$293.62
28820 is for amputation of a toe without the associated metatarsal. Choose 28810 when the operative procedure also removes the metatarsal as a ray.
On this page
CMS RVU26D · Effective 2026-10-01
28810 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$388.47
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 28810: Single-ray foot amputation
Reports removal of a single toe together with its associated metatarsal, commonly for infection or tissue loss extending beyond the toe.
This procedure removes one toe along with its associated metatarsal as a ray amputation. Podiatrists and foot-and-ankle or orthopedic surgeons commonly perform it for conditions such as osteomyelitis involving the toe and metatarsal, gangrene, or a nonhealing wound that requires removal beyond the toe. It is performed in an operative setting, often for patients with diabetic foot disease or impaired circulation.
Choose this code when the operation includes both the toe and its associated metatarsal; a toe-only removal belongs to a different code. The operative report should identify the ray removed and describe the extent of bone and soft-tissue resection. This major surgery has a 90-day global period that includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 28810
- 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 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 RVU6.47 · 54%
- Practice expense (office) RVU4.45 · 37%
- Malpractice RVU0.96 · 8%
13.2K
Medicare services in 2024 · #1330 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.
28810 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
$286.53
28825 describes partial toe amputation. It is not the ray procedure reported with 28810, which includes removal of the associated metatarsal.
No office rate
28805 is used for transmetatarsal-level amputation; 28810 is for a single toe and its associated metatarsal. The operative level and extent distinguish them.
No office rate
28800 describes amputation at the midfoot. Use 28810 for a single-ray removal rather than a midfoot-level procedure.
The same code, a different location
How does Wyoming** compare?
28810 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 28810
Office
Unavailable
Facility
$364.31
No comparable office rate is available.
Arkansas
Arkansas · 28810
Office
Unavailable
Facility
$360.29
No comparable office rate is available.
Arizona
Arizona · 28810
Office
Unavailable
Facility
$387.58
No comparable office rate is available.
Bakersfield
California · 28810
Office
Unavailable
Facility
$402.64
No comparable office rate is available.
Chico
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
El Centro
California · 28810
Office
Unavailable
Facility
$400.03
No comparable office rate is available.
Fresno
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Hanford-Corcoran
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Madera
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Merced
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Modesto
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Napa
California · 28810
Office
Unavailable
Facility
$441.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 28810
Office
Unavailable
Facility
$417.82
No comparable office rate is available.
Redding
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Rest Of California
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 28810
Office
Unavailable
Facility
$410.25
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 28810
Office
Unavailable
Facility
$413.93
No comparable office rate is available.
Salinas
California · 28810
Office
Unavailable
Facility
$412.26
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 28810
Office
Unavailable
Facility
$417.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 28810
Office
Unavailable
Facility
$460.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 28810
Office
Unavailable
Facility
$459.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 28810
Office
Unavailable
Facility
$471.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 28810
Office
Unavailable
Facility
$466.94
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 28810
Office
Unavailable
Facility
$406.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 28810
Office
Unavailable
Facility
$418.42
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 28810
Office
Unavailable
Facility
$412.65
No comparable office rate is available.
Santa Rosa-Petaluma
California · 28810
Office
Unavailable
Facility
$422.30
No comparable office rate is available.
Stockton
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Vallejo
California · 28810
Office
Unavailable
Facility
$440.34
No comparable office rate is available.
Visalia
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Yuba City
California · 28810
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Colorado
Colorado · 28810
Office
Unavailable
Facility
$401.89
No comparable office rate is available.
Connecticut
Connecticut · 28810
Office
Unavailable
Facility
$419.30
No comparable office rate is available.
Delaware
Delaware · 28810
Office
Unavailable
Facility
$392.86
No comparable office rate is available.
Fort Lauderdale
Florida · 28810
Office
Unavailable
Facility
$424.64
No comparable office rate is available.
Rest Of Florida
Florida · 28810
Office
Unavailable
Facility
$406.39
No comparable office rate is available.
Atlanta
Georgia · 28810
Office
Unavailable
Facility
$406.27
No comparable office rate is available.
Rest Of Georgia
Georgia · 28810
Office
Unavailable
Facility
$386.91
No comparable office rate is available.
Hawaii, Guam
Hawaii · 28810
Office
Unavailable
Facility
$403.67
No comparable office rate is available.
Iowa
Iowa · 28810
Office
Unavailable
Facility
$364.83
No comparable office rate is available.
Idaho
Idaho · 28810
Office
Unavailable
Facility
$368.01
No comparable office rate is available.
East St. Louis
Illinois · 28810
Office
Unavailable
Facility
$417.43
No comparable office rate is available.
Rest Of Illinois
Illinois · 28810
Office
Unavailable
Facility
$401.92
No comparable office rate is available.
Suburban Chicago
Illinois · 28810
Office
Unavailable
Facility
$427.08
No comparable office rate is available.
Indiana
Indiana · 28810
Office
Unavailable
Facility
$369.47
No comparable office rate is available.
Kansas
Kansas · 28810
Office
Unavailable
Facility
$366.63
No comparable office rate is available.
Kentucky
Kentucky · 28810
Office
Unavailable
Facility
$377.58
No comparable office rate is available.
New Orleans
Louisiana · 28810
Office
Unavailable
Facility
$392.39
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 28810
Office
Unavailable
Facility
$378.36
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 28810
Office
Unavailable
Facility
$430.97
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 28810
Office
Unavailable
Facility
$401.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 28810
Office
Unavailable
Facility
$418.71
No comparable office rate is available.
Rest Of Maryland
Maryland · 28810
Office
Unavailable
Facility
$398.12
No comparable office rate is available.
Rest Of Maine
Maine · 28810
Office
Unavailable
Facility
$372.79
No comparable office rate is available.
Southern Maine
Maine · 28810
Office
Unavailable
Facility
$383.63
No comparable office rate is available.
Detroit
Michigan · 28810
Office
Unavailable
Facility
$413.60
No comparable office rate is available.
Rest Of Michigan
Michigan · 28810
Office
Unavailable
Facility
$388.01
No comparable office rate is available.
Minnesota
Minnesota · 28810
Office
Unavailable
Facility
$378.54
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 28810
Office
Unavailable
Facility
$387.00
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 28810
Office
Unavailable
Facility
$389.73
No comparable office rate is available.
Rest Of Missouri
Missouri · 28810
Office
Unavailable
Facility
$375.46
No comparable office rate is available.
Mississippi
Mississippi · 28810
Office
Unavailable
Facility
$367.77
No comparable office rate is available.
Montana**
Montana · 28810
Office
Unavailable
Facility
$396.74
No comparable office rate is available.
North Carolina
North Carolina · 28810
Office
Unavailable
Facility
$375.27
No comparable office rate is available.
North Dakota**
North Dakota · 28810
Office
Unavailable
Facility
$377.76
No comparable office rate is available.
Nebraska
Nebraska · 28810
Office
Unavailable
Facility
$365.41
No comparable office rate is available.
New Hampshire
New Hampshire · 28810
Office
Unavailable
Facility
$398.89
No comparable office rate is available.
Northern Nj
New Jersey · 28810
Office
Unavailable
Facility
$436.38
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 28810
Office
Unavailable
Facility
$422.23
No comparable office rate is available.
New Mexico
New Mexico · 28810
Office
Unavailable
Facility
$390.91
No comparable office rate is available.
Nevada**
Nevada · 28810
Office
Unavailable
Facility
$391.60
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 28810
Office
Unavailable
Facility
$466.20
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 28810
Office
Unavailable
Facility
$427.38
No comparable office rate is available.
Queens
New York · 28810
Office
Unavailable
Facility
$451.86
No comparable office rate is available.
Rest Of New York
New York · 28810
Office
Unavailable
Facility
$379.85
No comparable office rate is available.
Ohio
Ohio · 28810
Office
Unavailable
Facility
$384.13
No comparable office rate is available.
Oklahoma
Oklahoma · 28810
Office
Unavailable
Facility
$373.75
No comparable office rate is available.
Portland
Oregon · 28810
Office
Unavailable
Facility
$408.55
No comparable office rate is available.
Rest Of Oregon
Oregon · 28810
Office
Unavailable
Facility
$386.68
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 28810
Office
Unavailable
Facility
$412.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 28810
Office
Unavailable
Facility
$382.85
No comparable office rate is available.
Puerto Rico
Puerto Rico · 28810
Office
Unavailable
Facility
$397.96
No comparable office rate is available.
Rhode Island
Rhode Island · 28810
Office
Unavailable
Facility
$402.35
No comparable office rate is available.
South Carolina
South Carolina · 28810
Office
Unavailable
Facility
$380.70
No comparable office rate is available.
South Dakota**
South Dakota · 28810
Office
Unavailable
Facility
$375.51
No comparable office rate is available.
Tennessee
Tennessee · 28810
Office
Unavailable
Facility
$368.43
No comparable office rate is available.
Austin
Texas · 28810
Office
Unavailable
Facility
$402.20
No comparable office rate is available.
Beaumont
Texas · 28810
Office
Unavailable
Facility
$381.15
No comparable office rate is available.
Brazoria
Texas · 28810
Office
Unavailable
Facility
$390.14
No comparable office rate is available.
Dallas
Texas · 28810
Office
Unavailable
Facility
$393.60
No comparable office rate is available.
Fort Worth
Texas · 28810
Office
Unavailable
Facility
$392.53
No comparable office rate is available.
Galveston
Texas · 28810
Office
Unavailable
Facility
$391.98
No comparable office rate is available.
Houston
Texas · 28810
Office
Unavailable
Facility
$409.55
No comparable office rate is available.
Rest Of Texas
Texas · 28810
Office
Unavailable
Facility
$386.11
No comparable office rate is available.
Utah
Utah · 28810
Office
Unavailable
Facility
$384.61
No comparable office rate is available.
Virginia
Virginia · 28810
Office
Unavailable
Facility
$384.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 28810
Office
Unavailable
Facility
$397.96
No comparable office rate is available.
Vermont
Vermont · 28810
Office
Unavailable
Facility
$379.48
No comparable office rate is available.
Rest Of Washington
Washington · 28810
Office
Unavailable
Facility
$399.83
No comparable office rate is available.
Seattle (King Cnty)
Washington · 28810
Office
Unavailable
Facility
$435.48
No comparable office rate is available.
Wisconsin
Wisconsin · 28810
Office
Unavailable
Facility
$368.37
No comparable office rate is available.
West Virginia
West Virginia · 28810
Office
Unavailable
Facility
$391.15
No comparable office rate is available.
See how rates vary across the country
28810 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 28810 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$427.32
$388.47 × 110% = $427.32
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.
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 28810 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,257
- Code
- 28810
- Physician work
- 6.47
- Practice expense
- 4.45
- Malpractice
- 0.96
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.47 | × 1.000 | 6.4700 |
| Practice expense | 4.45 | × 1.000 | 4.4500 |
| Malpractice | 0.96 | × 0.740 | 0.7104 |
| Total RVUs | 11.6304 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$388.47
Open 28810 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.47 | 1 |
| Practice expense | 4.45 | 1 |
| Malpractice | 0.96 | 0.74 |
(6.47 × 1 + 4.45 × 1 + 0.96 × 0.74) × $33.4009 = $388.47
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
28810 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $388.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $388.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $388.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $388.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $405.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $405.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $405.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $405.45 | RVU25A |
28810 billing questions
How does this differ from a toe-only amputation?
Use 28810 when the procedure removes the toe and its associated metatarsal as a ray. Toe removal without the metatarsal is reported with a toe-amputation code selected for the extent.
When is 28805 a better fit?
28805 describes a transmetatarsal-level amputation, while 28810 is for removal of a single toe and its associated metatarsal. Follow the documented operative level and extent.
Can modifier 50 be used for bilateral procedures?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
When is an assistant at surgery payable?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
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.
3,25428760,,Fusion of big toe joint,A,,8.91,13.51,,6.11,,1.05,23.47,16.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25528800,,Amputation of midfoot,A,,8.57,5.12,NA,5.12,,1.02,14.71,14.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25628805,,Amputation thru metatarsal,A,,12.39,5.49,NA,5.49,,1.56,19.44,19.44,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25728810,,Amputation toe & metatarsal,A,,6.47,4.45,NA,4.45,,0.96,11.88,11.88,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25828820,,Amputation of toe,A,,3.42,5.06,,1.00,,0.42,8.90,4.84,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25928825,,Partial amputation of toe,A,,3.32,4.97,,0.97,,0.39,8.68,4.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26028890,,Hi enrgy eswt plantar fascia,A,,3.36,5.45,,2.51,,0.29,9.10,6.16,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,