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CMS RVU26D · Effective 2026-10-01

28226 in Merced

Office / nonfacility

$698.88

Base rate per service

Facility setting

$397.97

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 28226: Multiple flexor tendon adhesiolysis

Open tenolysis of multiple foot or toe flexor tendons frees restricted tendon glide when adhesions limit motion after injury or prior surgery.

This procedure surgically frees adhesions restricting the glide of multiple flexor tendons in the foot or toes. An orthopedic or podiatric surgeon typically performs it in an operating room when scar tissue limits tendon excursion, often after prior trauma or surgery. The operative work is directed at freeing the tendons, rather than repairing a tendon rupture or cutting a tendon to correct deformity.

Report the code when the surgeon documents open adhesiolysis involving multiple flexor tendons; the operative note should identify the tendons treated and the adhesion release performed. A release of a single flexor tendon is distinguished by the neighboring single-tendon code. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 28226

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 RVU4.55 · 23%
  • Practice expense (office) RVU14.39 · 72%
  • Malpractice RVU0.98 · 5%

83

Medicare services in 2024 · #5016 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.

28226 compared with similar codes

Office rates for Merced, from the same CMS release.

28225

Tendon release

Flexor tendon

$432.87

28225 represents flexor tendon release for a single tendon; 28226 is used when multiple flexor tendons are released.

28222

Tendon release

Single extensor tendon

$569.18

28222 concerns extensor tendon adhesions. 28226 concerns adhesions affecting multiple flexor tendons.

28232

Toe tendon incision

Single flexor tendon

$394.62

28232 is an open flexor tenotomy of a toe, involving tendon division. 28226 frees multiple flexor tendons from adhesions.

28200

Foot tendon repair

Flexor, without free graft

$530.11

28200 reports foot flexor tendon repair. Choose 28226 for adhesiolysis when the tendons are freed rather than repaired.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 28226 is $701.58—$2.70 higher than the $698.88 rate in Merced. Both use the same code, release and participation basis.

28226 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $698.88

  2. Bakersfield

    $701.58

    $2.70 higher than Merced

  3. Chico

    $698.88

    The same base rate than Merced

  4. El Centro

    $699.05

    $0.17 higher than Merced

  5. Fresno

    $698.88

    The same base rate than Merced

  6. Hanford-Corcoran

    $698.88

    The same base rate than Merced

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

    $748.54

    $49.66 higher than Merced

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, 28226 ranges from $581.70 in Arkansas to $879.32 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

  • Madera

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Modesto

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Napa

    California · 28226

    Office

    $811.66

    Facility

    $449.79

    $112.78 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28226

    Office

    $744.74

    Facility

    $420.21

    $45.86 higher than Merced for the office setting.

  • Redding

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28226

    Office

    $709.41

    Facility

    $408.50

    $10.53 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28226

    Office

    $733.97

    Facility

    $414.67

    $35.09 higher than Merced for the office setting.

  • Salinas

    California · 28226

    Office

    $731.29

    Facility

    $413.08

    $32.41 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28226

    Office

    $749.12

    Facility

    $420.75

    $50.24 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28226

    Office

    $859.14

    Facility

    $472.01

    $160.26 higher than Merced for the office setting.

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

    California · 28226

    Office

    $858.02

    Facility

    $470.90

    $159.14 higher than Merced for the office setting.

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

    California · 28226

    Office

    $879.32

    Facility

    $483.41

    $180.44 higher than Merced for the office setting.

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

    California · 28226

    Office

    $874.77

    Facility

    $478.86

    $175.89 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28226

    Office

    $719.55

    Facility

    $406.83

    $20.67 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 28226

    Office

    $756.69

    Facility

    $423.10

    $57.81 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 28226

    Office

    $734.20

    Facility

    $414.07

    $35.32 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 28226

    Office

    $764.30

    Facility

    $427.15

    $65.42 higher than Merced for the office setting.

  • Stockton

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 28226

    Office

    $810.05

    Facility

    $448.19

    $111.17 higher than Merced for the office setting.

  • Visalia

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 28226

    Office

    $698.88

    Facility

    $397.97

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28226

    Office

    $762.81

    Facility

    $439.38

    $63.93 higher than Merced for the office setting.

  • Miami

    Florida · 28226

    Office

    $735.10

    Facility

    $449.29

    $36.22 higher than Merced for the office setting.

  • Chicago

    Illinois · 28226

    Office

    $711.20

    Facility

    $435.27

    $12.32 higher than Merced for the office setting.

  • Manhattan

    New York · 28226

    Office

    $772.12

    Facility

    $453.08

    $73.24 higher than Merced for the office setting.

  • Alaska*

    Alaska · 28226

    Office

    $757.88

    Facility

    $465.48

    $59.00 higher than Merced for the office setting.

  • Alabama

    Alabama · 28226

    Office

    $591.06

    Facility

    $350.82

    $107.82 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 28226

    Office

    $581.70

    Facility

    $345.86

    $117.18 lower than Merced for the office setting.

  • Arizona

    Arizona · 28226

    Office

    $645.73

    Facility

    $379.69

    $53.15 lower than Merced for the office setting.

  • Colorado

    Colorado · 28226

    Office

    $690.76

    Facility

    $398.64

    $8.12 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 28226

    Office

    $712.27

    Facility

    $416.57

    $13.39 higher than Merced for the office setting.

  • Delaware

    Delaware · 28226

    Office

    $657.03

    Facility

    $385.77

    $41.85 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 28226

    Office

    $698.04

    Facility

    $419.92

    $0.84 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 28226

    Office

    $660.66

    Facility

    $398.19

    $38.22 lower than Merced for the office setting.

  • Atlanta

    Georgia · 28226

    Office

    $680.07

    Facility

    $401.12

    $18.81 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 28226

    Office

    $619.72

    Facility

    $374.82

    $79.16 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 28226

    Office

    $717.41

    Facility

    $405.24

    $18.53 higher than Merced for the office setting.

  • Iowa

    Iowa · 28226

    Office

    $604.75

    Facility

    $353.54

    $94.13 lower than Merced for the office setting.

  • Idaho

    Idaho · 28226

    Office

    $609.64

    Facility

    $357.05

    $89.24 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 28226

    Office

    $660.09

    Facility

    $407.49

    $38.79 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 28226

    Office

    $641.96

    Facility

    $391.29

    $56.92 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 28226

    Office

    $704.66

    Facility

    $422.69

    $5.78 higher than Merced for the office setting.

  • Indiana

    Indiana · 28226

    Office

    $613.43

    Facility

    $358.92

    $85.45 lower than Merced for the office setting.

  • Kansas

    Kansas · 28226

    Office

    $602.97

    Facility

    $354.77

    $95.91 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 28226

    Office

    $609.21

    Facility

    $365.13

    $89.67 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 28226

    Office

    $641.44

    Facility

    $383.08

    $57.44 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 28226

    Office

    $608.70

    Facility

    $365.72

    $90.18 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 28226

    Office

    $761.22

    Facility

    $433.40

    $62.34 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28226

    Office

    $686.61

    Facility

    $397.50

    $12.27 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28226

    Office

    $710.62

    Facility

    $416.02

    $11.74 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 28226

    Office

    $669.95

    Facility

    $392.10

    $28.93 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 28226

    Office

    $614.52

    Facility

    $361.93

    $84.36 lower than Merced for the office setting.

  • Southern Maine

    Maine · 28226

    Office

    $648.94

    Facility

    $376.86

    $49.94 lower than Merced for the office setting.

  • Detroit

    Michigan · 28226

    Office

    $670.98

    Facility

    $406.03

    $27.90 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 28226

    Office

    $627.75

    Facility

    $377.08

    $71.13 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 28226

    Office

    $656.24

    Facility

    $373.72

    $42.64 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 28226

    Office

    $635.27

    Facility

    $377.47

    $63.61 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 28226

    Office

    $642.34

    Facility

    $380.96

    $56.54 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 28226

    Office

    $598.17

    Facility

    $361.50

    $100.71 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 28226

    Office

    $589.99

    Facility

    $353.60

    $108.89 lower than Merced for the office setting.

  • Montana**

    Montana · 28226

    Office

    $665.28

    Facility

    $390.73

    $33.60 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 28226

    Office

    $621.33

    Facility

    $365.17

    $77.55 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 28226

    Office

    $645.90

    Facility

    $371.35

    $52.98 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 28226

    Office

    $607.98

    Facility

    $354.56

    $90.90 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 28226

    Office

    $680.96

    Facility

    $395.15

    $17.92 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 28226

    Office

    $754.05

    Facility

    $435.56

    $55.17 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 28226

    Office

    $718.82

    Facility

    $419.00

    $19.94 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 28226

    Office

    $632.03

    Facility

    $380.26

    $66.85 lower than Merced for the office setting.

  • Nevada**

    Nevada · 28226

    Office

    $660.36

    Facility

    $385.53

    $38.52 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28226

    Office

    $793.97

    Facility

    $467.52

    $95.09 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28226

    Office

    $724.72

    Facility

    $424.08

    $25.84 higher than Merced for the office setting.

  • Queens

    New York · 28226

    Office

    $777.02

    Facility

    $452.49

    $78.14 higher than Merced for the office setting.

  • Rest Of New York

    New York · 28226

    Office

    $631.59

    Facility

    $370.76

    $67.29 lower than Merced for the office setting.

  • Ohio

    Ohio · 28226

    Office

    $623.79

    Facility

    $373.12

    $75.09 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 28226

    Office

    $606.62

    Facility

    $361.44

    $92.26 lower than Merced for the office setting.

  • Portland

    Oregon · 28226

    Office

    $712.75

    Facility

    $407.72

    $13.87 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 28226

    Office

    $653.70

    Facility

    $380.24

    $45.18 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28226

    Office

    $694.11

    Facility

    $408.29

    $4.77 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28226

    Office

    $624.13

    Facility

    $372.09

    $74.75 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 28226

    Office

    $670.14

    Facility

    $392.57

    $28.74 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 28226

    Office

    $680.56

    Facility

    $396.94

    $18.32 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 28226

    Office

    $623.91

    Facility

    $370.22

    $74.97 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 28226

    Office

    $643.61

    Facility

    $369.06

    $55.27 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 28226

    Office

    $606.45

    Facility

    $356.88

    $92.43 lower than Merced for the office setting.

  • Austin

    Texas · 28226

    Office

    $689.80

    Facility

    $399.32

    $9.08 lower than Merced for the office setting.

  • Beaumont

    Texas · 28226

    Office

    $619.76

    Facility

    $369.92

    $79.12 lower than Merced for the office setting.

  • Brazoria

    Texas · 28226

    Office

    $655.03

    Facility

    $382.95

    $43.85 lower than Merced for the office setting.

  • Dallas

    Texas · 28226

    Office

    $660.14

    Facility

    $386.69

    $38.74 lower than Merced for the office setting.

  • Fort Worth

    Texas · 28226

    Office

    $655.76

    Facility

    $385.05

    $43.12 lower than Merced for the office setting.

  • Galveston

    Texas · 28226

    Office

    $657.57

    Facility

    $384.93

    $41.31 lower than Merced for the office setting.

  • Houston

    Texas · 28226

    Office

    $675.50

    Facility

    $402.87

    $23.38 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 28226

    Office

    $637.66

    Facility

    $377.11

    $61.22 lower than Merced for the office setting.

  • Utah

    Utah · 28226

    Office

    $633.17

    Facility

    $375.09

    $65.71 lower than Merced for the office setting.

  • Virginia

    Virginia · 28226

    Office

    $647.55

    Facility

    $377.66

    $51.33 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28226

    Office

    $670.14

    Facility

    $392.57

    $28.74 lower than Merced for the office setting.

  • Vermont

    Vermont · 28226

    Office

    $644.37

    Facility

    $372.56

    $54.51 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 28226

    Office

    $684.97

    Facility

    $395.87

    $13.91 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 28226

    Office

    $776.06

    Facility

    $439.18

    $77.18 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 28226

    Office

    $622.51

    Facility

    $359.48

    $76.37 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 28226

    Office

    $616.49

    Facility

    $377.90

    $82.39 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 28226

    Office

    $656.84

    Facility

    $382.28

    $42.04 lower than Merced for the office setting.

See how rates vary across the country

28226 · 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.

$581.70

$789.10

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$757.881
AL$591.061
AR$581.701
AZ$645.731
CA$698.88–$879.3229
CO$690.761
CT$712.271
DC$762.811
DE$657.031
FL$660.66–$735.103
GA$619.72–$680.072
GU$717.411
HI$717.411
IA$604.751
ID$609.641
IL$641.96–$711.204
IN$613.431
KS$602.971
KY$609.211
LA$608.70–$641.442
MA$686.61–$761.222
MD$669.95–$762.813
ME$614.52–$648.942
MI$627.75–$670.982
MN$656.241
MO$598.17–$642.343
MS$589.991
MT$665.281
NC$621.331
ND$645.901
NE$607.981
NH$680.961
NJ$718.82–$754.052
NM$632.031
NV$660.361
NY$631.59–$793.975
OH$623.791
OK$606.621
OR$653.70–$712.752
PA$624.13–$694.112
PR$670.141
RI$680.561
SC$623.911
SD$643.611
TN$606.451
TX$619.76–$689.808
UT$633.171
VA$647.55–$762.812
VI$670.141
VT$644.371
WA$684.97–$776.062
WI$622.511
WV$616.491
WY$656.841

Explore 28226 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 28226 in Merced, the physician’s office rate is $698.88 and the facility-setting rate is $397.97: a difference of $300.91.

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 28226 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$768.77

$698.88 × 110% = $768.77

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 28226 in Merced.

PPRRVU2026_Oct_nonQPP.csv

3,154

Code
28226
Physician work
4.55
Practice expense
14.39
Malpractice
0.98

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28226 in Merced
ComponentRVULocality factorAdjusted
Physician work4.55× 1.0174.6273
Practice expense14.39× 1.09615.7714
Malpractice0.98× 0.5360.5253
Total RVUs20.9241
Conversion factor× 33.4009

Office / nonfacility rate, Merced$698.88

Open 28226 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.551.017
Practice expense14.391.096
Malpractice0.980.536

(4.55 × 1.017 + 14.39 × 1.096 + 0.98 × 0.536) × $33.4009 = $698.88

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.551.017
Practice expense6.171.096
Malpractice0.980.536

(4.55 × 1.017 + 6.17 × 1.096 + 0.98 × 0.536) × $33.4009 = $397.97

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

28226 · Office / nonfacility

$698.88

Effective 2026-10-01

The base rate is $71.36 higher than on 2025-10-01, moving from $627.52 to $698.88 (11.4%).

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

    $627.52changed to$698.88

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.67 changed to 4.55
    • Practice expense RVU 12.93 changed to 14.39
    • Malpractice RVU 0.95 changed to 0.98
    • 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: $627.52

    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$698.88$397.97RVU26D
2026-07-01$698.88$397.97RVU26C
2026-04-01$698.88$397.97RVU26B
2026-01-01$698.88$397.97RVU26A
2025-10-01$627.52$407.97RVU25D
2025-07-01$627.52$407.97RVU25C
2025-04-01$627.52$407.97RVU25B
2025-01-01$627.52$407.97RVU25A

28226 billing questions

How is 28226 distinguished from 28225?

28226 describes release of multiple flexor tendons. Use 28225 for the corresponding single-tendon release.

Is this a tendon repair code?

No. This code is for freeing adhesions that restrict tendon glide, not repairing a torn tendon. The operative note should support adhesiolysis rather than repair.

Can a toe flexor tenotomy be reported as 28226?

A tenotomy cuts or divides a tendon, whereas 28226 describes freeing multiple flexor tendons from adhesions. Choose based on the actual procedure documented.

What postoperative care is included?

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

How is bilateral work reported?

For a bilateral procedure, report modifier 50; Medicare pays the code at 150% under the supplied bilateral rule.

Can an assistant surgeon or co-surgeon be paid?

Medicare does not pay an assistant at surgery for this code, and 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 28226PPRRVU2026_Oct_nonQPP.csv, line 3,154 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet