$715.75
Use 28210 when a free graft is used to repair the foot extensor tendon; 28208 describes repair without a free graft.
On this page
CMS RVU26D · Effective 2026-10-01
28208 Tendon repair Medicare reimbursement rates in Alaska
Reports primary or secondary repair of a foot extensor tendon without a free graft, typically to restore extension after a tendon injury. Compare 28208 office and facility rates across CMS payment localities in Alaska.
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 28208 in Alaska?
Alaska 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
$585.05
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
Facility setting
$384.07
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 28208: Foot extensor tendon repair without graft
Reports primary or secondary repair of a foot extensor tendon without a free graft, typically to restore extension after a tendon injury.
This service repairs a damaged extensor tendon in the foot, such as a tendon that lifts a toe after a laceration or rupture. The surgeon brings the tendon ends together or reattaches the tendon as needed to restore its function; a free tendon graft is not used. Orthopedic and podiatric surgeons commonly perform the repair in an operating room. The service is for each tendon repaired, not each incision or foot.
Choose this code when the operative report supports repair of a foot extensor tendon without a free graft. Document the tendon repaired, the injury or defect, the repair performed, and the number of tendons. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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% reduction. Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 28208
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.40 · 29%
- Practice expense (office) RVU9.96 · 67%
- Malpractice RVU0.56 · 4%
1.2K
Medicare services in 2024 · #2841 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.
28208 compared with similar codes
Office rates for Alaska, from the same CMS release.
$594.65
Use 28200 for repair of a foot flexor tendon without a free graft. This code is for an extensor tendon.
$735.35
Use 28202 for foot flexor tendon repair with a free graft; it differs in both tendon type and graft use.
$534.15
This code addresses release of a foot tendon rather than repair of a damaged extensor tendon.
Compare 28208 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
Alaska* →
Office / nonfacility
$585.05
Facility
$384.07
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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 28208 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
3,149
- Code
- 28208
- Physician work
- 4.40
- Practice expense
- 9.96
- Malpractice
- 0.56
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.40 | × 1.500 | 6.6000 |
| Practice expense | 9.96 | × 1.065 | 10.6074 |
| Malpractice | 0.56 | × 0.551 | 0.3086 |
| Total RVUs | 17.5160 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$585.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.4 | 1.5 |
| Practice expense | 9.96 | 1.065 |
| Malpractice | 0.56 | 0.551 |
(4.4 × 1.5 + 9.96 × 1.065 + 0.56 × 0.551) × $33.4009 = $585.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.4 | 1.5 |
| Practice expense | 4.31 | 1.065 |
| Malpractice | 0.56 | 0.551 |
(4.4 × 1.5 + 4.31 × 1.065 + 0.56 × 0.551) × $33.4009 = $384.07
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.
28208 billing questions
How does this differ from 28210?
Both codes concern repair of a foot extensor tendon. Use 28208 for repair without a free graft and 28210 when the repair uses a free graft.
Can this code be used for a flexor tendon repair?
No. This code is for a foot extensor tendon; 28200 is the corresponding repair code for a foot flexor tendon without a free graft.
How should the number of tendons be reported?
The service is reported for each tendon repaired. The operative report should identify the tendon or tendons and support the number of units billed.
Should modifier 50 be appended for repairs on both feet?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
3,14628193,,Removal of foot foreign body,A,,5.75,9.02,,3.93,,0.53,15.30,10.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14728200,,Repair of foot tendon,A,,4.62,9.92,,4.19,,0.56,15.10,9.37,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14828202,,Repair/graft of foot tendon,A,,6.89,10.58,,4.54,,0.75,18.22,12.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14928208,,Repair of foot tendon,A,,4.40,9.96,,4.31,,0.56,14.92,9.27,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15028210,,Repair/graft of foot tendon,A,,6.36,10.76,,4.76,,0.78,17.90,11.90,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15128220,,Release of foot tendon,A,,4.55,8.38,,3.65,,0.44,13.37,8.64,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15228222,,Release of foot tendons,A,,5.62,10.03,,4.21,,0.62,16.27,10.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609