$933.63
Code 28750 is for fusion at the great toe metatarsophalangeal joint. This code should be selected only when the documented great toe fusion matches its specific service.
On this page
CMS RVU26D · Effective 2026-10-01
28760 Big toe fusion Medicare reimbursement rates in Alabama
Reports surgical fusion of a great toe joint, performed to stabilize or correct a painful or deformed toe when arthrodesis is the chosen treatment. Compare 28760 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 28760 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$712.29
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$496.02
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Foot surgery
About 28760: Great toe joint arthrodesis
Reports surgical fusion of a great toe joint, performed to stabilize or correct a painful or deformed toe when arthrodesis is the chosen treatment.
An orthopedic or podiatric surgeon surgically prepares the surfaces of a great toe joint for fusion and stabilizes the toe, often with fixation, so the bones heal together. The operation may address painful arthritis, deformity, or instability when preserving motion is not the treatment goal. It is generally performed in an operating room or ambulatory surgery setting; the operative report should identify the joint treated and the work performed.
Report this code when the documented operation matches the great toe joint fusion service, rather than a fusion of another foot joint or a different great toe procedure. The operative note should support the indication, treated site, arthrodesis, and any fixation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28760
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.91 · 38%
- Practice expense (office) RVU13.51 · 58%
- Malpractice RVU1.05 · 4%
298
Medicare services in 2024 · #3997 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.
28760 compared with similar codes
Office rates for Alabama, from the same CMS release.
$824.54
Code 28755 is for fusion at the great toe interphalangeal joint. Use the operative documentation to distinguish the joint and applicable service.
$766.85
Code 28740 describes fusion of a foot joint outside the great toe-specific fusion services. The operative site determines which code fits.
Compare 28760 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$712.29
Facility
$496.02
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 28760 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
3,254
- Code
- 28760
- Physician work
- 8.91
- Practice expense
- 13.51
- Malpractice
- 1.05
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.91 | × 1.000 | 8.9100 |
| Practice expense | 13.51 | × 0.875 | 11.8212 |
| Malpractice | 1.05 | × 0.566 | 0.5943 |
| Total RVUs | 21.3255 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$712.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.91 | 1 |
| Practice expense | 13.51 | 0.875 |
| Malpractice | 1.05 | 0.566 |
(8.91 × 1 + 13.51 × 0.875 + 1.05 × 0.566) × $33.4009 = $712.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.91 | 1 |
| Practice expense | 6.11 | 0.875 |
| Malpractice | 1.05 | 0.566 |
(8.91 × 1 + 6.11 × 0.875 + 1.05 × 0.566) × $33.4009 = $496.02
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.
28760 billing questions
How does this differ from 28750?
Both describe great toe fusion services, but 28750 identifies fusion at the metatarsophalangeal joint. Use the code supported by the exact joint and procedure documented.
How does this differ from 28755?
Code 28755 identifies fusion of the great toe interphalangeal joint. Confirm the joint treated in the operative report before choosing between these great toe fusion codes.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported for bilateral surgery?
Yes. CMS lists bilateral reporting with modifier 50, paid at 150%.
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.
3,25128740,,Fusion of foot bones,A,,9.06,15.05,,6.94,,1.29,25.40,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25228750,,Fusion of big toe joint,A,,8.53,21.44,,6.36,,1.17,31.14,16.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25328755,,Fusion of big toe joint,A,,7.31,19.27,,5.77,,0.91,27.49,13.99,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515