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CMS RVU26D · Effective 2026-10-01

28230 in Wyoming**

Office / nonfacility

$426.80

Base rate per service

Facility setting

$266.15

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 28230: Open extensor tendon incision, single tendon

Report this procedure for open division of one extensor tendon in the foot or toe to address a tendon-related deformity or contracture.

This procedure is an open tenotomy: the surgeon exposes and intentionally divides one extensor tendon in the foot or toe. A podiatric or orthopedic surgeon may perform it to address a deformity or contracture when the extensor tendon is contributing to the problem. The operative report should identify the tendon, its location, the side, and the reason for division; a procedure involving multiple extensor tendons is distinguished from a single-tendon service.

Report the service for the open division itself, not for freeing a tendon from adhesions or repairing a torn tendon. Documentation should support the tendon treated and the open approach. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 28230

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.25 · 33%
  • Practice expense (office) RVU8.21 · 64%
  • Malpractice RVU0.43 · 3%

1.8K

Medicare services in 2024 · #2546 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.

28230 compared with similar codes

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

28234

Extensor tenotomy

Single tendon

$408.62

Use 28230 for open division of one extensor tendon; 28234 describes the multiple-tendon extensor procedure.

28232

Toe tendon incision

Single flexor tendon

$371.14

Choose by tendon function: 28230 is for an extensor tendon, while 28232 is for a flexor tendon.

28222

Tendon release

Single extensor tendon

$538.05

28230 intentionally divides an extensor tendon. 28222 releases a single extensor tendon from adhesions without the same division procedure.

28200

Foot tendon repair

Flexor, without free graft

$499.49

28230 divides a tendon intentionally; 28200 is a tendon repair service. Use the procedure actually performed, not merely the presence of a tendon problem.

The same code, a different location

How does Wyoming** compare?

28230 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $426.80

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

    $481.71

    $54.91 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $488.64

    $61.84 higher than Wyoming**

  4. Miami

    $463.74

    $36.94 higher than Wyoming**

  5. Chicago

    $451.50

    $24.70 higher than Wyoming**

  6. Manhattan

    $492.46

    $65.66 higher than Wyoming**

  7. Alaska*

    $512.89

    $86.09 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, 28230 ranges from $384.91 in Arkansas to $560.69 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 · 28230

    Office

    $390.03

    Facility

    $249.45

    $36.77 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 28230

    Office

    $384.91

    Facility

    $246.90

    $41.89 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 28230

    Office

    $419.97

    Facility

    $264.29

    $6.83 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 28230

    Office

    $453.94

    Facility

    $277.86

    $27.14 higher than Wyoming** for the office setting.

  • Chico

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • El Centro

    California · 28230

    Office

    $452.68

    Facility

    $276.60

    $25.88 higher than Wyoming** for the office setting.

  • Fresno

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Madera

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Merced

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Modesto

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Napa

    California · 28230

    Office

    $519.62

    Facility

    $307.87

    $92.82 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28230

    Office

    $479.01

    Facility

    $289.11

    $52.21 higher than Wyoming** for the office setting.

  • Redding

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28230

    Office

    $457.31

    Facility

    $281.23

    $30.51 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28230

    Office

    $473.68

    Facility

    $286.84

    $46.88 higher than Wyoming** for the office setting.

  • Salinas

    California · 28230

    Office

    $471.88

    Facility

    $285.67

    $45.08 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28230

    Office

    $481.97

    Facility

    $289.82

    $55.17 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28230

    Office

    $548.68

    Facility

    $322.16

    $121.88 higher than Wyoming** for the office setting.

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

    California · 28230

    Office

    $548.20

    Facility

    $321.67

    $121.40 higher than Wyoming** for the office setting.

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

    California · 28230

    Office

    $560.69

    Facility

    $329.02

    $133.89 higher than Wyoming** for the office setting.

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

    California · 28230

    Office

    $558.70

    Facility

    $327.03

    $131.90 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28230

    Office

    $464.40

    Facility

    $281.41

    $37.60 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 28230

    Office

    $485.81

    Facility

    $290.61

    $59.01 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 28230

    Office

    $473.37

    Facility

    $286.04

    $46.57 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 28230

    Office

    $490.65

    Facility

    $293.37

    $63.85 higher than Wyoming** for the office setting.

  • Stockton

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Vallejo

    California · 28230

    Office

    $518.91

    Facility

    $307.17

    $92.11 higher than Wyoming** for the office setting.

  • Visalia

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Yuba City

    California · 28230

    Office

    $452.61

    Facility

    $276.53

    $25.81 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 28230

    Office

    $446.65

    Facility

    $275.71

    $19.85 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 28230

    Office

    $457.51

    Facility

    $284.48

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

  • Delaware

    Delaware · 28230

    Office

    $426.51

    Facility

    $267.78

    $0.29 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 28230

    Office

    $445.71

    Facility

    $282.96

    $18.91 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 28230

    Office

    $425.70

    Facility

    $272.11

    $1.10 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 28230

    Office

    $438.24

    Facility

    $275.01

    $11.44 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 28230

    Office

    $403.68

    Facility

    $260.37

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

  • Hawaii, Guam

    Hawaii · 28230

    Office

    $462.06

    Facility

    $279.39

    $35.26 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 28230

    Office

    $398.57

    Facility

    $251.57

    $28.23 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 28230

    Office

    $401.03

    Facility

    $253.23

    $25.77 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 28230

    Office

    $423.16

    Facility

    $275.36

    $3.64 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 28230

    Office

    $414.77

    Facility

    $268.09

    $12.03 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 28230

    Office

    $450.02

    Facility

    $285.03

    $23.22 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 28230

    Office

    $403.14

    Facility

    $254.21

    $23.66 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 28230

    Office

    $397.09

    Facility

    $251.85

    $29.71 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 28230

    Office

    $398.88

    Facility

    $256.05

    $27.92 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 28230

    Office

    $416.31

    Facility

    $265.13

    $10.49 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 28230

    Office

    $398.40

    Facility

    $256.22

    $28.40 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 28230

    Office

    $487.98

    Facility

    $296.15

    $61.18 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28230

    Office

    $444.43

    Facility

    $275.25

    $17.63 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28230

    Office

    $456.23

    Facility

    $283.84

    $29.43 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 28230

    Office

    $434.07

    Facility

    $271.48

    $7.27 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 28230

    Office

    $403.17

    Facility

    $255.37

    $23.63 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 28230

    Office

    $422.77

    Facility

    $263.56

    $4.03 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 28230

    Office

    $430.79

    Facility

    $275.76

    $3.99 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 28230

    Office

    $408.53

    Facility

    $261.85

    $18.27 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 28230

    Office

    $428.38

    Facility

    $263.06

    $1.58 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 28230

    Office

    $413.48

    Facility

    $262.62

    $13.32 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 28230

    Office

    $417.40

    Facility

    $264.46

    $9.40 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 28230

    Office

    $392.32

    Facility

    $253.83

    $34.48 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 28230

    Office

    $388.67

    Facility

    $250.35

    $38.13 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 28230

    Office

    $430.51

    Facility

    $269.85

    $3.71 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 28230

    Office

    $406.98

    Facility

    $257.09

    $19.82 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 28230

    Office

    $422.01

    Facility

    $261.35

    $4.79 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 28230

    Office

    $400.49

    Facility

    $252.20

    $26.31 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 28230

    Office

    $439.99

    Facility

    $272.74

    $13.19 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 28230

    Office

    $484.33

    Facility

    $297.97

    $57.53 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 28230

    Office

    $462.84

    Facility

    $287.40

    $36.04 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 28230

    Office

    $410.66

    Facility

    $263.34

    $16.14 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 28230

    Office

    $428.41

    Facility

    $267.59

    $1.61 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28230

    Office

    $503.76

    Facility

    $312.74

    $76.96 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28230

    Office

    $465.99

    Facility

    $290.07

    $39.19 higher than Wyoming** for the office setting.

  • Queens

    New York · 28230

    Office

    $495.88

    Facility

    $305.98

    $69.08 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 28230

    Office

    $412.56

    Facility

    $259.94

    $14.24 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 28230

    Office

    $406.80

    Facility

    $260.11

    $20.00 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 28230

    Office

    $397.99

    Facility

    $254.53

    $28.81 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 28230

    Office

    $459.57

    Facility

    $281.08

    $32.77 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 28230

    Office

    $425.18

    Facility

    $265.16

    $1.62 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28230

    Office

    $447.11

    Facility

    $279.86

    $20.31 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28230

    Office

    $407.26

    Facility

    $259.78

    $19.54 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 28230

    Office

    $433.34

    Facility

    $270.91

    $6.54 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 28230

    Office

    $440.73

    Facility

    $274.77

    $13.93 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 28230

    Office

    $407.54

    Facility

    $259.09

    $19.26 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 28230

    Office

    $421.00

    Facility

    $260.34

    $5.80 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 28230

    Office

    $398.93

    Facility

    $252.90

    $27.87 lower than Wyoming** for the office setting.

  • Austin

    Texas · 28230

    Office

    $445.09

    Facility

    $275.11

    $18.29 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 28230

    Office

    $404.84

    Facility

    $258.64

    $21.96 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 28230

    Office

    $426.05

    Facility

    $266.83

    $0.75 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 28230

    Office

    $428.68

    Facility

    $268.66

    $1.88 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 28230

    Office

    $426.12

    Facility

    $267.71

    $0.68 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 28230

    Office

    $427.28

    Facility

    $267.75

    $0.48 higher than Wyoming** for the office setting.

  • Houston

    Texas · 28230

    Office

    $435.15

    Facility

    $275.62

    $8.35 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 28230

    Office

    $415.16

    Facility

    $262.69

    $11.64 lower than Wyoming** for the office setting.

  • Utah

    Utah · 28230

    Office

    $412.62

    Facility

    $261.60

    $14.18 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 28230

    Office

    $421.65

    Facility

    $263.73

    $5.15 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28230

    Office

    $433.34

    Facility

    $270.91

    $6.54 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 28230

    Office

    $420.70

    Facility

    $261.65

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

  • Rest Of Washington

    Washington · 28230

    Office

    $443.48

    Facility

    $274.31

    $16.68 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 28230

    Office

    $497.26

    Facility

    $300.13

    $70.46 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 28230

    Office

    $409.08

    Facility

    $255.17

    $17.72 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 28230

    Office

    $400.80

    Facility

    $261.19

    $26.00 lower than Wyoming** for the office setting.

See how rates vary across the country

28230 · 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.

$384.91

$512.89

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$512.891
AL$390.031
AR$384.911
AZ$419.971
CA$452.61–$560.6929
CO$446.651
CT$457.511
DC$488.641
DE$426.511
FL$425.70–$463.743
GA$403.68–$438.242
GU$462.061
HI$462.061
IA$398.571
ID$401.031
IL$414.77–$451.504
IN$403.141
KS$397.091
KY$398.881
LA$398.40–$416.312
MA$444.43–$487.982
MD$434.07–$488.643
ME$403.17–$422.772
MI$408.53–$430.792
MN$428.381
MO$392.32–$417.403
MS$388.671
MT$430.511
NC$406.981
ND$422.011
NE$400.491
NH$439.991
NJ$462.84–$484.332
NM$410.661
NV$428.411
NY$412.56–$503.765
OH$406.801
OK$397.991
OR$425.18–$459.572
PA$407.26–$447.112
PR$433.341
RI$440.731
SC$407.541
SD$421.001
TN$398.931
TX$404.84–$445.098
UT$412.621
VA$421.65–$488.642
VI$433.341
VT$420.701
WA$443.48–$497.262
WI$409.081
WV$400.801
WY$426.801

Explore 28230 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 28230 in Wyoming**, the physician’s office rate is $426.80 and the facility-setting rate is $266.15: a difference of $160.65.

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 28230 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$469.48

$426.80 × 110% = $469.48

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 28230 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,155

Code
28230
Physician work
4.25
Practice expense
8.21
Malpractice
0.43

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 28230 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work4.25× 1.0004.2500
Practice expense8.21× 1.0008.2100
Malpractice0.43× 0.7400.3182
Total RVUs12.7782
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$426.80

Open 28230 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.251
Practice expense8.211
Malpractice0.430.74

(4.25 × 1 + 8.21 × 1 + 0.43 × 0.74) × $33.4009 = $426.80

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.251
Practice expense3.41
Malpractice0.430.74

(4.25 × 1 + 3.4 × 1 + 0.43 × 0.74) × $33.4009 = $266.15

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

28230 · Office / nonfacility

$426.80

Effective 2026-10-01

The base rate is $11.87 higher than on 2025-10-01, moving from $414.93 to $426.80 (2.9%).

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

    $414.93changed to$426.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.36 changed to 4.25
    • Practice expense RVU 8.15 changed to 8.21
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $414.93

    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$426.80$266.15RVU26D
2026-07-01$426.80$266.15RVU26C
2026-04-01$426.80$266.15RVU26B
2026-01-01$426.80$266.15RVU26A
2025-10-01$414.93$278.75RVU25D
2025-07-01$414.93$278.75RVU25C
2025-04-01$414.93$278.75RVU25B
2025-01-01$414.93$278.75RVU25A

28230 billing questions

When should I report this instead of 28234?

Report 28230 for open division of one extensor tendon. Code 28234 is the corresponding service when multiple extensor tendons are divided.

How does this differ from 28232?

28230 describes division of an extensor tendon; 28232 is for an open tenotomy of a flexor tendon. The operative note should establish which tendon was treated.

Is tendon release from adhesions reported with this code?

No. Tenotomy divides the tendon; tenolysis frees a tendon from adhesions. For a single extensor tendon, compare the documented service with 28222.

What documentation supports reporting one tendon?

Document the specific extensor tendon, foot or toe location, side, open approach, and clinical reason for division. The record should distinguish one tendon from multiple tendons.

How is bilateral surgery reported under the CMS rules?

For the bilateral procedure, report modifier 50; CMS payment is 150%.

Can an assistant or co-surgeon be billed?

CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are 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 28230PPRRVU2026_Oct_nonQPP.csv, line 3,155 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet