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CMS RVU26D · Effective 2026-10-01

28240 in Merced

Office / nonfacility

$462.72

Base rate per service

Facility setting

$283.71

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 28240: Abductor hallucis muscle release

Reports operative lengthening or release of the abductor hallucis muscle when its tightness affects great-toe position or motion.

This procedure lengthens or releases the abductor hallucis muscle, a muscle along the inner side of the foot that acts on the great toe. A foot and ankle surgeon or podiatrist may perform it to address a contracture affecting great-toe position or motion. The operative report should identify the abductor hallucis as the treated structure and describe the work performed; a release of a toe joint or a different tendon is not this service.

Report the code for the abductor hallucis procedure, not for a separate tendon or joint release. Document the indication, treated side, and operative details. 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 is paid in full and others at 50%. 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 28240

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 RVU4.37 · 33%
  • Practice expense (office) RVU8.37 · 64%
  • Malpractice RVU0.44 · 3%

227

Medicare services in 2024 · #4211 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.

28240 compared with similar codes

Office rates for Merced, from the same CMS release.

28220

Foot tendon release

Single tendon

$469.20

28220 addresses release, lengthening, or tenotomy of a foot tendon. Choose 28240 when the treated structure is the abductor hallucis muscle.

28232

Toe tendon incision

Single flexor tendon

$394.62

28232 describes an open flexor tendon procedure on a toe. It is not the code for work on the abductor hallucis muscle.

28272

Toe joint release

Interphalangeal joint, each

$396.67

28272 is a toe joint-capsule release. 28240 is selected for the abductor hallucis muscle procedure, not a joint release.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 28240 is $464.09—$1.37 higher than the $462.72 rate in Merced. Both use the same code, release and participation basis.

28240 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $462.72

  2. Bakersfield

    $464.09

    $1.37 higher than Merced

  3. Chico

    $462.72

    The same base rate than Merced

  4. El Centro

    $462.80

    $0.08 higher than Merced

  5. Fresno

    $462.72

    The same base rate than Merced

  6. Hanford-Corcoran

    $462.72

    The same base rate than Merced

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

    $492.43

    $29.71 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, 28240 ranges from $393.68 in Arkansas to $573.03 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 · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Modesto

    California · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Napa

    California · 28240

    Office

    $531.09

    Facility

    $315.82

    $68.37 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28240

    Office

    $489.65

    Facility

    $296.59

    $26.93 higher than Merced for the office setting.

  • Redding

    California · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28240

    Office

    $467.53

    Facility

    $288.52

    $4.81 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28240

    Office

    $484.23

    Facility

    $294.28

    $21.51 higher than Merced for the office setting.

  • Salinas

    California · 28240

    Office

    $482.38

    Facility

    $293.08

    $19.66 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28240

    Office

    $492.67

    Facility

    $297.32

    $29.95 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28240

    Office

    $560.76

    Facility

    $330.47

    $98.04 higher than Merced for the office setting.

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

    California · 28240

    Office

    $560.26

    Facility

    $329.97

    $97.54 higher than Merced for the office setting.

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

    California · 28240

    Office

    $573.03

    Facility

    $337.51

    $110.31 higher than Merced for the office setting.

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

    California · 28240

    Office

    $570.99

    Facility

    $335.46

    $108.27 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28240

    Office

    $474.75

    Facility

    $288.71

    $12.03 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 28240

    Office

    $496.58

    Facility

    $298.13

    $33.86 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 28240

    Office

    $483.90

    Facility

    $293.46

    $21.18 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 28240

    Office

    $501.52

    Facility

    $300.95

    $38.80 higher than Merced for the office setting.

  • Stockton

    California · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 28240

    Office

    $530.37

    Facility

    $315.10

    $67.65 higher than Merced for the office setting.

  • Visalia

    California · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 28240

    Office

    $462.72

    Facility

    $283.71

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28240

    Office

    $499.53

    Facility

    $307.13

    $36.81 higher than Merced for the office setting.

  • Miami

    Florida · 28240

    Office

    $474.16

    Facility

    $304.13

    $11.44 higher than Merced for the office setting.

  • Chicago

    Illinois · 28240

    Office

    $461.68

    Facility

    $297.53

    $1.04 lower than Merced for the office setting.

  • Manhattan

    New York · 28240

    Office

    $503.47

    Facility

    $313.68

    $40.75 higher than Merced for the office setting.

  • Alaska*

    Alaska · 28240

    Office

    $524.78

    Facility

    $350.83

    $62.06 higher than Merced for the office setting.

  • Alabama

    Alabama · 28240

    Office

    $398.90

    Facility

    $255.99

    $63.82 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 28240

    Office

    $393.68

    Facility

    $253.38

    $69.04 lower than Merced for the office setting.

  • Arizona

    Arizona · 28240

    Office

    $429.44

    Facility

    $271.17

    $33.28 lower than Merced for the office setting.

  • Colorado

    Colorado · 28240

    Office

    $456.65

    Facility

    $282.87

    $6.07 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 28240

    Office

    $467.76

    Facility

    $291.85

    $5.04 higher than Merced for the office setting.

  • Delaware

    Delaware · 28240

    Office

    $436.11

    Facility

    $274.74

    $26.61 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 28240

    Office

    $455.73

    Facility

    $290.28

    $6.99 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 28240

    Office

    $435.32

    Facility

    $279.17

    $27.40 lower than Merced for the office setting.

  • Atlanta

    Georgia · 28240

    Office

    $448.09

    Facility

    $282.15

    $14.63 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 28240

    Office

    $412.85

    Facility

    $267.16

    $49.87 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 28240

    Office

    $472.34

    Facility

    $286.63

    $9.62 higher than Merced for the office setting.

  • Iowa

    Iowa · 28240

    Office

    $407.60

    Facility

    $258.15

    $55.12 lower than Merced for the office setting.

  • Idaho

    Idaho · 28240

    Office

    $410.11

    Facility

    $259.85

    $52.61 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 28240

    Office

    $432.76

    Facility

    $282.50

    $29.96 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 28240

    Office

    $424.18

    Facility

    $275.06

    $38.54 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 28240

    Office

    $460.14

    Facility

    $292.40

    $2.58 lower than Merced for the office setting.

  • Indiana

    Indiana · 28240

    Office

    $412.26

    Facility

    $260.85

    $50.46 lower than Merced for the office setting.

  • Kansas

    Kansas · 28240

    Office

    $406.10

    Facility

    $258.45

    $56.62 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 28240

    Office

    $407.94

    Facility

    $262.74

    $54.78 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 28240

    Office

    $425.73

    Facility

    $272.03

    $36.99 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 28240

    Office

    $407.46

    Facility

    $262.91

    $55.26 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 28240

    Office

    $498.83

    Facility

    $303.81

    $36.11 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28240

    Office

    $454.39

    Facility

    $282.41

    $8.33 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28240

    Office

    $466.45

    Facility

    $291.20

    $3.73 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 28240

    Office

    $443.83

    Facility

    $278.54

    $18.89 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 28240

    Office

    $412.30

    Facility

    $262.04

    $50.42 lower than Merced for the office setting.

  • Southern Maine

    Maine · 28240

    Office

    $432.28

    Facility

    $270.42

    $30.44 lower than Merced for the office setting.

  • Detroit

    Michigan · 28240

    Office

    $440.52

    Facility

    $282.91

    $22.20 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 28240

    Office

    $417.80

    Facility

    $268.68

    $44.92 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 28240

    Office

    $437.98

    Facility

    $269.92

    $24.74 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 28240

    Office

    $422.83

    Facility

    $269.47

    $39.89 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 28240

    Office

    $426.83

    Facility

    $271.34

    $35.89 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 28240

    Office

    $401.26

    Facility

    $260.47

    $61.46 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 28240

    Office

    $397.53

    Facility

    $256.90

    $65.19 lower than Merced for the office setting.

  • Montana**

    Montana · 28240

    Office

    $440.19

    Facility

    $276.86

    $22.53 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 28240

    Office

    $416.19

    Facility

    $263.80

    $46.53 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 28240

    Office

    $431.49

    Facility

    $268.16

    $31.23 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 28240

    Office

    $409.56

    Facility

    $258.80

    $53.16 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 28240

    Office

    $449.85

    Facility

    $279.82

    $12.87 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 28240

    Office

    $495.15

    Facility

    $305.69

    $32.43 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 28240

    Office

    $473.21

    Facility

    $294.85

    $10.49 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 28240

    Office

    $419.97

    Facility

    $270.20

    $42.75 lower than Merced for the office setting.

  • Nevada**

    Nevada · 28240

    Office

    $438.05

    Facility

    $274.56

    $24.67 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28240

    Office

    $515.00

    Facility

    $320.80

    $52.28 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28240

    Office

    $476.44

    Facility

    $297.59

    $13.72 higher than Merced for the office setting.

  • Queens

    New York · 28240

    Office

    $506.94

    Facility

    $313.89

    $44.22 higher than Merced for the office setting.

  • Rest Of New York

    New York · 28240

    Office

    $421.88

    Facility

    $266.72

    $40.84 lower than Merced for the office setting.

  • Ohio

    Ohio · 28240

    Office

    $416.02

    Facility

    $266.90

    $46.70 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 28240

    Office

    $407.03

    Facility

    $261.18

    $55.69 lower than Merced for the office setting.

  • Portland

    Oregon · 28240

    Office

    $469.83

    Facility

    $288.37

    $7.11 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 28240

    Office

    $434.74

    Facility

    $272.06

    $27.98 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28240

    Office

    $457.15

    Facility

    $287.12

    $5.57 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28240

    Office

    $416.49

    Facility

    $266.55

    $46.23 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 28240

    Office

    $443.08

    Facility

    $277.95

    $19.64 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 28240

    Office

    $450.64

    Facility

    $281.92

    $12.08 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 28240

    Office

    $416.77

    Facility

    $265.86

    $45.95 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 28240

    Office

    $430.47

    Facility

    $267.14

    $32.25 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 28240

    Office

    $407.98

    Facility

    $259.51

    $54.74 lower than Merced for the office setting.

  • Austin

    Texas · 28240

    Office

    $455.06

    Facility

    $282.25

    $7.66 lower than Merced for the office setting.

  • Beaumont

    Texas · 28240

    Office

    $414.02

    Facility

    $265.39

    $48.70 lower than Merced for the office setting.

  • Brazoria

    Texas · 28240

    Office

    $435.64

    Facility

    $273.78

    $27.08 lower than Merced for the office setting.

  • Dallas

    Texas · 28240

    Office

    $438.33

    Facility

    $275.66

    $24.39 lower than Merced for the office setting.

  • Fort Worth

    Texas · 28240

    Office

    $435.73

    Facility

    $274.68

    $26.99 lower than Merced for the office setting.

  • Galveston

    Texas · 28240

    Office

    $436.91

    Facility

    $274.72

    $25.81 lower than Merced for the office setting.

  • Houston

    Texas · 28240

    Office

    $444.96

    Facility

    $282.77

    $17.76 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 28240

    Office

    $424.54

    Facility

    $269.54

    $38.18 lower than Merced for the office setting.

  • Utah

    Utah · 28240

    Office

    $421.95

    Facility

    $268.42

    $40.77 lower than Merced for the office setting.

  • Virginia

    Virginia · 28240

    Office

    $431.15

    Facility

    $270.60

    $31.57 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28240

    Office

    $443.08

    Facility

    $277.95

    $19.64 lower than Merced for the office setting.

  • Vermont

    Vermont · 28240

    Office

    $430.17

    Facility

    $268.47

    $32.55 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 28240

    Office

    $453.43

    Facility

    $281.44

    $9.29 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 28240

    Office

    $508.29

    Facility

    $307.89

    $45.57 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 28240

    Office

    $418.31

    Facility

    $261.84

    $44.41 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 28240

    Office

    $409.93

    Facility

    $268.00

    $52.79 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 28240

    Office

    $436.40

    Facility

    $273.07

    $26.32 lower than Merced for the office setting.

See how rates vary across the country

28240 · 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.

$393.68

$524.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$524.781
AL$398.901
AR$393.681
AZ$429.441
CA$462.72–$573.0329
CO$456.651
CT$467.761
DC$499.531
DE$436.111
FL$435.32–$474.163
GA$412.85–$448.092
GU$472.341
HI$472.341
IA$407.601
ID$410.111
IL$424.18–$461.684
IN$412.261
KS$406.101
KY$407.941
LA$407.46–$425.732
MA$454.39–$498.832
MD$443.83–$499.533
ME$412.30–$432.282
MI$417.80–$440.522
MN$437.981
MO$401.26–$426.833
MS$397.531
MT$440.191
NC$416.191
ND$431.491
NE$409.561
NH$449.851
NJ$473.21–$495.152
NM$419.971
NV$438.051
NY$421.88–$515.005
OH$416.021
OK$407.031
OR$434.74–$469.832
PA$416.49–$457.152
PR$443.081
RI$450.641
SC$416.771
SD$430.471
TN$407.981
TX$414.02–$455.068
UT$421.951
VA$431.15–$499.532
VI$443.081
VT$430.171
WA$453.43–$508.292
WI$418.311
WV$409.931
WY$436.401

Explore 28240 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 28240 in Merced, the physician’s office rate is $462.72 and the facility-setting rate is $283.71: a difference of $179.01.

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 28240 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$508.99

$462.72 × 110% = $508.99

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 28240 in Merced.

PPRRVU2026_Oct_nonQPP.csv

3,159

Code
28240
Physician work
4.37
Practice expense
8.37
Malpractice
0.44

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28240 in Merced
ComponentRVULocality factorAdjusted
Physician work4.37× 1.0174.4443
Practice expense8.37× 1.0969.1735
Malpractice0.44× 0.5360.2358
Total RVUs13.8536
Conversion factor× 33.4009

Office / nonfacility rate, Merced$462.72

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

Open 28240 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.371.017
Practice expense8.371.096
Malpractice0.440.536

(4.37 × 1.017 + 8.37 × 1.096 + 0.44 × 0.536) × $33.4009 = $462.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.371.017
Practice expense3.481.096
Malpractice0.440.536

(4.37 × 1.017 + 3.48 × 1.096 + 0.44 × 0.536) × $33.4009 = $283.71

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

28240 · Office / nonfacility

$462.72

Effective 2026-10-01

The base rate is $14.88 higher than on 2025-10-01, moving from $447.84 to $462.72 (3.3%).

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

    $447.84changed to$462.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.48 changed to 4.37
    • Practice expense RVU 8.27 changed to 8.37
    • Malpractice RVU 0.47 changed to 0.44
    • 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: $447.84

    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$462.72$283.71RVU26D
2026-07-01$462.72$283.71RVU26C
2026-04-01$462.72$283.71RVU26B
2026-01-01$462.72$283.71RVU26A
2025-10-01$447.84$298.29RVU25D
2025-07-01$447.84$298.29RVU25C
2025-04-01$447.84$298.29RVU25B
2025-01-01$447.84$298.29RVU25A

28240 billing questions

When should I report 28240 instead of a foot tendon-release code?

Use 28240 when the operative work is on the abductor hallucis muscle. A release involving a different foot tendon is represented by the applicable tendon procedure code.

Is a great-toe joint release included in 28240?

No. This code identifies work on the abductor hallucis muscle; a separate joint-capsule release is a different procedure and should be supported by distinct operative documentation.

How is bilateral 28240 reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

Does the 90-day global include postoperative visits?

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

Can an assistant surgeon or co-surgeon be billed?

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

What happens when 28240 is performed with another procedure?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are paid 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 28240PPRRVU2026_Oct_nonQPP.csv, line 3,159 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet