FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

28200 in Wyoming**

Office / nonfacility

$499.49

Base rate per service

Facility setting

$308.10

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 28200: Primary or secondary flexor tendon repair

Reports repair of a flexor tendon in the foot without a free graft, whether performed as a primary repair or a secondary repair.

This service repairs a flexor tendon in the foot without using a free graft. A podiatrist or orthopedic foot and ankle surgeon may perform it for a tendon laceration or rupture requiring surgical repair. The operative report should identify the tendon and foot site, describe the injury and repair, and support that no free graft was used. The code is reported for each tendon repaired; it is not the code for extensor tendon repair or tendon release.

The service has 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 28200

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

Where the value comes from

  • Work RVU4.62 · 31%
  • Practice expense (office) RVU9.92 · 66%
  • Malpractice RVU0.56 · 4%

1.7K

Medicare services in 2024 · #2568 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.

28200 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

28202

Tendon repair

Flexor tendon with graft

$602.05

Both codes address flexor tendon repair in the foot. Choose 28200 for a repair without a free graft and 28202 when a free graft is used.

28208

Tendon repair

Foot extensor, no graft

$493.48

This code is for repair of a flexor tendon. Code 28208 is for repair of an extensor tendon without a free graft.

28210

Tendon repair

Foot extensor, secondary with graft

$591.10

This code is for flexor tendon repair without a free graft. Code 28210 is for extensor tendon repair using a free graft.

The same code, a different location

How does Wyoming** compare?

28200 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $499.49

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

    $565.03

    $65.54 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $573.78

    $74.29 higher than Wyoming**

  4. Miami

    $546.54

    $47.05 higher than Wyoming**

  5. Chicago

    $531.31

    $31.82 higher than Wyoming**

  6. Manhattan

    $578.87

    $79.38 higher than Wyoming**

  7. Alaska*

    $594.65

    $95.16 higher than Wyoming**

Other payment areas listed in Wyoming 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, 28200 ranges from $448.56 in Arkansas to $659.10 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 · 28200

    Office

    $454.82

    Facility

    $287.35

    $44.67 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 28200

    Office

    $448.56

    Facility

    $284.16

    $50.93 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 28200

    Office

    $491.39

    Facility

    $305.93

    $8.10 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 28200

    Office

    $531.78

    Facility

    $322.02

    $32.29 higher than Wyoming** for the office setting.

  • Chico

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • El Centro

    California · 28200

    Office

    $530.20

    Facility

    $320.44

    $30.71 higher than Wyoming** for the office setting.

  • Fresno

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Madera

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Merced

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Modesto

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Napa

    California · 28200

    Office

    $610.24

    Facility

    $357.99

    $110.75 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28200

    Office

    $561.93

    Facility

    $335.71

    $62.44 higher than Wyoming** for the office setting.

  • Redding

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28200

    Office

    $536.19

    Facility

    $326.43

    $36.70 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28200

    Office

    $555.24

    Facility

    $332.65

    $55.75 higher than Wyoming** for the office setting.

  • Salinas

    California · 28200

    Office

    $553.14

    Facility

    $331.32

    $53.65 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28200

    Office

    $565.36

    Facility

    $336.46

    $65.87 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28200

    Office

    $644.74

    Facility

    $374.89

    $145.25 higher than Wyoming** for the office setting.

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

    California · 28200

    Office

    $644.11

    Facility

    $374.25

    $144.62 higher than Wyoming** for the office setting.

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

    California · 28200

    Office

    $659.10

    Facility

    $383.12

    $159.61 higher than Wyoming** for the office setting.

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

    California · 28200

    Office

    $656.50

    Facility

    $380.52

    $157.01 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28200

    Office

    $544.35

    Facility

    $326.36

    $44.86 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 28200

    Office

    $570.15

    Facility

    $337.62

    $70.66 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 28200

    Office

    $555.00

    Facility

    $331.84

    $55.51 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 28200

    Office

    $575.85

    Facility

    $340.83

    $76.36 higher than Wyoming** for the office setting.

  • Stockton

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Vallejo

    California · 28200

    Office

    $609.32

    Facility

    $357.07

    $109.83 higher than Wyoming** for the office setting.

  • Visalia

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Yuba City

    California · 28200

    Office

    $530.11

    Facility

    $320.35

    $30.62 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 28200

    Office

    $523.31

    Facility

    $319.68

    $23.82 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 28200

    Office

    $536.88

    Facility

    $330.76

    $37.39 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 28200

    Office

    $499.26

    Facility

    $310.17

    $0.23 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 28200

    Office

    $523.77

    Facility

    $329.90

    $24.28 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 28200

    Office

    $499.18

    Facility

    $316.22

    $0.31 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 28200

    Office

    $513.88

    Facility

    $319.43

    $14.39 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 28200

    Office

    $472.16

    Facility

    $301.44

    $27.33 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 28200

    Office

    $541.87

    Facility

    $324.26

    $42.38 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 28200

    Office

    $464.91

    Facility

    $289.79

    $34.58 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 28200

    Office

    $467.99

    Facility

    $291.91

    $31.50 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 28200

    Office

    $496.81

    Facility

    $320.74

    $2.68 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 28200

    Office

    $486.06

    Facility

    $311.32

    $13.43 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 28200

    Office

    $528.82

    Facility

    $332.27

    $29.33 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 28200

    Office

    $470.55

    Facility

    $293.14

    $28.94 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 28200

    Office

    $463.27

    Facility

    $290.25

    $36.22 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 28200

    Office

    $465.99

    Facility

    $295.84

    $33.50 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 28200

    Office

    $487.35

    Facility

    $307.25

    $12.14 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 28200

    Office

    $465.46

    Facility

    $296.09

    $34.03 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 28200

    Office

    $572.90

    Facility

    $344.39

    $73.41 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28200

    Office

    $520.59

    Facility

    $319.06

    $21.10 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28200

    Office

    $535.44

    Facility

    $330.08

    $35.95 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 28200

    Office

    $508.34

    Facility

    $314.66

    $8.85 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 28200

    Office

    $470.78

    Facility

    $294.70

    $28.71 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 28200

    Office

    $494.47

    Facility

    $304.80

    $5.02 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 28200

    Office

    $505.59

    Facility

    $320.90

    $6.10 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 28200

    Office

    $477.94

    Facility

    $303.20

    $21.55 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 28200

    Office

    $500.79

    Facility

    $303.86

    $1.30 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 28200

    Office

    $483.71

    Facility

    $304.00

    $15.78 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 28200

    Office

    $488.49

    Facility

    $306.29

    $11.00 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 28200

    Office

    $458.14

    Facility

    $293.17

    $41.35 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 28200

    Office

    $453.42

    Facility

    $288.63

    $46.07 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 28200

    Office

    $504.32

    Facility

    $312.93

    $4.83 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 28200

    Office

    $475.40

    Facility

    $296.84

    $24.09 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 28200

    Office

    $493.24

    Facility

    $301.86

    $6.25 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 28200

    Office

    $467.21

    Facility

    $290.56

    $32.28 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 28200

    Office

    $515.60

    Facility

    $316.37

    $16.11 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 28200

    Office

    $568.36

    Facility

    $346.35

    $68.87 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 28200

    Office

    $542.82

    Facility

    $333.83

    $43.33 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 28200

    Office

    $480.61

    Facility

    $305.11

    $18.88 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 28200

    Office

    $501.56

    Facility

    $309.98

    $2.07 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28200

    Office

    $592.88

    Facility

    $365.32

    $93.39 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28200

    Office

    $546.70

    Facility

    $337.13

    $47.21 higher than Wyoming** for the office setting.

  • Queens

    New York · 28200

    Office

    $582.80

    Facility

    $356.58

    $83.31 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 28200

    Office

    $482.23

    Facility

    $300.41

    $17.26 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 28200

    Office

    $475.68

    Facility

    $300.94

    $23.81 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 28200

    Office

    $464.73

    Facility

    $293.82

    $34.76 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 28200

    Office

    $538.81

    Facility

    $326.18

    $39.32 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 28200

    Office

    $497.47

    Facility

    $306.85

    $2.02 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28200

    Office

    $524.33

    Facility

    $325.09

    $24.84 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28200

    Office

    $476.16

    Facility

    $300.46

    $23.33 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 28200

    Office

    $507.72

    Facility

    $314.23

    $8.23 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 28200

    Office

    $516.20

    Facility

    $318.50

    $16.71 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 28200

    Office

    $476.37

    Facility

    $299.52

    $23.12 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 28200

    Office

    $491.93

    Facility

    $300.55

    $7.56 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 28200

    Office

    $465.54

    Facility

    $291.57

    $33.95 lower than Wyoming** for the office setting.

  • Austin

    Texas · 28200

    Office

    $521.75

    Facility

    $319.26

    $22.26 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 28200

    Office

    $473.21

    Facility

    $299.04

    $26.28 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 28200

    Office

    $498.49

    Facility

    $308.83

    $1.00 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 28200

    Office

    $501.76

    Facility

    $311.14

    $2.27 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 28200

    Office

    $498.69

    Facility

    $309.98

    $0.80 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 28200

    Office

    $500.05

    Facility

    $310.00

    $0.56 higher than Wyoming** for the office setting.

  • Houston

    Texas · 28200

    Office

    $510.30

    Facility

    $320.25

    $10.81 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 28200

    Office

    $485.64

    Facility

    $304.01

    $13.85 lower than Wyoming** for the office setting.

  • Utah

    Utah · 28200

    Office

    $482.57

    Facility

    $302.66

    $16.92 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 28200

    Office

    $493.22

    Facility

    $305.09

    $6.27 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28200

    Office

    $507.72

    Facility

    $314.23

    $8.23 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 28200

    Office

    $491.80

    Facility

    $302.33

    $7.69 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 28200

    Office

    $519.45

    Facility

    $317.92

    $19.96 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 28200

    Office

    $583.86

    Facility

    $349.03

    $84.37 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 28200

    Office

    $477.49

    Facility

    $294.15

    $22.00 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 28200

    Office

    $469.01

    Facility

    $302.69

    $30.48 lower than Wyoming** for the office setting.

See how rates vary across the country

28200 · 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.

$448.56

$594.65

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$594.651
AL$454.821
AR$448.561
AZ$491.391
CA$530.11–$659.1029
CO$523.311
CT$536.881
DC$573.781
DE$499.261
FL$499.18–$546.543
GA$472.16–$513.882
GU$541.871
HI$541.871
IA$464.911
ID$467.991
IL$486.06–$531.314
IN$470.551
KS$463.271
KY$465.991
LA$465.46–$487.352
MA$520.59–$572.902
MD$508.34–$573.783
ME$470.78–$494.472
MI$477.94–$505.592
MN$500.791
MO$458.14–$488.493
MS$453.421
MT$504.321
NC$475.401
ND$493.241
NE$467.211
NH$515.601
NJ$542.82–$568.362
NM$480.611
NV$501.561
NY$482.23–$592.885
OH$475.681
OK$464.731
OR$497.47–$538.812
PA$476.16–$524.332
PR$507.721
RI$516.201
SC$476.371
SD$491.931
TN$465.541
TX$473.21–$521.758
UT$482.571
VA$493.22–$573.782
VI$507.721
VT$491.801
WA$519.45–$583.862
WI$477.491
WV$469.011
WY$499.491

Explore 28200 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 28200 in Wyoming**, the physician’s office rate is $499.49 and the facility-setting rate is $308.10: a difference of $191.39.

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 28200 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$549.44

$499.49 × 110% = $549.44

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 28200 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,147

Code
28200
Physician work
4.62
Practice expense
9.92
Malpractice
0.56

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 28200 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work4.62× 1.0004.6200
Practice expense9.92× 1.0009.9200
Malpractice0.56× 0.7400.4144
Total RVUs14.9544
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$499.49

Open 28200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.621
Practice expense9.921
Malpractice0.560.74

(4.62 × 1 + 9.92 × 1 + 0.56 × 0.74) × $33.4009 = $499.49

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.621
Practice expense4.191
Malpractice0.560.74

(4.62 × 1 + 4.19 × 1 + 0.56 × 0.74) × $33.4009 = $308.10

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

28200 · Office / nonfacility

$499.49

Effective 2026-10-01

The base rate is $25.32 higher than on 2025-10-01, moving from $474.17 to $499.49 (5.3%).

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

    $474.17changed to$499.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.74 changed to 4.62
    • Practice expense RVU 9.52 changed to 9.92
    • Malpractice RVU 0.54 changed to 0.56
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $474.17

    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$499.49$308.10RVU26D
2026-07-01$499.49$308.10RVU26C
2026-04-01$499.49$308.10RVU26B
2026-01-01$499.49$308.10RVU26A
2025-10-01$474.17$318.91RVU25D
2025-07-01$474.17$318.91RVU25C
2025-04-01$474.17$318.91RVU25B
2025-01-01$474.17$318.91RVU25A

28200 billing questions

How does this differ from 28202?

Both concern flexor tendon repair in the foot. Use 28200 when the repair does not use a free graft; 28202 is the graft-repair counterpart.

Can this code report an extensor tendon repair?

No. This code is for a flexor tendon. Use the corresponding extensor repair code when the repaired tendon is an extensor tendon.

How many units should be reported?

Report one unit for each flexor tendon repaired. The operative documentation should identify the tendon or tendons treated.

Does the code include postoperative visits?

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

Can modifier 50 be used for bilateral repairs?

No. The descriptor or anatomy makes modifier 50 inappropriate for this code.

How are assistant and co-surgeon claims handled?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided; 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 28200PPRRVU2026_Oct_nonQPP.csv, line 3,147 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet