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CMS RVU26D · Effective 2026-10-01

28289 in El Centro

Office / nonfacility

$736.89

Base rate per service

Facility setting

$447.69

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 28289: Hallux rigidus correction without implant

Reports operative treatment of hallux rigidus at the first metatarsophalangeal joint using cheilectomy, debridement, and capsular release without an implant.

This operation treats hallux rigidus, a painful, stiff first metatarsophalangeal joint, by removing limiting bone and diseased tissue and releasing the joint capsule. It is typically performed by an orthopedic foot and ankle surgeon or podiatric surgeon in an operating room or ambulatory surgery setting. The defining distinction from the related implant procedure is that no implant is used.

Report the service when the operative note supports the hallux rigidus correction and its components at the first metatarsophalangeal joint. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 28289

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 RVU6.73 · 32%
  • Practice expense (office) RVU13.47 · 64%
  • Malpractice RVU0.84 · 4%

6.4K

Medicare services in 2024 · #1722 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.

28289 compared with similar codes

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

28291

Hallux rigidus surgery

With implant

$700.76

Choose 28289 when the hallux rigidus correction is performed without an implant. Choose 28291 when an implant is used.

28292

Bunion correction

Proximal phalanx base resection

$737.00

28292 addresses hallux valgus (bunion) correction; 28289 addresses hallux rigidus at the first metatarsophalangeal joint.

28296

Bunion correction

Distal first metatarsal osteotomy

$931.85

28296 is a hallux valgus correction involving a distal metatarsal osteotomy. It is not the hallux rigidus correction reported with 28289.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 28289 is $739.25—$2.36 higher than the $736.89 rate in El Centro. Both use the same code, release and participation basis.

28289 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $736.89

  2. Bakersfield

    $739.25

    $2.36 higher than El Centro

  3. Chico

    $736.75

    $0.14 lower than El Centro

  4. Fresno

    $736.75

    $0.14 lower than El Centro

  5. Hanford-Corcoran

    $736.75

    $0.14 lower than El Centro

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

    $784.88

    $47.99 higher than El Centro

  7. Madera

    $736.75

    $0.14 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, 28289 ranges from $625.71 in Arkansas to $913.32 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

  • Merced

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Modesto

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Napa

    California · 28289

    Office

    $846.18

    Facility

    $498.41

    $109.29 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28289

    Office

    $780.36

    Facility

    $468.46

    $43.47 higher than El Centro for the office setting.

  • Redding

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Rest Of California

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28289

    Office

    $745.87

    Facility

    $456.67

    $8.98 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28289

    Office

    $771.16

    Facility

    $464.29

    $34.27 higher than El Centro for the office setting.

  • Salinas

    California · 28289

    Office

    $768.24

    Facility

    $462.42

    $31.35 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28289

    Office

    $784.83

    Facility

    $469.25

    $47.94 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28289

    Office

    $893.39

    Facility

    $521.34

    $156.50 higher than El Centro for the office setting.

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

    California · 28289

    Office

    $892.44

    Facility

    $520.39

    $155.55 higher than El Centro for the office setting.

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

    California · 28289

    Office

    $913.32

    Facility

    $532.83

    $176.43 higher than El Centro for the office setting.

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

    California · 28289

    Office

    $909.42

    Facility

    $528.93

    $172.53 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28289

    Office

    $756.10

    Facility

    $455.55

    $19.21 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 28289

    Office

    $791.19

    Facility

    $470.59

    $54.30 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 28289

    Office

    $770.72

    Facility

    $463.05

    $33.83 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 28289

    Office

    $799.06

    Facility

    $475.03

    $62.17 higher than El Centro for the office setting.

  • Stockton

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Vallejo

    California · 28289

    Office

    $844.81

    Facility

    $497.03

    $107.92 higher than El Centro for the office setting.

  • Visalia

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Yuba City

    California · 28289

    Office

    $736.75

    Facility

    $447.55

    $0.14 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28289

    Office

    $798.15

    Facility

    $487.31

    $61.26 higher than El Centro for the office setting.

  • Miami

    Florida · 28289

    Office

    $764.10

    Facility

    $489.41

    $27.21 higher than El Centro for the office setting.

  • Chicago

    Illinois · 28289

    Office

    $742.91

    Facility

    $477.73

    $6.02 higher than El Centro for the office setting.

  • Manhattan

    New York · 28289

    Office

    $806.47

    Facility

    $499.85

    $69.58 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 28289

    Office

    $831.80

    Facility

    $550.78

    $94.91 higher than El Centro for the office setting.

  • Alabama

    Alabama · 28289

    Office

    $634.34

    Facility

    $403.46

    $102.55 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 28289

    Office

    $625.71

    Facility

    $399.05

    $111.18 lower than El Centro for the office setting.

  • Arizona

    Arizona · 28289

    Office

    $684.77

    Facility

    $429.08

    $52.12 lower than El Centro for the office setting.

  • Colorado

    Colorado · 28289

    Office

    $728.10

    Facility

    $447.35

    $8.79 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 28289

    Office

    $747.79

    Facility

    $463.60

    $10.90 higher than El Centro for the office setting.

  • Delaware

    Delaware · 28289

    Office

    $695.65

    Facility

    $434.95

    $41.24 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 28289

    Office

    $731.27

    Facility

    $463.98

    $5.62 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 28289

    Office

    $697.07

    Facility

    $444.81

    $39.82 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 28289

    Office

    $716.27

    Facility

    $448.18

    $20.62 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 28289

    Office

    $659.55

    Facility

    $424.18

    $77.34 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 28289

    Office

    $752.58

    Facility

    $452.56

    $15.69 higher than El Centro for the office setting.

  • Iowa

    Iowa · 28289

    Office

    $647.59

    Facility

    $406.16

    $89.30 lower than El Centro for the office setting.

  • Idaho

    Idaho · 28289

    Office

    $651.98

    Facility

    $409.22

    $84.91 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 28289

    Office

    $695.21

    Facility

    $452.45

    $41.68 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 28289

    Office

    $679.41

    Facility

    $438.50

    $57.48 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 28289

    Office

    $738.14

    Facility

    $467.14

    $1.25 higher than El Centro for the office setting.

  • Indiana

    Indiana · 28289

    Office

    $655.49

    Facility

    $410.89

    $81.40 lower than El Centro for the office setting.

  • Kansas

    Kansas · 28289

    Office

    $645.65

    Facility

    $407.11

    $91.24 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 28289

    Office

    $650.43

    Facility

    $415.85

    $86.46 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 28289

    Office

    $680.03

    Facility

    $431.73

    $56.86 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 28289

    Office

    $649.84

    Facility

    $416.31

    $87.05 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 28289

    Office

    $796.17

    Facility

    $481.11

    $59.28 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28289

    Office

    $724.50

    Facility

    $446.65

    $12.39 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28289

    Office

    $745.84

    Facility

    $462.72

    $8.95 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 28289

    Office

    $708.10

    Facility

    $441.07

    $28.79 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 28289

    Office

    $656.16

    Facility

    $413.40

    $80.73 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 28289

    Office

    $688.35

    Facility

    $426.86

    $48.54 lower than El Centro for the office setting.

  • Detroit

    Michigan · 28289

    Office

    $706.26

    Facility

    $451.62

    $30.63 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 28289

    Office

    $667.23

    Facility

    $426.32

    $69.66 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 28289

    Office

    $696.05

    Facility

    $424.53

    $40.84 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 28289

    Office

    $674.67

    Facility

    $426.89

    $62.22 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 28289

    Office

    $681.22

    Facility

    $430.01

    $55.67 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 28289

    Office

    $639.94

    Facility

    $412.48

    $96.95 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 28289

    Office

    $632.89

    Facility

    $405.71

    $104.00 lower than El Centro for the office setting.

  • Montana**

    Montana · 28289

    Office

    $702.70

    Facility

    $438.83

    $34.19 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 28289

    Office

    $662.48

    Facility

    $416.29

    $74.41 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 28289

    Office

    $686.09

    Facility

    $422.22

    $50.80 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 28289

    Office

    $650.66

    Facility

    $407.11

    $86.23 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 28289

    Office

    $717.69

    Facility

    $443.01

    $19.20 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 28289

    Office

    $790.81

    Facility

    $484.72

    $53.92 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 28289

    Office

    $755.86

    Facility

    $467.72

    $18.97 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 28289

    Office

    $671.05

    Facility

    $429.09

    $65.84 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 28289

    Office

    $698.52

    Facility

    $434.39

    $38.37 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28289

    Office

    $826.22

    Facility

    $512.48

    $89.33 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28289

    Office

    $761.50

    Facility

    $472.57

    $24.61 higher than El Centro for the office setting.

  • Queens

    New York · 28289

    Office

    $811.43

    Facility

    $499.54

    $74.54 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 28289

    Office

    $671.93

    Facility

    $421.25

    $64.96 lower than El Centro for the office setting.

  • Ohio

    Ohio · 28289

    Office

    $663.84

    Facility

    $422.93

    $73.05 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 28289

    Office

    $648.36

    Facility

    $412.72

    $88.53 lower than El Centro for the office setting.

  • Portland

    Oregon · 28289

    Office

    $749.11

    Facility

    $455.95

    $12.22 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 28289

    Office

    $692.62

    Facility

    $429.81

    $44.27 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28289

    Office

    $730.66

    Facility

    $455.98

    $6.23 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28289

    Office

    $664.32

    Facility

    $422.09

    $72.57 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 28289

    Office

    $707.28

    Facility

    $440.51

    $29.61 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 28289

    Office

    $718.84

    Facility

    $446.27

    $18.05 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 28289

    Office

    $664.35

    Facility

    $420.54

    $72.54 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 28289

    Office

    $684.13

    Facility

    $420.26

    $52.76 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 28289

    Office

    $648.82

    Facility

    $408.97

    $88.07 lower than El Centro for the office setting.

  • Austin

    Texas · 28289

    Office

    $726.10

    Facility

    $446.93

    $10.79 lower than El Centro for the office setting.

  • Beaumont

    Texas · 28289

    Office

    $660.27

    Facility

    $420.15

    $76.62 lower than El Centro for the office setting.

  • Brazoria

    Texas · 28289

    Office

    $694.33

    Facility

    $432.84

    $42.56 lower than El Centro for the office setting.

  • Dallas

    Texas · 28289

    Office

    $698.99

    Facility

    $436.18

    $37.90 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 28289

    Office

    $694.86

    Facility

    $434.69

    $42.03 lower than El Centro for the office setting.

  • Galveston

    Texas · 28289

    Office

    $696.58

    Facility

    $434.56

    $40.31 lower than El Centro for the office setting.

  • Houston

    Texas · 28289

    Office

    $711.95

    Facility

    $449.93

    $24.94 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 28289

    Office

    $677.09

    Facility

    $426.68

    $59.80 lower than El Centro for the office setting.

  • Utah

    Utah · 28289

    Office

    $672.90

    Facility

    $424.86

    $63.99 lower than El Centro for the office setting.

  • Virginia

    Virginia · 28289

    Office

    $686.86

    Facility

    $427.48

    $50.03 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28289

    Office

    $707.28

    Facility

    $440.51

    $29.61 lower than El Centro for the office setting.

  • Vermont

    Vermont · 28289

    Office

    $684.40

    Facility

    $423.17

    $52.49 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 28289

    Office

    $722.82

    Facility

    $444.96

    $14.07 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 28289

    Office

    $810.99

    Facility

    $487.22

    $74.10 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 28289

    Office

    $664.44

    Facility

    $411.66

    $72.45 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 28289

    Office

    $655.91

    Facility

    $426.61

    $80.98 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 28289

    Office

    $695.46

    Facility

    $431.59

    $41.43 lower than El Centro for the office setting.

See how rates vary across the country

28289 · 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.

$625.71

$831.80

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$831.801
AL$634.341
AR$625.711
AZ$684.771
CA$736.75–$913.3229
CO$728.101
CT$747.791
DC$798.151
DE$695.651
FL$697.07–$764.103
GA$659.55–$716.272
GU$752.581
HI$752.581
IA$647.591
ID$651.981
IL$679.41–$742.914
IN$655.491
KS$645.651
KY$650.431
LA$649.84–$680.032
MA$724.50–$796.172
MD$708.10–$798.153
ME$656.16–$688.352
MI$667.23–$706.262
MN$696.051
MO$639.94–$681.223
MS$632.891
MT$702.701
NC$662.481
ND$686.091
NE$650.661
NH$717.691
NJ$755.86–$790.812
NM$671.051
NV$698.521
NY$671.93–$826.225
OH$663.841
OK$648.361
OR$692.62–$749.112
PA$664.32–$730.662
PR$707.281
RI$718.841
SC$664.351
SD$684.131
TN$648.821
TX$660.27–$726.108
UT$672.901
VA$686.86–$798.152
VI$707.281
VT$684.401
WA$722.82–$810.992
WI$664.441
WV$655.911
WY$695.461

Explore 28289 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 28289 in El Centro, the physician’s office rate is $736.89 and the facility-setting rate is $447.69: a difference of $289.20.

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 28289 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$810.58

$736.89 × 110% = $810.58

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 28289 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,171

Code
28289
Physician work
6.73
Practice expense
13.47
Malpractice
0.84

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 28289 in El Centro
ComponentRVULocality factorAdjusted
Physician work6.73× 1.0176.8444
Practice expense13.47× 1.09614.7631
Malpractice0.84× 0.5410.4544
Total RVUs22.0620
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$736.89

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

Open 28289 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.731.017
Practice expense13.471.096
Malpractice0.840.541

(6.73 × 1.017 + 13.47 × 1.096 + 0.84 × 0.541) × $33.4009 = $736.89

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.731.017
Practice expense5.571.096
Malpractice0.840.541

(6.73 × 1.017 + 5.57 × 1.096 + 0.84 × 0.541) × $33.4009 = $447.69

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

28289 · Office / nonfacility

$736.89

Effective 2026-10-01

The base rate is $39.92 higher than on 2025-10-01, moving from $696.97 to $736.89 (5.7%).

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

    $696.97changed to$736.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.90 changed to 6.73
    • Practice expense RVU 12.89 changed to 13.47
    • Malpractice RVU 0.81 changed to 0.84
    • 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: $696.97

    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$736.89$447.69RVU26D
2026-07-01$736.89$447.69RVU26C
2026-04-01$736.89$447.69RVU26B
2026-01-01$736.89$447.69RVU26A
2025-10-01$696.97$467.87RVU25D
2025-07-01$696.97$467.87RVU25C
2025-04-01$696.97$467.87RVU25B
2025-01-01$696.97$467.87RVU25A

28289 billing questions

How does this differ from 28291?

Both address hallux rigidus at the first metatarsophalangeal joint. Use 28289 for the correction without an implant; 28291 is the implant procedure.

What should the operative note support?

Document hallux rigidus, the affected first metatarsophalangeal joint, the correction performed, and whether an implant was used. The note should support the reported service rather than only describing a general bunion or toe procedure.

Does the code include postoperative visits?

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

How is bilateral surgery reported?

When the procedure is performed bilaterally, modifier 50 applies, and CMS pays the bilateral procedure at 150%.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires 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 28289PPRRVU2026_Oct_nonQPP.csv, line 3,171 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet