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CMS RVU26D · Effective 2026-10-01

28202 in Wyoming**

Office / nonfacility

$602.05

Base rate per service

Facility setting

$400.31

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 28202: Flexor foot tendon repair with graft

Reports operative reconstruction of a flexor tendon in the foot using a free graft when direct tendon repair alone is not performed.

This service reconstructs a flexor tendon in the foot with a free graft, such as when tendon damage or a chronic rupture leaves a defect that cannot be managed by direct repair alone. An orthopedic foot and ankle surgeon or podiatric surgeon typically performs the operation in a surgical facility. The graft is part of the reported service; this code is distinct from repair of an extensor tendon or flexor tendon repair without a graft.

Select the code when the operative report supports flexor tendon reconstruction using a graft, and document the affected tendon, injury or defect, and reconstructive work. The 90-day global period 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 28202

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
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 RVU6.89 · 38%
  • Practice expense (office) RVU10.58 · 58%
  • Malpractice RVU0.75 · 4%

201

Medicare services in 2024 · #4322 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.

28202 compared with similar codes

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

28200

Foot tendon repair

Flexor, without free graft

$499.49

Choose 28200 for flexor tendon repair without a free graft. Choose 28202 when reconstruction uses a free graft.

28208

Tendon repair

Foot extensor, no graft

$493.48

28208 concerns an extensor tendon repaired without a free graft. 28202 concerns flexor tendon reconstruction using a graft.

28210

Tendon repair

Foot extensor, secondary with graft

$591.10

Both involve a free graft, but 28210 is for an extensor tendon; 28202 is for a flexor tendon.

The same code, a different location

How does Wyoming** compare?

28202 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $602.05

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

    $674.25

    $72.20 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $686.72

    $84.67 higher than Wyoming**

  4. Miami

    $661.36

    $59.31 higher than Wyoming**

  5. Chicago

    $644.38

    $42.33 higher than Wyoming**

  6. Manhattan

    $695.22

    $93.17 higher than Wyoming**

  7. Alaska*

    $735.35

    $133.30 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, 28202 ranges from $546.59 in Arkansas to $778.45 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 · 28202

    Office

    $553.52

    Facility

    $377.00

    $48.53 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 28202

    Office

    $546.59

    Facility

    $373.29

    $55.46 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 28202

    Office

    $594.00

    Facility

    $398.51

    $8.05 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 28202

    Office

    $637.07

    Facility

    $415.96

    $35.02 higher than Wyoming** for the office setting.

  • Chico

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • El Centro

    California · 28202

    Office

    $634.90

    Facility

    $413.79

    $32.85 higher than Wyoming** for the office setting.

  • Fresno

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Madera

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Merced

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Modesto

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Napa

    California · 28202

    Office

    $723.11

    Facility

    $457.22

    $121.06 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28202

    Office

    $669.88

    Facility

    $431.42

    $67.83 higher than Wyoming** for the office setting.

  • Redding

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28202

    Office

    $642.95

    Facility

    $421.84

    $40.90 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28202

    Office

    $662.83

    Facility

    $428.20

    $60.78 higher than Wyoming** for the office setting.

  • Salinas

    California · 28202

    Office

    $660.26

    Facility

    $426.44

    $58.21 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28202

    Office

    $673.26

    Facility

    $431.98

    $71.21 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28202

    Office

    $761.76

    Facility

    $477.31

    $159.71 higher than Wyoming** for the office setting.

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

    California · 28202

    Office

    $760.91

    Facility

    $476.45

    $158.86 higher than Wyoming** for the office setting.

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

    California · 28202

    Office

    $778.45

    Facility

    $487.54

    $176.40 higher than Wyoming** for the office setting.

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

    California · 28202

    Office

    $774.97

    Facility

    $484.06

    $172.92 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28202

    Office

    $649.97

    Facility

    $420.19

    $47.92 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 28202

    Office

    $677.75

    Facility

    $432.63

    $75.70 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 28202

    Office

    $662.05

    Facility

    $426.82

    $60.00 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 28202

    Office

    $684.42

    Facility

    $436.68

    $82.37 higher than Wyoming** for the office setting.

  • Stockton

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Vallejo

    California · 28202

    Office

    $721.89

    Facility

    $455.99

    $119.84 higher than Wyoming** for the office setting.

  • Visalia

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Yuba City

    California · 28202

    Office

    $634.78

    Facility

    $413.67

    $32.73 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 28202

    Office

    $628.46

    Facility

    $413.80

    $26.41 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 28202

    Office

    $645.64

    Facility

    $428.36

    $43.59 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 28202

    Office

    $602.94

    Facility

    $403.62

    $0.89 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 28202

    Office

    $633.40

    Facility

    $429.04

    $31.35 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 28202

    Office

    $605.62

    Facility

    $412.75

    $3.57 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 28202

    Office

    $619.94

    Facility

    $414.97

    $17.89 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 28202

    Office

    $575.21

    Facility

    $395.26

    $26.84 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 28202

    Office

    $646.43

    Facility

    $417.05

    $44.38 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 28202

    Office

    $563.42

    Facility

    $378.83

    $38.63 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 28202

    Office

    $567.09

    Facility

    $381.49

    $34.96 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 28202

    Office

    $605.70

    Facility

    $420.09

    $3.65 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 28202

    Office

    $591.92

    Facility

    $407.73

    $10.13 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 28202

    Office

    $639.06

    Facility

    $431.87

    $37.01 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 28202

    Office

    $569.89

    Facility

    $382.88

    $32.16 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 28202

    Office

    $562.21

    Facility

    $379.84

    $39.84 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 28202

    Office

    $567.21

    Facility

    $387.86

    $34.84 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 28202

    Office

    $591.12

    Facility

    $401.28

    $10.93 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 28202

    Office

    $566.87

    Facility

    $388.33

    $35.18 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 28202

    Office

    $683.80

    Facility

    $442.92

    $81.75 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28202

    Office

    $625.89

    Facility

    $413.46

    $23.84 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28202

    Office

    $643.98

    Facility

    $427.51

    $41.93 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 28202

    Office

    $613.05

    Facility

    $408.89

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

  • Rest Of Maine

    Maine · 28202

    Office

    $570.82

    Facility

    $385.22

    $31.23 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 28202

    Office

    $596.14

    Facility

    $396.21

    $5.91 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 28202

    Office

    $613.38

    Facility

    $418.70

    $11.33 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 28202

    Office

    $581.05

    Facility

    $396.86

    $21.00 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 28202

    Office

    $601.18

    Facility

    $393.58

    $0.87 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 28202

    Office

    $586.43

    Facility

    $397.00

    $15.62 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 28202

    Office

    $591.65

    Facility

    $399.59

    $10.40 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 28202

    Office

    $559.15

    Facility

    $385.25

    $42.90 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 28202

    Office

    $552.91

    Facility

    $379.21

    $49.14 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 28202

    Office

    $608.51

    Facility

    $406.77

    $6.46 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 28202

    Office

    $575.84

    Facility

    $387.62

    $26.21 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 28202

    Office

    $593.68

    Facility

    $391.94

    $8.37 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 28202

    Office

    $565.77

    Facility

    $379.57

    $36.28 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 28202

    Office

    $619.92

    Facility

    $409.91

    $17.87 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 28202

    Office

    $681.31

    Facility

    $447.29

    $79.26 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 28202

    Office

    $652.71

    Facility

    $432.41

    $50.66 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 28202

    Office

    $584.27

    Facility

    $399.27

    $17.78 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 28202

    Office

    $604.73

    Facility

    $402.79

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

  • Nyc Suburbs/Long Island

    New York · 28202

    Office

    $711.55

    Facility

    $471.68

    $109.50 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28202

    Office

    $657.75

    Facility

    $436.85

    $55.70 higher than Wyoming** for the office setting.

  • Queens

    New York · 28202

    Office

    $698.68

    Facility

    $460.22

    $96.63 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 28202

    Office

    $583.46

    Facility

    $391.80

    $18.59 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 28202

    Office

    $578.02

    Facility

    $393.83

    $24.03 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 28202

    Office

    $565.17

    Facility

    $385.01

    $36.88 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 28202

    Office

    $645.06

    Facility

    $420.92

    $43.01 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 28202

    Office

    $599.71

    Facility

    $398.78

    $2.34 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28202

    Office

    $632.03

    Facility

    $422.02

    $29.98 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28202

    Office

    $578.21

    Facility

    $393.01

    $23.84 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 28202

    Office

    $612.08

    Facility

    $408.12

    $10.03 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 28202

    Office

    $621.89

    Facility

    $413.49

    $19.84 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 28202

    Office

    $577.95

    Facility

    $391.54

    $24.10 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 28202

    Office

    $591.93

    Facility

    $390.19

    $10.12 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 28202

    Office

    $564.81

    Facility

    $381.43

    $37.24 lower than Wyoming** for the office setting.

  • Austin

    Texas · 28202

    Office

    $626.67

    Facility

    $413.22

    $24.62 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 28202

    Office

    $574.98

    Facility

    $391.40

    $27.07 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 28202

    Office

    $601.71

    Facility

    $401.79

    $0.34 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 28202

    Office

    $605.66

    Facility

    $404.73

    $3.61 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 28202

    Office

    $602.46

    Facility

    $403.54

    $0.41 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 28202

    Office

    $603.62

    Facility

    $403.29

    $1.57 higher than Wyoming** for the office setting.

  • Houston

    Texas · 28202

    Office

    $617.35

    Facility

    $417.02

    $15.30 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 28202

    Office

    $588.11

    Facility

    $396.66

    $13.94 lower than Wyoming** for the office setting.

  • Utah

    Utah · 28202

    Office

    $584.81

    Facility

    $395.17

    $17.24 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 28202

    Office

    $595.19

    Facility

    $396.88

    $6.86 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28202

    Office

    $612.08

    Facility

    $408.12

    $10.03 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 28202

    Office

    $592.66

    Facility

    $392.93

    $9.39 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 28202

    Office

    $624.30

    Facility

    $411.86

    $22.25 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 28202

    Office

    $695.70

    Facility

    $448.17

    $93.65 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 28202

    Office

    $576.39

    Facility

    $383.12

    $25.66 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 28202

    Office

    $573.07

    Facility

    $397.75

    $28.98 lower than Wyoming** for the office setting.

See how rates vary across the country

28202 · 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.

$546.59

$735.35

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$735.351
AL$553.521
AR$546.591
AZ$594.001
CA$634.78–$778.4529
CO$628.461
CT$645.641
DC$686.721
DE$602.941
FL$605.62–$661.363
GA$575.21–$619.942
GU$646.431
HI$646.431
IA$563.421
ID$567.091
IL$591.92–$644.384
IN$569.891
KS$562.211
KY$567.211
LA$566.87–$591.122
MA$625.89–$683.802
MD$613.05–$686.723
ME$570.82–$596.142
MI$581.05–$613.382
MN$601.181
MO$559.15–$591.653
MS$552.911
MT$608.511
NC$575.841
ND$593.681
NE$565.771
NH$619.921
NJ$652.71–$681.312
NM$584.271
NV$604.731
NY$583.46–$711.555
OH$578.021
OK$565.171
OR$599.71–$645.062
PA$578.21–$632.032
PR$612.081
RI$621.891
SC$577.951
SD$591.931
TN$564.811
TX$574.98–$626.678
UT$584.811
VA$595.19–$686.722
VI$612.081
VT$592.661
WA$624.30–$695.702
WI$576.391
WV$573.071
WY$602.051

Explore 28202 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 28202 in Wyoming**, the physician’s office rate is $602.05 and the facility-setting rate is $400.31: a difference of $201.74.

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 28202 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$662.25

$602.05 × 110% = $662.25

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 28202 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,148

Code
28202
Physician work
6.89
Practice expense
10.58
Malpractice
0.75

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 28202 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work6.89× 1.0006.8900
Practice expense10.58× 1.00010.5800
Malpractice0.75× 0.7400.5550
Total RVUs18.0250
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$602.05

Open 28202 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.891
Practice expense10.581
Malpractice0.750.74

(6.89 × 1 + 10.58 × 1 + 0.75 × 0.74) × $33.4009 = $602.05

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.891
Practice expense4.541
Malpractice0.750.74

(6.89 × 1 + 4.54 × 1 + 0.75 × 0.74) × $33.4009 = $400.31

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

28202 · Office / nonfacility

$602.05

Effective 2026-10-01

The base rate is $23.87 higher than on 2025-10-01, moving from $578.18 to $602.05 (4.1%).

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

    $578.18changed to$602.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.07 changed to 6.89
    • Practice expense RVU 10.28 changed to 10.58
    • Malpractice RVU 0.71 changed to 0.75
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $578.18

    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$602.05$400.31RVU26D
2026-07-01$602.05$400.31RVU26C
2026-04-01$602.05$400.31RVU26B
2026-01-01$602.05$400.31RVU26A
2025-10-01$578.18$419.36RVU25D
2025-07-01$578.18$419.36RVU25C
2025-04-01$578.18$419.36RVU25B
2025-01-01$578.18$419.36RVU25A

28202 billing questions

How is 28202 different from 28200?

28202 is for flexor tendon reconstruction with a free graft. 28200 describes flexor tendon repair without a free graft.

Can the graft be billed separately?

The graft is included in the service described by 28202. The operative documentation should support the graft-based reconstruction.

Is modifier 50 appropriate when both feet are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50 to report bilateral treatment.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires 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 28202PPRRVU2026_Oct_nonQPP.csv, line 3,148 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet