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CMS RVU26D · Effective 2026-10-01

28340 in Madera

Office / nonfacility

$581.18

Base rate per service

Facility setting

$387.90

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 28340: Enlarged toe reconstructive resection

Reconstructive surgery to reduce an enlarged toe, typically for macrodactyly, is reported when the surgeon removes excessive toe tissue to improve its size or function.

This procedure reduces an abnormally enlarged toe by surgically removing excess tissue as part of reconstructing the toe. A foot and ankle surgeon, orthopedic surgeon, or podiatric surgeon may perform it for macrodactyly or another documented condition causing substantial toe enlargement. The operative report should identify the affected toe, the enlargement being treated, and the reconstructive work performed.

Report the service when the operative work addresses enlargement of the toe, rather than an isolated angular deformity or a bone-alignment problem. Documentation should support the condition and the extent of the resection. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not append modifier 50; the descriptor or anatomy makes a bilateral adjustment inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 28340

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU6.97 · 42%
  • Practice expense (office) RVU9.12 · 55%
  • Malpractice RVU0.59 · 4%

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.

28340 compared with similar codes

Office rates for Madera, from the same CMS release.

28341

Toe reduction

Enlarged toe resection

$674.29

Both codes concern reconstruction of an enlarged toe. Check the complete CPT descriptors and operative details to determine which specific procedure was performed.

28313

Toe deformity repair

Soft-tissue correction

$571.83

This code addresses correction of toe angular deformity. Select 28340 when the documented operative work reduces enlargement rather than correcting alignment.

28344

Toe reconstruction

Extra digit

$431.30

This code concerns reconstruction of extra toes. It is not the choice for resection intended to reduce an enlarged toe.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 28340 is $583.09—$1.91 higher than the $581.18 rate in Madera. Both use the same code, release and participation basis.

28340 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $581.18

  2. Bakersfield

    $583.09

    $1.91 higher than Madera

  3. Chico

    $581.18

    The same base rate than Madera

  4. El Centro

    $581.28

    $0.10 higher than Madera

  5. Fresno

    $581.18

    The same base rate than Madera

  6. Hanford-Corcoran

    $581.18

    The same base rate than Madera

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

    $615.80

    $34.62 higher than Madera

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, 28340 ranges from $504.62 in Arkansas to $708.23 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 · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Modesto

    California · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Napa

    California · 28340

    Office

    $658.97

    Facility

    $426.53

    $77.79 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28340

    Office

    $611.66

    Facility

    $403.20

    $30.48 higher than Madera for the office setting.

  • Redding

    California · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28340

    Office

    $587.66

    Facility

    $394.38

    $6.48 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28340

    Office

    $606.02

    Facility

    $400.91

    $24.84 higher than Madera for the office setting.

  • Salinas

    California · 28340

    Office

    $603.63

    Facility

    $399.24

    $22.45 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28340

    Office

    $614.79

    Facility

    $403.87

    $33.61 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28340

    Office

    $693.47

    Facility

    $444.81

    $112.29 higher than Madera for the office setting.

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

    California · 28340

    Office

    $692.80

    Facility

    $444.14

    $111.62 higher than Madera for the office setting.

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

    California · 28340

    Office

    $708.23

    Facility

    $453.93

    $127.05 higher than Madera for the office setting.

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

    California · 28340

    Office

    $705.49

    Facility

    $451.19

    $124.31 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28340

    Office

    $594.28

    Facility

    $393.41

    $13.10 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 28340

    Office

    $618.36

    Facility

    $404.09

    $37.18 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 28340

    Office

    $605.07

    Facility

    $399.44

    $23.89 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 28340

    Office

    $624.42

    Facility

    $407.85

    $43.24 higher than Madera for the office setting.

  • Stockton

    California · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 28340

    Office

    $658.00

    Facility

    $425.56

    $76.82 higher than Madera for the office setting.

  • Visalia

    California · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 28340

    Office

    $581.18

    Facility

    $387.90

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28340

    Office

    $626.15

    Facility

    $418.40

    $44.97 higher than Madera for the office setting.

  • Miami

    Florida · 28340

    Office

    $599.75

    Facility

    $416.16

    $18.57 higher than Madera for the office setting.

  • Chicago

    Illinois · 28340

    Office

    $585.80

    Facility

    $408.56

    $4.62 higher than Madera for the office setting.

  • Manhattan

    New York · 28340

    Office

    $632.92

    Facility

    $428.00

    $51.74 higher than Madera for the office setting.

  • Alaska*

    Alaska · 28340

    Office

    $684.48

    Facility

    $496.66

    $103.30 higher than Madera for the office setting.

  • Alabama

    Alabama · 28340

    Office

    $510.50

    Facility

    $356.19

    $70.68 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 28340

    Office

    $504.62

    Facility

    $353.13

    $76.56 lower than Madera for the office setting.

  • Arizona

    Arizona · 28340

    Office

    $544.85

    Facility

    $373.96

    $36.33 lower than Madera for the office setting.

  • Colorado

    Colorado · 28340

    Office

    $575.10

    Facility

    $387.46

    $6.08 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 28340

    Office

    $589.38

    Facility

    $399.44

    $8.20 higher than Madera for the office setting.

  • Delaware

    Delaware · 28340

    Office

    $552.65

    Facility

    $378.40

    $28.53 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 28340

    Office

    $577.01

    Facility

    $398.36

    $4.17 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 28340

    Office

    $553.64

    Facility

    $385.04

    $27.54 lower than Madera for the office setting.

  • Atlanta

    Georgia · 28340

    Office

    $566.66

    Facility

    $387.48

    $14.52 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 28340

    Office

    $528.01

    Facility

    $370.70

    $53.17 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 28340

    Office

    $590.56

    Facility

    $390.05

    $9.38 higher than Madera for the office setting.

  • Iowa

    Iowa · 28340

    Office

    $519.35

    Facility

    $357.99

    $61.83 lower than Madera for the office setting.

  • Idaho

    Idaho · 28340

    Office

    $522.37

    Facility

    $360.12

    $58.81 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 28340

    Office

    $552.74

    Facility

    $390.49

    $28.44 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 28340

    Office

    $541.72

    Facility

    $380.71

    $39.46 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 28340

    Office

    $582.19

    Facility

    $401.08

    $1.01 higher than Madera for the office setting.

  • Indiana

    Indiana · 28340

    Office

    $524.76

    Facility

    $361.28

    $56.42 lower than Madera for the office setting.

  • Kansas

    Kansas · 28340

    Office

    $518.11

    Facility

    $358.68

    $63.07 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 28340

    Office

    $521.64

    Facility

    $364.86

    $59.54 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 28340

    Office

    $541.83

    Facility

    $375.88

    $39.35 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 28340

    Office

    $521.27

    Facility

    $365.19

    $59.91 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 28340

    Office

    $623.60

    Facility

    $413.03

    $42.42 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28340

    Office

    $573.00

    Facility

    $387.29

    $8.18 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28340

    Office

    $587.76

    Facility

    $398.53

    $6.58 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 28340

    Office

    $561.49

    Facility

    $383.02

    $19.69 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 28340

    Office

    $525.31

    Facility

    $363.06

    $55.87 lower than Madera for the office setting.

  • Southern Maine

    Maine · 28340

    Office

    $547.11

    Facility

    $372.34

    $34.07 lower than Madera for the office setting.

  • Detroit

    Michigan · 28340

    Office

    $559.98

    Facility

    $389.80

    $21.20 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 28340

    Office

    $533.17

    Facility

    $372.15

    $48.01 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 28340

    Office

    $552.09

    Facility

    $370.62

    $29.09 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 28340

    Office

    $538.09

    Facility

    $372.49

    $43.09 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 28340

    Office

    $542.54

    Facility

    $374.65

    $38.64 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 28340

    Office

    $514.58

    Facility

    $362.56

    $66.60 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 28340

    Office

    $509.64

    Facility

    $357.80

    $71.54 lower than Madera for the office setting.

  • Montana**

    Montana · 28340

    Office

    $557.09

    Facility

    $380.73

    $24.09 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 28340

    Office

    $529.60

    Facility

    $365.06

    $51.58 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 28340

    Office

    $545.42

    Facility

    $369.06

    $35.76 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 28340

    Office

    $521.41

    Facility

    $358.64

    $59.77 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 28340

    Office

    $567.15

    Facility

    $383.57

    $14.03 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 28340

    Office

    $621.87

    Facility

    $417.30

    $40.69 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 28340

    Office

    $596.38

    Facility

    $403.79

    $15.20 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 28340

    Office

    $535.80

    Facility

    $374.09

    $45.38 lower than Madera for the office setting.

  • Nevada**

    Nevada · 28340

    Office

    $554.14

    Facility

    $377.61

    $27.04 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28340

    Office

    $646.49

    Facility

    $436.80

    $65.31 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28340

    Office

    $600.68

    Facility

    $407.57

    $19.50 higher than Madera for the office setting.

  • Queens

    New York · 28340

    Office

    $636.18

    Facility

    $427.72

    $55.00 higher than Madera for the office setting.

  • Rest Of New York

    New York · 28340

    Office

    $536.04

    Facility

    $368.50

    $45.14 lower than Madera for the office setting.

  • Ohio

    Ohio · 28340

    Office

    $530.78

    Facility

    $369.77

    $50.40 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 28340

    Office

    $520.14

    Facility

    $362.65

    $61.04 lower than Madera for the office setting.

  • Portland

    Oregon · 28340

    Office

    $589.62

    Facility

    $393.69

    $8.44 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 28340

    Office

    $550.06

    Facility

    $374.40

    $31.12 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28340

    Office

    $577.61

    Facility

    $394.02

    $3.57 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28340

    Office

    $531.06

    Facility

    $369.17

    $50.12 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 28340

    Office

    $560.18

    Facility

    $381.89

    $21.00 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 28340

    Office

    $569.47

    Facility

    $387.30

    $11.71 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 28340

    Office

    $531.02

    Facility

    $368.07

    $50.16 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 28340

    Office

    $544.04

    Facility

    $367.69

    $37.14 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 28340

    Office

    $520.28

    Facility

    $359.97

    $60.90 lower than Madera for the office setting.

  • Austin

    Texas · 28340

    Office

    $573.01

    Facility

    $386.43

    $8.17 lower than Madera for the office setting.

  • Beaumont

    Texas · 28340

    Office

    $528.31

    Facility

    $367.83

    $52.87 lower than Madera for the office setting.

  • Brazoria

    Texas · 28340

    Office

    $551.91

    Facility

    $377.14

    $29.27 lower than Madera for the office setting.

  • Dallas

    Texas · 28340

    Office

    $555.21

    Facility

    $379.55

    $25.97 lower than Madera for the office setting.

  • Fort Worth

    Texas · 28340

    Office

    $552.42

    Facility

    $378.53

    $28.76 lower than Madera for the office setting.

  • Galveston

    Texas · 28340

    Office

    $553.47

    Facility

    $378.35

    $27.71 lower than Madera for the office setting.

  • Houston

    Texas · 28340

    Office

    $564.27

    Facility

    $389.14

    $16.91 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 28340

    Office

    $539.68

    Facility

    $372.32

    $41.50 lower than Madera for the office setting.

  • Utah

    Utah · 28340

    Office

    $536.84

    Facility

    $371.06

    $44.34 lower than Madera for the office setting.

  • Virginia

    Virginia · 28340

    Office

    $546.15

    Facility

    $372.80

    $35.03 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28340

    Office

    $560.18

    Facility

    $381.89

    $21.00 lower than Madera for the office setting.

  • Vermont

    Vermont · 28340

    Office

    $544.35

    Facility

    $369.75

    $36.83 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 28340

    Office

    $571.59

    Facility

    $385.88

    $9.59 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 28340

    Office

    $634.31

    Facility

    $417.92

    $53.13 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 28340

    Office

    $530.70

    Facility

    $361.75

    $50.48 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 28340

    Office

    $525.72

    Facility

    $372.46

    $55.46 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 28340

    Office

    $552.00

    Facility

    $375.65

    $29.18 lower than Madera for the office setting.

See how rates vary across the country

28340 · 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.

$504.62

$684.48

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$684.481
AL$510.501
AR$504.621
AZ$544.851
CA$581.18–$708.2329
CO$575.101
CT$589.381
DC$626.151
DE$552.651
FL$553.64–$599.753
GA$528.01–$566.662
GU$590.561
HI$590.561
IA$519.351
ID$522.371
IL$541.72–$585.804
IN$524.761
KS$518.111
KY$521.641
LA$521.27–$541.832
MA$573.00–$623.602
MD$561.49–$626.153
ME$525.31–$547.112
MI$533.17–$559.982
MN$552.091
MO$514.58–$542.543
MS$509.641
MT$557.091
NC$529.601
ND$545.421
NE$521.411
NH$567.151
NJ$596.38–$621.872
NM$535.801
NV$554.141
NY$536.04–$646.495
OH$530.781
OK$520.141
OR$550.06–$589.622
PA$531.06–$577.612
PR$560.181
RI$569.471
SC$531.021
SD$544.041
TN$520.281
TX$528.31–$573.018
UT$536.841
VA$546.15–$626.152
VI$560.181
VT$544.351
WA$571.59–$634.312
WI$530.701
WV$525.721
WY$552.001

Explore 28340 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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 28340 in Madera, the physician’s office rate is $581.18 and the facility-setting rate is $387.90: a difference of $193.28.

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 28340 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$639.30

$581.18 × 110% = $639.30

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 28340 in Madera.

PPRRVU2026_Oct_nonQPP.csv

3,193

Code
28340
Physician work
6.97
Practice expense
9.12
Malpractice
0.59

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28340 in Madera
ComponentRVULocality factorAdjusted
Physician work6.97× 1.0177.0885
Practice expense9.12× 1.0969.9955
Malpractice0.59× 0.5360.3162
Total RVUs17.4002
Conversion factor× 33.4009

Office / nonfacility rate, Madera$581.18

Open 28340 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.971.017
Practice expense9.121.096
Malpractice0.590.536

(6.97 × 1.017 + 9.12 × 1.096 + 0.59 × 0.536) × $33.4009 = $581.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.971.017
Practice expense3.841.096
Malpractice0.590.536

(6.97 × 1.017 + 3.84 × 1.096 + 0.59 × 0.536) × $33.4009 = $387.90

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

28340 · Office / nonfacility

$581.18

Effective 2026-10-01

The base rate is $8.43 higher than on 2025-10-01, moving from $572.75 to $581.18 (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

    $572.75changed to$581.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.15 changed to 6.97
    • Practice expense RVU 9.28 changed to 9.12
    • Malpractice RVU 0.56 changed to 0.59
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $572.75

    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$581.18$387.90RVU26D
2026-07-01$581.18$387.90RVU26C
2026-04-01$581.18$387.90RVU26B
2026-01-01$581.18$387.90RVU26A
2025-10-01$572.75$410.83RVU25D
2025-07-01$572.75$410.83RVU25C
2025-04-01$572.75$410.83RVU25B
2025-01-01$572.75$410.83RVU25A

28340 billing questions

When should this code be selected instead of a toe deformity repair code?

Use this code when the operative goal is reducing an enlarged toe through resection. A code for angular deformity repair is more appropriate when the work corrects toe alignment rather than enlargement.

Does the 90-day global period include postoperative care?

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

Can modifier 50 be used when both feet are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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 28340PPRRVU2026_Oct_nonQPP.csv, line 3,193 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet