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CMS RVU26D · Effective 2026-10-01

28755 in Modesto

Office / nonfacility

$970.03

Base rate per service

Facility setting

$475.83

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 28755: Great toe interphalangeal joint fusion

Reports surgical fusion of the great toe’s interphalangeal joint, typically to address painful arthritis or a rigid toe deformity.

A foot and ankle surgeon or podiatric surgeon removes the joint surfaces of the great toe’s interphalangeal joint, aligns the toe, and stabilizes the bones so they can fuse. The operation is commonly performed in an operating room for a painful, stiff or rigid deformity at the joint, including when conservative care has not relieved symptoms. The fusion is specifically at the joint between the great toe’s two phalanges, not at the joint between the toe and the first metatarsal.

Report 28755 for the interphalangeal-joint fusion itself. The operative report should identify the joint treated, the reason for fusion, the work performed and the fixation used. Medicare assigns a 90-day global period, which includes 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 50% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 28755

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 paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.31 · 27%
  • Practice expense (office) RVU19.27 · 70%
  • Malpractice RVU0.91 · 3%

2.4K

Medicare services in 2024 · #2315 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.

28755 compared with similar codes

Office rates for Modesto, from the same CMS release.

28750

Great toe fusion

Metatarsophalangeal joint

$1,095.56

Choose 28755 for the great toe interphalangeal joint and 28750 for the metatarsophalangeal joint at the base of the toe.

28760

Big toe fusion

Great toe joint

$816.03

28760 describes great toe interphalangeal fusion with tendon transfer; 28755 describes the fusion without that additional tendon-transfer work.

28285

Hammertoe repair

Lesser-toe deformity correction

$575.04

28285 reports hammertoe correction, not fusion of the great toe interphalangeal joint. Select based on the procedure documented.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 28755 is $972.73—$2.70 higher than the $970.03 rate in Modesto. Both use the same code, release and participation basis.

28755 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $970.03

  2. Bakersfield

    $972.73

    $2.70 higher than Modesto

  3. Chico

    $970.03

    The same base rate than Modesto

  4. El Centro

    $970.18

    $0.15 higher than Modesto

  5. Fresno

    $970.03

    The same base rate than Modesto

  6. Hanford-Corcoran

    $970.03

    The same base rate than Modesto

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

    $1035.77

    $65.74 higher than Modesto

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, 28755 ranges from $812.70 in Arkansas to $1215.43 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 · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Merced

    California · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Napa

    California · 28755

    Office

    $1123.29

    Facility

    $528.99

    $153.26 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28755

    Office

    $1030.71

    Facility

    $497.73

    $60.68 higher than Modesto for the office setting.

  • Redding

    California · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28755

    Office

    $979.91

    Facility

    $485.71

    $9.88 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28755

    Office

    $1017.79

    Facility

    $493.38

    $47.76 higher than Modesto for the office setting.

  • Salinas

    California · 28755

    Office

    $1013.99

    Facility

    $491.39

    $43.96 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28755

    Office

    $1037.75

    Facility

    $498.46

    $67.72 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28755

    Office

    $1188.83

    Facility

    $553.05

    $218.80 higher than Modesto for the office setting.

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

    California · 28755

    Office

    $1187.80

    Facility

    $552.01

    $217.77 higher than Modesto for the office setting.

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

    California · 28755

    Office

    $1215.43

    Facility

    $565.22

    $245.40 higher than Modesto for the office setting.

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

    California · 28755

    Office

    $1211.21

    Facility

    $560.99

    $241.18 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28755

    Office

    $997.70

    Facility

    $484.11

    $27.67 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 28755

    Office

    $1047.60

    Facility

    $499.74

    $77.57 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 28755

    Office

    $1017.77

    Facility

    $492.00

    $47.74 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 28755

    Office

    $1058.16

    Facility

    $504.44

    $88.13 higher than Modesto for the office setting.

  • Stockton

    California · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 28755

    Office

    $1121.81

    Facility

    $527.50

    $151.78 higher than Modesto for the office setting.

  • Visalia

    California · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 28755

    Office

    $970.03

    Facility

    $475.83

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28755

    Office

    $1049.38

    Facility

    $518.20

    $79.35 higher than Modesto for the office setting.

  • Miami

    Florida · 28755

    Office

    $991.05

    Facility

    $521.65

    $21.02 higher than Modesto for the office setting.

  • Chicago

    Illinois · 28755

    Office

    $962.48

    Facility

    $509.31

    $7.55 lower than Modesto for the office setting.

  • Manhattan

    New York · 28755

    Office

    $1055.90

    Facility

    $531.94

    $85.87 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 28755

    Office

    $1068.46

    Facility

    $588.24

    $98.43 higher than Modesto for the office setting.

  • Alabama

    Alabama · 28755

    Office

    $824.54

    Facility

    $430.00

    $145.49 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 28755

    Office

    $812.70

    Facility

    $425.36

    $157.33 lower than Modesto for the office setting.

  • Arizona

    Arizona · 28755

    Office

    $893.86

    Facility

    $456.93

    $76.17 lower than Modesto for the office setting.

  • Colorado

    Colorado · 28755

    Office

    $955.66

    Facility

    $475.89

    $14.37 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 28755

    Office

    $979.02

    Facility

    $493.38

    $8.99 higher than Modesto for the office setting.

  • Delaware

    Delaware · 28755

    Office

    $908.62

    Facility

    $463.12

    $61.41 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 28755

    Office

    $951.12

    Facility

    $494.34

    $18.91 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 28755

    Office

    $905.16

    Facility

    $474.09

    $64.87 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 28755

    Office

    $935.33

    Facility

    $477.20

    $34.70 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 28755

    Office

    $854.51

    Facility

    $452.30

    $115.52 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 28755

    Office

    $993.57

    Facility

    $480.89

    $23.54 higher than Modesto for the office setting.

  • Iowa

    Iowa · 28755

    Office

    $845.15

    Facility

    $432.57

    $124.88 lower than Modesto for the office setting.

  • Idaho

    Idaho · 28755

    Office

    $850.68

    Facility

    $435.84

    $119.35 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 28755

    Office

    $897.52

    Facility

    $482.68

    $72.51 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 28755

    Office

    $879.31

    Facility

    $467.62

    $90.72 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 28755

    Office

    $960.74

    Facility

    $497.66

    $9.29 lower than Modesto for the office setting.

  • Indiana

    Indiana · 28755

    Office

    $855.58

    Facility

    $437.59

    $114.45 lower than Modesto for the office setting.

  • Kansas

    Kansas · 28755

    Office

    $841.33

    Facility

    $433.70

    $128.70 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 28755

    Office

    $844.16

    Facility

    $443.30

    $125.87 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 28755

    Office

    $884.35

    Facility

    $460.04

    $85.68 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 28755

    Office

    $842.90

    Facility

    $443.84

    $127.13 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 28755

    Office

    $1049.72

    Facility

    $511.33

    $79.69 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28755

    Office

    $950.04

    Facility

    $475.23

    $19.99 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28755

    Office

    $976.29

    Facility

    $492.46

    $6.26 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 28755

    Office

    $925.86

    Facility

    $469.54

    $44.17 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 28755

    Office

    $855.21

    Facility

    $440.37

    $114.82 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 28755

    Office

    $901.18

    Facility

    $454.33

    $68.85 lower than Modesto for the office setting.

  • Detroit

    Michigan · 28755

    Office

    $916.51

    Facility

    $481.38

    $53.52 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 28755

    Office

    $866.12

    Facility

    $454.43

    $103.91 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 28755

    Office

    $915.46

    Facility

    $451.47

    $54.57 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 28755

    Office

    $878.23

    Facility

    $454.82

    $91.80 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 28755

    Office

    $887.36

    Facility

    $458.09

    $82.67 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 28755

    Office

    $828.58

    Facility

    $439.89

    $141.45 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 28755

    Office

    $820.79

    Facility

    $432.56

    $149.24 lower than Modesto for the office setting.

  • Montana**

    Montana · 28755

    Office

    $918.13

    Facility

    $467.22

    $51.90 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 28755

    Office

    $864.09

    Facility

    $443.39

    $105.94 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 28755

    Office

    $900.14

    Facility

    $449.22

    $69.89 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 28755

    Office

    $849.73

    Facility

    $433.53

    $120.30 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 28755

    Office

    $940.78

    Facility

    $471.38

    $29.25 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 28755

    Office

    $1038.62

    Facility

    $515.56

    $68.59 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 28755

    Office

    $990.12

    Facility

    $497.72

    $20.09 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 28755

    Office

    $870.88

    Facility

    $457.39

    $99.15 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 28755

    Office

    $913.76

    Facility

    $462.40

    $56.27 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28755

    Office

    $1081.51

    Facility

    $545.38

    $111.48 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28755

    Office

    $996.71

    Facility

    $502.96

    $26.68 higher than Modesto for the office setting.

  • Queens

    New York · 28755

    Office

    $1064.39

    Facility

    $531.41

    $94.36 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 28755

    Office

    $876.98

    Facility

    $448.62

    $93.05 lower than Modesto for the office setting.

  • Ohio

    Ohio · 28755

    Office

    $862.44

    Facility

    $450.75

    $107.59 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 28755

    Office

    $842.54

    Facility

    $439.88

    $127.49 lower than Modesto for the office setting.

  • Portland

    Oregon · 28755

    Office

    $985.76

    Facility

    $484.80

    $15.73 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 28755

    Office

    $906.59

    Facility

    $457.48

    $63.44 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28755

    Office

    $954.84

    Facility

    $485.44

    $15.19 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28755

    Office

    $863.74

    Facility

    $449.80

    $106.29 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 28755

    Office

    $924.81

    Facility

    $468.94

    $45.22 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 28755

    Office

    $940.79

    Facility

    $474.99

    $29.24 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 28755

    Office

    $864.72

    Facility

    $448.07

    $105.31 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 28755

    Office

    $898.01

    Facility

    $447.10

    $72.02 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 28755

    Office

    $845.55

    Facility

    $435.67

    $124.48 lower than Modesto for the office setting.

  • Austin

    Texas · 28755

    Office

    $952.54

    Facility

    $475.48

    $17.49 lower than Modesto for the office setting.

  • Beaumont

    Texas · 28755

    Office

    $858.11

    Facility

    $447.78

    $111.92 lower than Modesto for the office setting.

  • Brazoria

    Texas · 28755

    Office

    $907.66

    Facility

    $460.81

    $62.37 lower than Modesto for the office setting.

  • Dallas

    Texas · 28755

    Office

    $913.50

    Facility

    $464.39

    $56.53 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 28755

    Office

    $907.46

    Facility

    $462.86

    $62.57 lower than Modesto for the office setting.

  • Galveston

    Texas · 28755

    Office

    $910.41

    Facility

    $462.65

    $59.62 lower than Modesto for the office setting.

  • Houston

    Texas · 28755

    Office

    $927.07

    Facility

    $479.31

    $42.96 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 28755

    Office

    $882.42

    Facility

    $454.50

    $87.61 lower than Modesto for the office setting.

  • Utah

    Utah · 28755

    Office

    $876.47

    Facility

    $452.61

    $93.56 lower than Modesto for the office setting.

  • Virginia

    Virginia · 28755

    Office

    $898.31

    Facility

    $455.07

    $71.72 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28755

    Office

    $924.81

    Facility

    $468.94

    $45.22 lower than Modesto for the office setting.

  • Vermont

    Vermont · 28755

    Office

    $896.74

    Facility

    $450.34

    $73.29 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 28755

    Office

    $948.21

    Facility

    $473.40

    $21.82 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 28755

    Office

    $1070.94

    Facility

    $517.67

    $100.91 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 28755

    Office

    $870.12

    Facility

    $438.15

    $99.91 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 28755

    Office

    $846.97

    Facility

    $455.13

    $123.06 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 28755

    Office

    $910.29

    Facility

    $459.38

    $59.74 lower than Modesto for the office setting.

See how rates vary across the country

28755 · 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.

$812.70

$1,092.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,068.461
AL$824.541
AR$812.701
AZ$893.861
CA$970.03–$1,215.4329
CO$955.661
CT$979.021
DC$1,049.381
DE$908.621
FL$905.16–$991.053
GA$854.51–$935.332
GU$993.571
HI$993.571
IA$845.151
ID$850.681
IL$879.31–$962.484
IN$855.581
KS$841.331
KY$844.161
LA$842.90–$884.352
MA$950.04–$1,049.722
MD$925.86–$1,049.383
ME$855.21–$901.182
MI$866.12–$916.512
MN$915.461
MO$828.58–$887.363
MS$820.791
MT$918.131
NC$864.091
ND$900.141
NE$849.731
NH$940.781
NJ$990.12–$1,038.622
NM$870.881
NV$913.761
NY$876.98–$1,081.515
OH$862.441
OK$842.541
OR$906.59–$985.762
PA$863.74–$954.842
PR$924.811
RI$940.791
SC$864.721
SD$898.011
TN$845.551
TX$858.11–$952.548
UT$876.471
VA$898.31–$1,049.382
VI$924.811
VT$896.741
WA$948.21–$1,070.942
WI$870.121
WV$846.971
WY$910.291

Explore 28755 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 28755 in Modesto, the physician’s office rate is $970.03 and the facility-setting rate is $475.83: a difference of $494.20.

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 28755 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1067.03

$970.03 × 110% = $1067.03

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.

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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 28755 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

3,253

Code
28755
Physician work
7.31
Practice expense
19.27
Malpractice
0.91

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28755 in Modesto
ComponentRVULocality factorAdjusted
Physician work7.31× 1.0177.4343
Practice expense19.27× 1.09621.1199
Malpractice0.91× 0.5360.4878
Total RVUs29.0419
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$970.03

Open 28755 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.311.017
Practice expense19.271.096
Malpractice0.910.536

(7.31 × 1.017 + 19.27 × 1.096 + 0.91 × 0.536) × $33.4009 = $970.03

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.311.017
Practice expense5.771.096
Malpractice0.910.536

(7.31 × 1.017 + 5.77 × 1.096 + 0.91 × 0.536) × $33.4009 = $475.83

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

28755 · Office / nonfacility

$970.03

Effective 2026-10-01

The base rate is $455.46 higher than on 2025-10-01, moving from $514.57 to $970.03 (88.5%).

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

    $514.57changed to$970.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.88 changed to 7.31
    • Practice expense RVU 9.73 changed to 19.27
    • Malpractice RVU 0.58 changed to 0.91
    • 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: $514.57

    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$970.03$475.83RVU26D
2026-07-01$970.03$475.83RVU26C
2026-04-01$970.03$475.83RVU26B
2026-01-01$970.03$475.83RVU26A
2025-10-01$514.57$341.33RVU25D
2025-07-01$514.57$341.33RVU25C
2025-04-01$514.57$341.33RVU25B
2025-01-01$514.57$341.33RVU25A

28755 billing questions

How is 28755 different from 28750?

28755 is for fusion at the great toe’s interphalangeal joint. 28750 is for fusion at the metatarsophalangeal joint, where the great toe meets the foot.

What should the operative note establish?

Document the great toe interphalangeal joint as the fusion site, the condition prompting surgery, and the fusion and stabilization performed.

Does the surgical global include routine postoperative care?

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

How is bilateral 28755 reported for Medicare?

For bilateral procedures, report modifier 50; Medicare pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with 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 28755PPRRVU2026_Oct_nonQPP.csv, line 3,253 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet