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CMS RVU26D · Effective 2026-10-01

28296 in Vallejo

Office / nonfacility

$1072.39

Base rate per service

Facility setting

$546.32

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 28296: Hallux valgus correction with distal metatarsal osteotomy

Reports surgical correction of a bunion when the surgeon cuts and repositions the distal first metatarsal to realign the great toe.

Code 28296 covers hallux valgus correction centered on an osteotomy near the head of the first metatarsal. An Austin or chevron bunionectomy is a familiar example. An orthopedic foot and ankle surgeon or podiatric surgeon typically performs the operation in a hospital outpatient department or ambulatory surgery center. The surgeon repositions the bone to improve great-toe alignment and may perform associated soft-tissue work as part of the correction.

Select 28296 when the operative report documents a distal first metatarsal osteotomy for the bunion correction. The report should identify the side, osteotomy location, bone repositioning, and any additional osteotomy. A proximal metatarsal osteotomy, joint fusion, or double osteotomy points to another code. CMS assigns a 90-day global period that includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, CMS pays the highest-valued procedure in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation. Team surgery is not permitted.

CMS billing rules for 28296

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
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU8.04 · 30%
  • Practice expense (office) RVU17.59 · 67%
  • Malpractice RVU0.82 · 3%

7.6K

Medicare services in 2024 · #1612 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.

28296 compared with similar codes

Office rates for Vallejo, from the same CMS release.

28295

Bunion correction

Proximal metatarsal osteotomy

$1,297.67

Use 28296 for an osteotomy near the first metatarsal head; 28295 describes correction with an osteotomy at the proximal first metatarsal.

28299

Bunion correction

Double osteotomy

$1,256.43

Code 28296 represents a single distal metatarsal osteotomy. Code 28299 identifies hallux valgus correction with two osteotomies.

28297

Bunion correction

First tarsometatarsal fusion

$1,249.23

Code 28297 involves joint fusion to correct hallux valgus. Code 28296 repositions the distal first metatarsal through an osteotomy.

28298

Bunion correction

Proximal phalanx osteotomy

$1,041.22

Code 28298 identifies correction using a proximal phalanx osteotomy; 28296 identifies a distal first metatarsal osteotomy.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 28296 is $934.25—$138.14 lower than the $1072.39 rate in Vallejo. Both use the same code, release and participation basis.

28296 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $1072.39

  2. Bakersfield

    $934.25

    $138.14 lower than Vallejo

  3. Chico

    $931.71

    $140.68 lower than Vallejo

  4. El Centro

    $931.85

    $140.54 lower than Vallejo

  5. Fresno

    $931.71

    $140.68 lower than Vallejo

  6. Hanford-Corcoran

    $931.71

    $140.68 lower than Vallejo

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

    $992.78

    $79.61 lower than Vallejo

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, 28296 ranges from $787.33 in Arkansas to $1159.97 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 · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Merced

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Modesto

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Napa

    California · 28296

    Office

    $1073.73

    Facility

    $547.66

    $1.34 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28296

    Office

    $987.58

    Facility

    $515.79

    $84.81 lower than Vallejo for the office setting.

  • Redding

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Rest Of California

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28296

    Office

    $940.66

    Facility

    $503.21

    $131.73 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28296

    Office

    $976.18

    Facility

    $511.98

    $96.21 lower than Vallejo for the office setting.

  • Salinas

    California · 28296

    Office

    $972.49

    Facility

    $509.88

    $99.90 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28296

    Office

    $994.12

    Facility

    $516.75

    $78.27 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28296

    Office

    $1135.03

    Facility

    $572.24

    $62.64 higher than Vallejo for the office setting.

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

    California · 28296

    Office

    $1134.10

    Facility

    $571.31

    $61.71 higher than Vallejo for the office setting.

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

    California · 28296

    Office

    $1159.97

    Facility

    $584.41

    $87.58 higher than Vallejo for the office setting.

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

    California · 28296

    Office

    $1156.16

    Facility

    $580.60

    $83.77 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28296

    Office

    $956.98

    Facility

    $502.35

    $115.41 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 28296

    Office

    $1002.70

    Facility

    $517.75

    $69.69 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 28296

    Office

    $975.79

    Facility

    $510.40

    $96.60 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 28296

    Office

    $1012.76

    Facility

    $522.61

    $59.63 lower than Vallejo for the office setting.

  • Stockton

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Visalia

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Yuba City

    California · 28296

    Office

    $931.71

    Facility

    $494.25

    $140.68 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28296

    Office

    $1005.63

    Facility

    $535.44

    $66.76 lower than Vallejo for the office setting.

  • Miami

    Florida · 28296

    Office

    $949.42

    Facility

    $533.91

    $122.97 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 28296

    Office

    $923.74

    Facility

    $522.60

    $148.65 lower than Vallejo for the office setting.

  • Manhattan

    New York · 28296

    Office

    $1011.87

    Facility

    $548.07

    $60.52 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 28296

    Office

    $1043.62

    Facility

    $618.53

    $28.77 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 28296

    Office

    $798.13

    Facility

    $448.88

    $274.26 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 28296

    Office

    $787.33

    Facility

    $444.47

    $285.06 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 28296

    Office

    $861.30

    Facility

    $474.53

    $211.09 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 28296

    Office

    $918.28

    Facility

    $493.59

    $154.11 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 28296

    Office

    $939.82

    Facility

    $509.94

    $132.57 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 28296

    Office

    $874.98

    Facility

    $480.63

    $197.41 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 28296

    Office

    $913.22

    Facility

    $508.89

    $159.17 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 28296

    Office

    $871.38

    Facility

    $489.80

    $201.01 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 28296

    Office

    $899.16

    Facility

    $493.64

    $173.23 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 28296

    Office

    $825.26

    Facility

    $469.23

    $247.13 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 28296

    Office

    $952.41

    Facility

    $498.59

    $119.98 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 28296

    Office

    $817.00

    Facility

    $451.79

    $255.39 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 28296

    Office

    $822.02

    Facility

    $454.81

    $250.37 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 28296

    Office

    $864.22

    Facility

    $497.01

    $208.17 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 28296

    Office

    $847.76

    Facility

    $483.34

    $224.63 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 28296

    Office

    $922.34

    Facility

    $512.42

    $150.05 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 28296

    Office

    $826.49

    Facility

    $456.48

    $245.90 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 28296

    Office

    $813.47

    Facility

    $452.64

    $258.92 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 28296

    Office

    $815.91

    Facility

    $461.07

    $256.48 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 28296

    Office

    $852.51

    Facility

    $476.92

    $219.88 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 28296

    Office

    $814.74

    Facility

    $461.50

    $257.65 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 28296

    Office

    $1005.43

    Facility

    $528.86

    $66.96 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28296

    Office

    $913.33

    Facility

    $493.03

    $159.06 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28296

    Office

    $937.13

    Facility

    $508.85

    $135.26 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 28296

    Office

    $890.94

    Facility

    $487.01

    $181.45 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 28296

    Office

    $826.10

    Facility

    $458.89

    $246.29 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 28296

    Office

    $868.06

    Facility

    $472.51

    $204.33 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 28296

    Office

    $881.68

    Facility

    $496.51

    $190.71 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 28296

    Office

    $835.87

    Facility

    $471.46

    $236.52 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 28296

    Office

    $881.21

    Facility

    $470.49

    $191.18 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 28296

    Office

    $846.99

    Facility

    $472.19

    $225.40 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 28296

    Office

    $855.31

    Facility

    $475.33

    $217.08 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 28296

    Office

    $801.66

    Facility

    $457.60

    $270.73 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 28296

    Office

    $794.64

    Facility

    $450.98

    $277.75 lower than Vallejo for the office setting.

  • Montana**

    Montana · 28296

    Office

    $883.40

    Facility

    $484.26

    $188.99 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 28296

    Office

    $834.20

    Facility

    $461.80

    $238.19 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 28296

    Office

    $867.18

    Facility

    $468.04

    $205.21 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 28296

    Office

    $821.18

    Facility

    $452.77

    $251.21 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 28296

    Office

    $904.12

    Facility

    $488.61

    $168.27 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 28296

    Office

    $996.24

    Facility

    $533.23

    $76.15 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 28296

    Office

    $950.90

    Facility

    $515.04

    $121.49 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 28296

    Office

    $840.19

    Facility

    $474.18

    $232.20 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 28296

    Office

    $879.47

    Facility

    $479.93

    $192.92 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28296

    Office

    $1035.15

    Facility

    $560.58

    $37.24 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28296

    Office

    $957.10

    Facility

    $520.05

    $115.29 lower than Vallejo for the office setting.

  • Queens

    New York · 28296

    Office

    $1019.68

    Facility

    $547.89

    $52.71 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 28296

    Office

    $845.94

    Facility

    $466.76

    $226.45 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 28296

    Office

    $832.56

    Facility

    $468.14

    $239.83 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 28296

    Office

    $814.48

    Facility

    $458.05

    $257.91 lower than Vallejo for the office setting.

  • Portland

    Oregon · 28296

    Office

    $945.95

    Facility

    $502.51

    $126.44 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 28296

    Office

    $872.97

    Facility

    $475.43

    $199.42 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28296

    Office

    $917.66

    Facility

    $502.16

    $154.73 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28296

    Office

    $833.77

    Facility

    $467.36

    $238.62 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 28296

    Office

    $889.51

    Facility

    $485.97

    $182.88 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 28296

    Office

    $904.99

    Facility

    $492.67

    $167.40 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 28296

    Office

    $834.69

    Facility

    $465.89

    $237.70 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 28296

    Office

    $865.27

    Facility

    $466.13

    $207.12 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 28296

    Office

    $817.31

    Facility

    $454.49

    $255.08 lower than Vallejo for the office setting.

  • Austin

    Texas · 28296

    Office

    $914.94

    Facility

    $492.65

    $157.45 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 28296

    Office

    $828.63

    Facility

    $465.41

    $243.76 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 28296

    Office

    $874.29

    Facility

    $478.74

    $198.10 lower than Vallejo for the office setting.

  • Dallas

    Texas · 28296

    Office

    $879.63

    Facility

    $482.09

    $192.76 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 28296

    Office

    $874.11

    Facility

    $480.56

    $198.28 lower than Vallejo for the office setting.

  • Galveston

    Texas · 28296

    Office

    $876.78

    Facility

    $480.43

    $195.61 lower than Vallejo for the office setting.

  • Houston

    Texas · 28296

    Office

    $891.79

    Facility

    $495.44

    $180.60 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 28296

    Office

    $850.83

    Facility

    $472.05

    $221.56 lower than Vallejo for the office setting.

  • Utah

    Utah · 28296

    Office

    $845.41

    Facility

    $470.22

    $226.98 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 28296

    Office

    $865.41

    Facility

    $473.06

    $206.98 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28296

    Office

    $889.51

    Facility

    $485.97

    $182.88 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 28296

    Office

    $864.05

    Facility

    $468.90

    $208.34 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 28296

    Office

    $911.54

    Facility

    $491.24

    $160.85 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 28296

    Office

    $1025.24

    Facility

    $535.49

    $47.15 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 28296

    Office

    $839.82

    Facility

    $457.45

    $232.57 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 28296

    Office

    $818.29

    Facility

    $471.44

    $254.10 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 28296

    Office

    $876.33

    Facility

    $477.19

    $196.06 lower than Vallejo for the office setting.

See how rates vary across the country

28296 · 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.

$787.33

$1,045.84

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,043.621
AL$798.131
AR$787.331
AZ$861.301
CA$931.71–$1,159.9729
CO$918.281
CT$939.821
DC$1,005.631
DE$874.981
FL$871.38–$949.423
GA$825.26–$899.162
GU$952.411
HI$952.411
IA$817.001
ID$822.021
IL$847.76–$923.744
IN$826.491
KS$813.471
KY$815.911
LA$814.74–$852.512
MA$913.33–$1,005.432
MD$890.94–$1,005.633
ME$826.10–$868.062
MI$835.87–$881.682
MN$881.211
MO$801.66–$855.313
MS$794.641
MT$883.401
NC$834.201
ND$867.181
NE$821.181
NH$904.121
NJ$950.90–$996.242
NM$840.191
NV$879.471
NY$845.94–$1,035.155
OH$832.561
OK$814.481
OR$872.97–$945.952
PA$833.77–$917.662
PR$889.511
RI$904.991
SC$834.691
SD$865.271
TN$817.311
TX$828.63–$914.948
UT$845.411
VA$865.41–$1,005.632
VI$889.511
VT$864.051
WA$911.54–$1,025.242
WI$839.821
WV$818.291
WY$876.331

Explore 28296 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 28296 in Vallejo, the physician’s office rate is $1072.39 and the facility-setting rate is $546.32: a difference of $526.07.

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 28296 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1179.63

$1072.39 × 110% = $1179.63

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 28296 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

3,175

Code
28296
Physician work
8.04
Practice expense
17.59
Malpractice
0.82

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 28296 in Vallejo
ComponentRVULocality factorAdjusted
Physician work8.04× 1.0638.5465
Practice expense17.59× 1.31823.1836
Malpractice0.82× 0.4590.3764
Total RVUs32.1065
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$1072.39

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

Open 28296 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.041.063
Practice expense17.591.318
Malpractice0.820.459

(8.04 × 1.063 + 17.59 × 1.318 + 0.82 × 0.459) × $33.4009 = $1072.39

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.041.063
Practice expense5.641.318
Malpractice0.820.459

(8.04 × 1.063 + 5.64 × 1.318 + 0.82 × 0.459) × $33.4009 = $546.32

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

28296 · Office / nonfacility

$1072.39

Effective 2026-10-01

The base rate is $46.25 higher than on 2025-10-01, moving from $1026.14 to $1072.39 (4.5%).

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

    $1026.14changed to$1072.39

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 8.25 changed to 8.04
    • Practice expense RVU 17.27 changed to 17.59
    • Malpractice RVU 0.79 changed to 0.82
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1026.14

    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$1072.39$546.32RVU26D
2026-07-01$1072.39$546.32RVU26C
2026-04-01$1072.39$546.32RVU26B
2026-01-01$1072.39$546.32RVU26A
2025-10-01$1026.14$576.98RVU25D
2025-07-01$1026.14$576.98RVU25C
2025-04-01$1026.14$576.98RVU25B
2025-01-01$1026.14$576.98RVU25A

28296 billing questions

How is 28296 distinguished from 28295?

Both involve first metatarsal osteotomy for hallux valgus, but 28296 identifies an osteotomy at the distal metatarsal; 28295 identifies one at the proximal metatarsal.

What if the surgeon also performs a proximal phalanx osteotomy?

Review the operative report for a double osteotomy. Code 28299 describes hallux valgus correction using two osteotomies, rather than the single distal metatarsal osteotomy represented by 28296.

Is removal of the bunion prominence separately reported?

When removal of the medial prominence is part of the distal metatarsal osteotomy correction, it is included in 28296 rather than reported as a separate bunion procedure.

How is surgery on both feet reported?

CMS recognizes bilateral reporting of 28296 with modifier 50 and pays it at 150%. The operative report should document the distal metatarsal correction on each foot.

What postoperative visits are included?

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

Can another surgeon participate in the operation?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery for 28296.

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 28296PPRRVU2026_Oct_nonQPP.csv, line 3,175 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet