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CMS RVU26D · Effective 2026-10-01

28307 in Wyoming**

Office / nonfacility

$833.07

Base rate per service

Facility setting

$485.70

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 28307: Metatarsal osteotomy with autograft

Reports a metatarsal osteotomy performed with the patient’s own bone graft to support correction or reconstruction of a metatarsal deformity.

A surgeon or podiatrist cuts and repositions a metatarsal and uses autograft—bone taken from the same patient—to support the correction or reconstruction. The procedure may address a metatarsal deformity requiring a change in bone alignment or length. The graft harvest is included in this service. These operations are generally performed in an operating room, including a hospital outpatient department or ambulatory surgery center.

Choose this code when the operative report supports both a metatarsal osteotomy and use of autograft. Document the metatarsal treated, the reason and manner of the osteotomy, and the graft’s source and use. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 28307

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.34 · 25%
  • Practice expense (office) RVU17.61 · 70%
  • Malpractice RVU1.34 · 5%

40

Medicare services in 2024 · #5496 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.

28307 compared with similar codes

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

28306

Metatarsal osteotomy

First metatarsal

$621.15

This code is distinguished by autograft use. Code 28306 is for a first-metatarsal osteotomy without that graft distinction.

28308

Metatarsal osteotomy

Other than first metatarsal

$579.61

Code 28308 is for an osteotomy of a metatarsal other than the first; this code is selected when the metatarsal osteotomy includes autograft.

28309

Metatarsal osteotomy

Multiple metatarsals

No office rate

Code 28309 represents an osteotomy involving multiple metatarsals, rather than the autograft-specific service described here.

28305

Midfoot osteotomy

With autograft

No office rate

Code 28305 concerns a midfoot bone osteotomy with graft. This code concerns a metatarsal osteotomy with autograft.

The same code, a different location

How does Wyoming** compare?

28307 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $833.07

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

    $945.99

    $112.92 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $965.90

    $132.83 higher than Wyoming**

  4. Miami

    $937.26

    $104.19 higher than Wyoming**

  5. Chicago

    $907.09

    $74.02 higher than Wyoming**

  6. Manhattan

    $979.78

    $146.71 higher than Wyoming**

  7. Alaska*

    $968.73

    $135.66 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, 28307 ranges from $740.07 in Arkansas to $1107.22 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 28307

    Office

    $751.76

    Facility

    $447.81

    $81.31 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 28307

    Office

    $740.07

    Facility

    $441.68

    $93.00 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 28307

    Office

    $820.03

    Facility

    $483.43

    $13.04 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 28307

    Office

    $887.70

    Facility

    $506.98

    $54.63 higher than Wyoming** for the office setting.

  • Chico

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • El Centro

    California · 28307

    Office

    $884.23

    Facility

    $503.51

    $51.16 higher than Wyoming** for the office setting.

  • Fresno

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Madera

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Merced

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Modesto

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Napa

    California · 28307

    Office

    $1023.07

    Facility

    $565.24

    $190.00 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28307

    Office

    $940.82

    Facility

    $530.22

    $107.75 higher than Wyoming** for the office setting.

  • Redding

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28307

    Office

    $898.41

    Facility

    $517.69

    $65.34 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28307

    Office

    $927.44

    Facility

    $523.45

    $94.37 higher than Wyoming** for the office setting.

  • Salinas

    California · 28307

    Office

    $924.03

    Facility

    $521.43

    $90.96 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28307

    Office

    $945.85

    Facility

    $530.39

    $112.78 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28307

    Office

    $1081.77

    Facility

    $591.98

    $248.70 higher than Wyoming** for the office setting.

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

    California · 28307

    Office

    $1080.25

    Facility

    $590.46

    $247.18 higher than Wyoming** for the office setting.

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

    California · 28307

    Office

    $1107.22

    Facility

    $606.31

    $274.15 higher than Wyoming** for the office setting.

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

    California · 28307

    Office

    $1100.99

    Facility

    $600.09

    $267.92 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28307

    Office

    $909.30

    Facility

    $513.65

    $76.23 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 28307

    Office

    $954.85

    Facility

    $532.80

    $121.78 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 28307

    Office

    $927.51

    Facility

    $522.48

    $94.44 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 28307

    Office

    $964.40

    Facility

    $537.83

    $131.33 higher than Wyoming** for the office setting.

  • Stockton

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Vallejo

    California · 28307

    Office

    $1020.88

    Facility

    $563.05

    $187.81 higher than Wyoming** for the office setting.

  • Visalia

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Yuba City

    California · 28307

    Office

    $884.01

    Facility

    $503.29

    $50.94 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 28307

    Office

    $875.09

    Facility

    $505.49

    $42.02 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 28307

    Office

    $903.63

    Facility

    $529.52

    $70.56 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 28307

    Office

    $834.19

    Facility

    $490.99

    $1.12 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 28307

    Office

    $888.52

    Facility

    $536.63

    $55.45 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 28307

    Office

    $841.34

    Facility

    $509.26

    $8.27 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 28307

    Office

    $863.75

    Facility

    $510.82

    $30.68 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 28307

    Office

    $789.78

    Facility

    $479.92

    $43.29 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 28307

    Office

    $906.45

    Facility

    $511.49

    $73.38 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 28307

    Office

    $767.72

    Facility

    $449.88

    $65.35 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 28307

    Office

    $774.07

    Facility

    $454.49

    $59.00 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 28307

    Office

    $843.04

    Facility

    $523.46

    $9.97 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 28307

    Office

    $818.73

    Facility

    $501.59

    $14.34 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 28307

    Office

    $896.62

    Facility

    $539.88

    $63.55 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 28307

    Office

    $778.77

    Facility

    $456.75

    $54.30 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 28307

    Office

    $766.04

    Facility

    $452.02

    $67.03 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 28307

    Office

    $775.62

    Facility

    $466.80

    $57.45 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 28307

    Office

    $816.09

    Facility

    $489.22

    $16.98 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 28307

    Office

    $775.19

    Facility

    $467.77

    $57.88 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 28307

    Office

    $962.58

    Facility

    $547.82

    $129.51 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28307

    Office

    $870.19

    Facility

    $504.41

    $37.12 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28307

    Office

    $901.64

    Facility

    $528.91

    $68.57 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 28307

    Office

    $850.21

    Facility

    $498.68

    $17.14 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 28307

    Office

    $780.74

    Facility

    $461.16

    $52.33 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 28307

    Office

    $822.90

    Facility

    $478.66

    $10.17 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 28307

    Office

    $854.83

    Facility

    $519.61

    $21.76 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 28307

    Office

    $799.31

    Facility

    $482.16

    $33.76 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 28307

    Office

    $830.26

    Facility

    $472.81

    $2.81 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 28307

    Office

    $807.80

    Facility

    $481.62

    $25.27 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 28307

    Office

    $816.57

    Facility

    $485.87

    $16.50 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 28307

    Office

    $762.37

    Facility

    $462.94

    $70.70 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 28307

    Office

    $751.27

    Facility

    $452.18

    $81.80 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 28307

    Office

    $844.62

    Facility

    $497.25

    $11.55 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 28307

    Office

    $789.14

    Facility

    $465.05

    $43.93 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 28307

    Office

    $818.12

    Facility

    $470.75

    $14.95 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 28307

    Office

    $771.58

    Facility

    $450.96

    $61.49 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 28307

    Office

    $863.23

    Facility

    $501.62

    $30.16 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 28307

    Office

    $955.20

    Facility

    $552.26

    $122.13 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 28307

    Office

    $911.63

    Facility

    $532.31

    $78.56 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 28307

    Office

    $804.89

    Facility

    $486.35

    $28.18 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 28307

    Office

    $837.82

    Facility

    $490.11

    $4.75 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28307

    Office

    $1007.79

    Facility

    $594.76

    $174.72 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28307

    Office

    $919.52

    Facility

    $539.15

    $86.45 higher than Wyoming** for the office setting.

  • Queens

    New York · 28307

    Office

    $985.09

    Facility

    $574.50

    $152.02 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 28307

    Office

    $802.01

    Facility

    $472.01

    $31.06 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 28307

    Office

    $793.89

    Facility

    $476.75

    $39.18 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 28307

    Office

    $771.79

    Facility

    $461.59

    $61.28 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 28307

    Office

    $901.93

    Facility

    $516.00

    $68.86 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 28307

    Office

    $829.06

    Facility

    $483.08

    $4.01 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28307

    Office

    $881.27

    Facility

    $519.66

    $48.20 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28307

    Office

    $794.02

    Facility

    $475.13

    $39.05 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 28307

    Office

    $850.51

    Facility

    $499.32

    $17.44 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 28307

    Office

    $863.31

    Facility

    $504.48

    $30.24 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 28307

    Office

    $793.29

    Facility

    $472.32

    $39.78 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 28307

    Office

    $814.99

    Facility

    $467.62

    $18.08 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 28307

    Office

    $770.46

    Facility

    $454.70

    $62.61 lower than Wyoming** for the office setting.

  • Austin

    Texas · 28307

    Office

    $874.14

    Facility

    $506.63

    $41.07 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 28307

    Office

    $788.59

    Facility

    $472.49

    $44.48 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 28307

    Office

    $831.26

    Facility

    $487.02

    $1.81 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 28307

    Office

    $837.91

    Facility

    $491.93

    $4.84 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 28307

    Office

    $832.61

    Facility

    $490.10

    $0.46 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 28307

    Office

    $834.59

    Facility

    $489.65

    $1.52 higher than Wyoming** for the office setting.

  • Houston

    Texas · 28307

    Office

    $859.11

    Facility

    $514.18

    $26.04 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 28307

    Office

    $810.37

    Facility

    $480.72

    $22.70 lower than Wyoming** for the office setting.

  • Utah

    Utah · 28307

    Office

    $804.85

    Facility

    $478.32

    $28.22 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 28307

    Office

    $821.55

    Facility

    $480.09

    $11.52 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28307

    Office

    $850.51

    Facility

    $499.32

    $17.44 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 28307

    Office

    $816.72

    Facility

    $472.82

    $16.35 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 28307

    Office

    $867.94

    Facility

    $502.16

    $34.87 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 28307

    Office

    $980.63

    Facility

    $554.40

    $147.56 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 28307

    Office

    $789.03

    Facility

    $456.25

    $44.04 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 28307

    Office

    $786.95

    Facility

    $485.08

    $46.12 lower than Wyoming** for the office setting.

See how rates vary across the country

28307 · 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.

$740.07

$995.62

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$968.731
AL$751.761
AR$740.071
AZ$820.031
CA$884.01–$1,107.2229
CO$875.091
CT$903.631
DC$965.901
DE$834.191
FL$841.34–$937.263
GA$789.78–$863.752
GU$906.451
HI$906.451
IA$767.721
ID$774.071
IL$818.73–$907.094
IN$778.771
KS$766.041
KY$775.621
LA$775.19–$816.092
MA$870.19–$962.582
MD$850.21–$965.903
ME$780.74–$822.902
MI$799.31–$854.832
MN$830.261
MO$762.37–$816.573
MS$751.271
MT$844.621
NC$789.141
ND$818.121
NE$771.581
NH$863.231
NJ$911.63–$955.202
NM$804.891
NV$837.821
NY$802.01–$1,007.795
OH$793.891
OK$771.791
OR$829.06–$901.932
PA$794.02–$881.272
PR$850.511
RI$863.311
SC$793.291
SD$814.991
TN$770.461
TX$788.59–$874.148
UT$804.851
VA$821.55–$965.902
VI$850.511
VT$816.721
WA$867.94–$980.632
WI$789.031
WV$786.951
WY$833.071

Explore 28307 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 28307 in Wyoming**, the physician’s office rate is $833.07 and the facility-setting rate is $485.70: a difference of $347.37.

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 28307 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$916.38

$833.07 × 110% = $916.38

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 28307 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,184

Code
28307
Physician work
6.34
Practice expense
17.61
Malpractice
1.34

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 28307 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work6.34× 1.0006.3400
Practice expense17.61× 1.00017.6100
Malpractice1.34× 0.7400.9916
Total RVUs24.9416
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$833.07

Open 28307 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.341
Practice expense17.611
Malpractice1.340.74

(6.34 × 1 + 17.61 × 1 + 1.34 × 0.74) × $33.4009 = $833.07

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.341
Practice expense7.211
Malpractice1.340.74

(6.34 × 1 + 7.21 × 1 + 1.34 × 0.74) × $33.4009 = $485.70

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

28307 · Office / nonfacility

$833.07

Effective 2026-10-01

The base rate is $80.36 higher than on 2025-10-01, moving from $752.71 to $833.07 (10.7%).

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

    $752.71changed to$833.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.50 changed to 6.34
    • Practice expense RVU 15.78 changed to 17.61
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $752.71

    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$833.07$485.70RVU26D
2026-07-01$833.07$485.70RVU26C
2026-04-01$833.07$485.70RVU26B
2026-01-01$833.07$485.70RVU26A
2025-10-01$752.71$504.94RVU25D
2025-07-01$752.71$504.94RVU25C
2025-04-01$752.71$504.94RVU25B
2025-01-01$752.71$504.94RVU25A

28307 billing questions

When should this code be selected instead of a metatarsal osteotomy code without graft?

Use this code when the metatarsal osteotomy includes autograft. A metatarsal osteotomy without autograft is represented by a different code in the family.

Is harvesting the patient’s bone reported separately?

No. The graft harvest is included when this code is used.

What documentation supports reporting this service?

The operative report should identify the metatarsal, describe the osteotomy and its purpose, and document the patient’s own bone graft and how it was used.

How does the 90-day global period affect postoperative claims?

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

How is bilateral performance handled?

For a bilateral procedure reported with modifier 50, CMS pays 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. 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 28307PPRRVU2026_Oct_nonQPP.csv, line 3,184 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet