Billing code 28360: Foot reconstructionMedicare rate & RVUs in Alabama
Reconstructs a congenital cleft foot by surgically correcting the split-foot deformity, typically during operative treatment of a structural birth anomaly.
CMS doesn’t publish an office rate for 28360 in Alabama.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28360 covers
This major operation corrects a congenital cleft foot, also called split foot or ectrodactyly. An orthopedic or podiatric surgeon reconstructs the affected foot’s structure; the specific work depends on the patient’s anatomy and the deformity being addressed. The service is generally performed in an operating room, often as part of planned treatment for a congenital foot abnormality. The operative report should identify the cleft-foot diagnosis and describe the reconstruction performed.
Report 28360 for the cleft-foot reconstruction itself, rather than a procedure directed only at an extra toe, webbed toes, or an isolated toe deformity. 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. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
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.
28360 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $925.80 |
How the 28360 rate is calculated
Each of 28360’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 28360
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.55Practice expense 13.05Malpractice 3.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28360
28360 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28360
Foot reconstruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28360
Foot reconstruction
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28360 without 50 · national facility
$1,025.07
Foot reconstruction
28360-50 · Bilateral: 150%
$1,537.61
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28360 compared with similar codes
Compare codes
28360 vs 28344 vs 28345 vs 28313: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28344Toe reconstruction
- 28344 addresses reconstruction for polydactyly, or extra toe tissue. Use 28360 when the operation reconstructs a cleft-foot deformity.
- 28345Webbed toe repair
- 28345 addresses reconstruction for syndactyly, or webbed toes. It is not a substitute for reconstruction of the cleft foot itself.
- 28313Toe deformity repair
- 28313 is directed at repair of a toe deformity. Choose 28360 when the operative target is the congenital cleft-foot structure.
28360 billing questions
How is 28360 distinguished from toe reconstruction codes?
Use 28360 for reconstruction of the cleft-foot deformity. Codes for polydactyly, syndactyly, or an isolated toe deformity address those specific conditions instead.
Does the 90-day global period include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral cleft-foot reconstruction reported?
Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for 28360. Co-surgeons and team surgery are not permitted.
What happens when other 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.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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