral procedures?

When the service is performed bilaterally, report modifier 50; Medicare pays it at 150%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and other procedures at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic 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 28116PPRRVU2026_Oct_nonQPP.csv, line 3,129 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet