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CMS RVU26D · Effective 2026-10-01

28232 in Ohio

Office / nonfacility

$352.56

Base rate per service

Facility setting

$222.04

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 28232: Open flexor tenotomy of a toe

Reports open division of one flexor tendon in a toe, commonly to address a tendon-driven toe contracture such as a claw or hammertoe deformity.

The surgeon makes an incision and divides one flexor tendon in a toe to reduce a deforming pull or contracture. Orthopedic surgeons and podiatric surgeons commonly perform this procedure for a toe deformity in an operating room or other surgical setting. The defining details are an open approach, a flexor tendon, and one tendon in a toe; this is not repair of a damaged tendon or incision of an extensor tendon.

Select the code from the operative note’s documented tendon, toe, approach, and number of tendons treated. The note should support the deformity or contracture addressed and the specific tendon division. 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 others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 28232

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 RVU3.42 · 31%
  • Practice expense (office) RVU7.44 · 66%
  • Malpractice RVU0.34 · 3%

19K

Medicare services in 2024 · #1165 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.

28232 compared with similar codes

Office rates for Ohio, from the same CMS release.

28230

Tendon incision

Single extensor tendon

$406.80

Use 28232 for an open division of one flexor tendon in a toe. Use 28230 for an open incision of a single extensor tendon.

28234

Extensor tenotomy

Single tendon

$387.20

28234 involves multiple extensor tendons; 28232 involves one flexor tendon in a toe. The operative note should identify tendon type and count.

28272

Toe joint release

Interphalangeal joint, each

$356.50

28272 addresses release of a toe joint contracture. 28232 divides a flexor tendon, so distinguish the structure treated.

28285

Hammertoe repair

Lesser-toe deformity correction

$518.62

28285 represents hammertoe correction, while 28232 describes an open flexor tenotomy. Determine whether the documented service is an isolated tendon division or part of a broader deformity correction.

The same code, a different location

How does Ohio compare?

28232 across payment areas

Same release and payment basis · bars start at $0

  1. Ohio · This locality

    $352.56

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

    $420.43

    $67.87 higher than Ohio

  3. Dc + Md/Va Suburbs

    $425.78

    $73.22 higher than Ohio

  4. Miami

    $401.64

    $49.08 higher than Ohio

  5. Chicago

    $390.84

    $38.28 higher than Ohio

  6. Manhattan

    $428.31

    $75.75 higher than Ohio

  7. Alaska*

    $442.26

    $89.70 higher than Ohio

Other payment areas listed in Ohio 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, 28232 ranges from $333.54 in Arkansas to $491.22 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

  • Alabama

    Alabama · 28232

    Office

    $338.10

    Facility

    $213.01

    $14.46 lower than Ohio for the office setting.

  • Arkansas

    Arkansas · 28232

    Office

    $333.54

    Facility

    $210.74

    $19.02 lower than Ohio for the office setting.

  • Arizona

    Arizona · 28232

    Office

    $364.75

    Facility

    $226.23

    $12.19 higher than Ohio for the office setting.

  • Bakersfield

    California · 28232

    Office

    $395.68

    Facility

    $239.00

    $43.12 higher than Ohio for the office setting.

  • Chico

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • El Centro

    California · 28232

    Office

    $394.68

    Facility

    $238.00

    $42.12 higher than Ohio for the office setting.

  • Fresno

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Hanford-Corcoran

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Madera

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Merced

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Modesto

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Napa

    California · 28232

    Office

    $454.72

    Facility

    $266.31

    $102.16 higher than Ohio for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28232

    Office

    $418.23

    Facility

    $249.26

    $65.67 higher than Ohio for the office setting.

  • Redding

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Rest Of California

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28232

    Office

    $398.33

    Facility

    $241.65

    $45.77 higher than Ohio for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28232

    Office

    $413.44

    Facility

    $247.18

    $60.88 higher than Ohio for the office setting.

  • Salinas

    California · 28232

    Office

    $411.87

    Facility

    $246.19

    $59.31 higher than Ohio for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28232

    Office

    $421.02

    Facility

    $250.05

    $68.46 higher than Ohio for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28232

    Office

    $480.68

    Facility

    $279.12

    $128.12 higher than Ohio for the office setting.

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

    California · 28232

    Office

    $480.30

    Facility

    $278.73

    $127.74 higher than Ohio for the office setting.

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

    California · 28232

    Office

    $491.22

    Facility

    $285.08

    $138.66 higher than Ohio for the office setting.

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

    California · 28232

    Office

    $489.65

    Facility

    $283.50

    $137.09 higher than Ohio for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28232

    Office

    $405.30

    Facility

    $242.48

    $52.74 higher than Ohio for the office setting.

  • Santa Cruz-Watsonville

    California · 28232

    Office

    $424.65

    Facility

    $250.96

    $72.09 higher than Ohio for the office setting.

  • Santa Maria-Santa Barbara

    California · 28232

    Office

    $413.27

    Facility

    $246.58

    $60.71 higher than Ohio for the office setting.

  • Santa Rosa-Petaluma

    California · 28232

    Office

    $428.91

    Facility

    $253.36

    $76.35 higher than Ohio for the office setting.

  • Stockton

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Vallejo

    California · 28232

    Office

    $454.17

    Facility

    $265.75

    $101.61 higher than Ohio for the office setting.

  • Visalia

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Yuba City

    California · 28232

    Office

    $394.62

    Facility

    $237.94

    $42.06 higher than Ohio for the office setting.

  • Colorado

    Colorado · 28232

    Office

    $388.88

    Facility

    $236.77

    $36.32 higher than Ohio for the office setting.

  • Connecticut

    Connecticut · 28232

    Office

    $397.89

    Facility

    $243.93

    $45.33 higher than Ohio for the office setting.

  • Delaware

    Delaware · 28232

    Office

    $370.53

    Facility

    $229.29

    $17.97 higher than Ohio for the office setting.

  • Fort Lauderdale

    Florida · 28232

    Office

    $386.50

    Facility

    $241.68

    $33.94 higher than Ohio for the office setting.

  • Rest Of Florida

    Florida · 28232

    Office

    $368.87

    Facility

    $232.20

    $16.31 higher than Ohio for the office setting.

  • Atlanta

    Georgia · 28232

    Office

    $380.69

    Facility

    $235.45

    $28.13 higher than Ohio for the office setting.

  • Rest Of Georgia

    Georgia · 28232

    Office

    $349.43

    Facility

    $221.92

    $3.13 lower than Ohio for the office setting.

  • Hawaii, Guam

    Hawaii · 28232

    Office

    $403.35

    Facility

    $240.81

    $50.79 higher than Ohio for the office setting.

  • Iowa

    Iowa · 28232

    Office

    $346.12

    Facility

    $215.31

    $6.44 lower than Ohio for the office setting.

  • Idaho

    Idaho · 28232

    Office

    $348.23

    Facility

    $216.71

    $4.33 lower than Ohio for the office setting.

  • East St. Louis

    Illinois · 28232

    Office

    $365.73

    Facility

    $234.21

    $13.17 higher than Ohio for the office setting.

  • Rest Of Illinois

    Illinois · 28232

    Office

    $358.86

    Facility

    $228.35

    $6.30 higher than Ohio for the office setting.

  • Suburban Chicago

    Illinois · 28232

    Office

    $390.37

    Facility

    $243.55

    $37.81 higher than Ohio for the office setting.

  • Indiana

    Indiana · 28232

    Office

    $350.11

    Facility

    $217.59

    $2.45 lower than Ohio for the office setting.

  • Kansas

    Kansas · 28232

    Office

    $344.60

    Facility

    $215.37

    $7.96 lower than Ohio for the office setting.

  • Kentucky

    Kentucky · 28232

    Office

    $345.54

    Facility

    $218.45

    $7.02 lower than Ohio for the office setting.

  • New Orleans

    Louisiana · 28232

    Office

    $360.97

    Facility

    $226.45

    $8.41 higher than Ohio for the office setting.

  • Rest Of Louisiana

    Louisiana · 28232

    Office

    $345.04

    Facility

    $218.52

    $7.52 lower than Ohio for the office setting.

  • Metropolitan Boston

    Massachusetts · 28232

    Office

    $425.73

    Facility

    $255.04

    $73.17 higher than Ohio for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28232

    Office

    $386.78

    Facility

    $236.25

    $34.22 higher than Ohio for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28232

    Office

    $396.75

    Facility

    $243.36

    $44.19 higher than Ohio for the office setting.

  • Rest Of Maryland

    Maryland · 28232

    Office

    $377.28

    Facility

    $232.61

    $24.72 higher than Ohio for the office setting.

  • Rest Of Maine

    Maine · 28232

    Office

    $349.92

    Facility

    $218.40

    $2.64 lower than Ohio for the office setting.

  • Southern Maine

    Maine · 28232

    Office

    $367.66

    Facility

    $225.99

    $15.10 higher than Ohio for the office setting.

  • Detroit

    Michigan · 28232

    Office

    $373.18

    Facility

    $235.23

    $20.62 higher than Ohio for the office setting.

  • Rest Of Michigan

    Michigan · 28232

    Office

    $353.94

    Facility

    $223.42

    $1.38 higher than Ohio for the office setting.

  • Minnesota

    Minnesota · 28232

    Office

    $373.30

    Facility

    $226.20

    $20.74 higher than Ohio for the office setting.

  • Metropolitan Kansas City

    Missouri · 28232

    Office

    $358.67

    Facility

    $224.43

    $6.11 higher than Ohio for the office setting.

  • Metropolitan St. Louis

    Missouri · 28232

    Office

    $362.18

    Facility

    $226.09

    $9.62 higher than Ohio for the office setting.

  • Rest Of Missouri

    Missouri · 28232

    Office

    $339.50

    Facility

    $216.27

    $13.06 lower than Ohio for the office setting.

  • Mississippi

    Mississippi · 28232

    Office

    $336.58

    Facility

    $213.50

    $15.98 lower than Ohio for the office setting.

  • Montana**

    Montana · 28232

    Office

    $374.07

    Facility

    $231.11

    $21.51 higher than Ohio for the office setting.

  • North Carolina

    North Carolina · 28232

    Office

    $353.34

    Facility

    $219.96

    $0.78 higher than Ohio for the office setting.

  • North Dakota**

    North Dakota · 28232

    Office

    $367.34

    Facility

    $224.39

    $14.78 higher than Ohio for the office setting.

  • Nebraska

    Nebraska · 28232

    Office

    $347.89

    Facility

    $215.94

    $4.67 lower than Ohio for the office setting.

  • New Hampshire

    New Hampshire · 28232

    Office

    $382.86

    Facility

    $234.04

    $30.30 higher than Ohio for the office setting.

  • Northern Nj

    New Jersey · 28232

    Office

    $421.82

    Facility

    $255.99

    $69.26 higher than Ohio for the office setting.

  • Rest Of New Jersey

    New Jersey · 28232

    Office

    $402.62

    Facility

    $246.52

    $50.06 higher than Ohio for the office setting.

  • New Mexico

    New Mexico · 28232

    Office

    $355.75

    Facility

    $224.66

    $3.19 higher than Ohio for the office setting.

  • Nevada**

    Nevada · 28232

    Office

    $372.44

    Facility

    $229.34

    $19.88 higher than Ohio for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28232

    Office

    $438.10

    Facility

    $268.13

    $85.54 higher than Ohio for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28232

    Office

    $405.22

    Facility

    $248.69

    $52.66 higher than Ohio for the office setting.

  • Queens

    New York · 28232

    Office

    $431.65

    Facility

    $262.67

    $79.09 higher than Ohio for the office setting.

  • Rest Of New York

    New York · 28232

    Office

    $358.29

    Facility

    $222.48

    $5.73 higher than Ohio for the office setting.

  • Oklahoma

    Oklahoma · 28232

    Office

    $344.97

    Facility

    $217.31

    $7.59 lower than Ohio for the office setting.

  • Portland

    Oregon · 28232

    Office

    $400.59

    Facility

    $241.77

    $48.03 higher than Ohio for the office setting.

  • Rest Of Oregon

    Oregon · 28232

    Office

    $369.72

    Facility

    $227.34

    $17.16 higher than Ohio for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28232

    Office

    $388.53

    Facility

    $239.71

    $35.97 higher than Ohio for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28232

    Office

    $353.09

    Facility

    $221.85

    $0.53 higher than Ohio for the office setting.

  • Puerto Rico

    Puerto Rico · 28232

    Office

    $376.65

    Facility

    $232.12

    $24.09 higher than Ohio for the office setting.

  • Rhode Island

    Rhode Island · 28232

    Office

    $383.23

    Facility

    $235.56

    $30.67 higher than Ohio for the office setting.

  • South Carolina

    South Carolina · 28232

    Office

    $353.50

    Facility

    $221.41

    $0.94 higher than Ohio for the office setting.

  • South Dakota**

    South Dakota · 28232

    Office

    $366.55

    Facility

    $223.59

    $13.99 higher than Ohio for the office setting.

  • Tennessee

    Tennessee · 28232

    Office

    $346.22

    Facility

    $216.27

    $6.34 lower than Ohio for the office setting.

  • Austin

    Texas · 28232

    Office

    $387.44

    Facility

    $236.19

    $34.88 higher than Ohio for the office setting.

  • Beaumont

    Texas · 28232

    Office

    $350.92

    Facility

    $220.83

    $1.64 lower than Ohio for the office setting.

  • Brazoria

    Texas · 28232

    Office

    $370.27

    Facility

    $228.60

    $17.71 higher than Ohio for the office setting.

  • Dallas

    Texas · 28232

    Office

    $372.51

    Facility

    $230.13

    $19.95 higher than Ohio for the office setting.

  • Fort Worth

    Texas · 28232

    Office

    $370.17

    Facility

    $229.22

    $17.61 higher than Ohio for the office setting.

  • Galveston

    Texas · 28232

    Office

    $371.31

    Facility

    $229.36

    $18.75 higher than Ohio for the office setting.

  • Houston

    Texas · 28232

    Office

    $377.53

    Facility

    $235.58

    $24.97 higher than Ohio for the office setting.

  • Rest Of Texas

    Texas · 28232

    Office

    $360.31

    Facility

    $224.65

    $7.75 higher than Ohio for the office setting.

  • Utah

    Utah · 28232

    Office

    $358.02

    Facility

    $223.64

    $5.46 higher than Ohio for the office setting.

  • Virginia

    Virginia · 28232

    Office

    $366.53

    Facility

    $226.00

    $13.97 higher than Ohio for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28232

    Office

    $376.65

    Facility

    $232.12

    $24.09 higher than Ohio for the office setting.

  • Vermont

    Vermont · 28232

    Office

    $366.00

    Facility

    $224.47

    $13.44 higher than Ohio for the office setting.

  • Rest Of Washington

    Washington · 28232

    Office

    $386.03

    Facility

    $235.50

    $33.47 higher than Ohio for the office setting.

  • Seattle (King Cnty)

    Washington · 28232

    Office

    $434.13

    Facility

    $258.73

    $81.57 higher than Ohio for the office setting.

  • Wisconsin

    Wisconsin · 28232

    Office

    $355.79

    Facility

    $218.84

    $3.23 higher than Ohio for the office setting.

  • West Virginia

    West Virginia · 28232

    Office

    $346.43

    Facility

    $222.20

    $6.13 lower than Ohio for the office setting.

  • Wyoming**

    Wyoming · 28232

    Office

    $371.14

    Facility

    $228.18

    $18.58 higher than Ohio for the office setting.

See how rates vary across the country

28232 · 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.

$333.54

$442.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$442.261
AL$338.101
AR$333.541
AZ$364.751
CA$394.62–$491.2229
CO$388.881
CT$397.891
DC$425.781
DE$370.531
FL$368.87–$401.643
GA$349.43–$380.692
GU$403.351
HI$403.351
IA$346.121
ID$348.231
IL$358.86–$390.844
IN$350.111
KS$344.601
KY$345.541
LA$345.04–$360.972
MA$386.78–$425.732
MD$377.28–$425.783
ME$349.92–$367.662
MI$353.94–$373.182
MN$373.301
MO$339.50–$362.183
MS$336.581
MT$374.071
NC$353.341
ND$367.341
NE$347.891
NH$382.861
NJ$402.62–$421.822
NM$355.751
NV$372.441
NY$358.29–$438.105
OH$352.561
OK$344.971
OR$369.72–$400.592
PA$353.09–$388.532
PR$376.651
RI$383.231
SC$353.501
SD$366.551
TN$346.221
TX$350.92–$387.448
UT$358.021
VA$366.53–$425.782
VI$376.651
VT$366.001
WA$386.03–$434.132
WI$355.791
WV$346.431
WY$371.141

Explore 28232 on the national rate map →

Where does this rate apply?

Ohio is a Medicare payment area. Our Census mapping connects it to 1265 cities and communities in Ohio, 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 Ohio →

Why are the office and facility amounts different?

For 28232 in Ohio, the physician’s office rate is $352.56 and the facility-setting rate is $222.04: a difference of $130.52.

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 28232 in Ohio. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$387.82

$352.56 × 110% = $387.82

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 28232 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

3,156

Code
28232
Physician work
3.42
Practice expense
7.44
Malpractice
0.34

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office / nonfacility calculation for 28232 in Ohio
ComponentRVULocality factorAdjusted
Physician work3.42× 1.0003.4200
Practice expense7.44× 0.9136.7927
Malpractice0.34× 1.0080.3427
Total RVUs10.5554
Conversion factor× 33.4009

Office / nonfacility rate, Ohio$352.56

Open 28232 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.421
Practice expense7.440.913
Malpractice0.341.008

(3.42 × 1 + 7.44 × 0.913 + 0.34 × 1.008) × $33.4009 = $352.56

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.421
Practice expense3.160.913
Malpractice0.341.008

(3.42 × 1 + 3.16 × 0.913 + 0.34 × 1.008) × $33.4009 = $222.04

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

28232 · Office / nonfacility

$352.56

Effective 2026-10-01

The base rate is $10.64 higher than on 2025-10-01, moving from $341.92 to $352.56 (3.1%).

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

    $341.92changed to$352.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.51 changed to 3.42
    • Practice expense RVU 7.41 changed to 7.44
    • Malpractice RVU 0.30 changed to 0.34
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $341.92

    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$352.56$222.04RVU26D
2026-07-01$352.56$222.04RVU26C
2026-04-01$352.56$222.04RVU26B
2026-01-01$352.56$222.04RVU26A
2025-10-01$341.92$228.17RVU25D
2025-07-01$341.92$228.17RVU25C
2025-04-01$341.92$228.17RVU25B
2025-01-01$341.92$228.17RVU25A

28232 billing questions

How is 28232 different from 28230?

28232 is for open division of a flexor tendon in a toe. 28230 describes an open incision of a single extensor tendon.

When would 28234 be considered instead?

28234 is for open incision of multiple extensor tendons. Choose based on the tendon type and number documented, not simply because more than one toe is treated.

Can 28232 be separately reported with hammertoe correction?

Do not assume the tendon division is separately reportable when it is part of a broader hammertoe correction. Check applicable edits and document any distinct work supporting separate reporting.

Should modifier 50 be used when both feet are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.

What documentation supports this code?

Record the affected toe, the flexor tendon divided, the open approach, the number of tendons treated, and the deformity or contracture addressed.

What global and multiple-procedure rules apply?

The code has a 90-day global period. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and the others 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 28232PPRRVU2026_Oct_nonQPP.csv, line 3,156 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet