Billing code 28344: Toe reconstructionMedicare rate & RVUs in Alaska
Corrective surgery for polydactyly reshapes the foot or remaining toes after treatment of an extra toe, typically by an orthopedic or podiatric surgeon.
Medicare pays $492.80 for 28344 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
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 28344 covers
billing code 28344 covers operative reconstruction for polydactyly, the presence of an extra toe. The surgeon addresses the duplicated digit and reconstructs the affected toe or foot as needed to achieve a functional and balanced result. Orthopedic foot and ankle surgeons, pediatric orthopedic surgeons, and podiatric surgeons may perform this procedure, often in an operating room for a congenital foot or toe anomaly. The work is more than treating an acquired toe deformity: the operative indication is the extra digit and the reconstruction associated with it.
Report the code when the operative record supports reconstruction for polydactyly. Documentation should identify the affected foot, describe the extra digit and its relationship to the adjacent toes, and explain the reconstructive work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is 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.
28344 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $492.80 | $337.00 |
How the 28344 rate is calculated
Each of 28344’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 · 28344
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.29Practice expense 7.62Malpractice 0.37
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28344
28344 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28344
Toe 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 28344
Toe 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
28344 without 50 · national office
$410.16
Toe reconstruction
28344-50 · Bilateral: 150%
$615.24
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).
28344 compared with similar codes
Compare codes
28344 vs 28345 vs 28313 vs 28360: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28345Webbed toe repair
- Choose 28344 for reconstruction involving polydactyly; choose 28345 when the procedure repairs syndactyly, or webbing, between toes.
- 28313Toe deformity repair
- 28313 addresses a toe deformity. 28344 is distinguished by reconstruction for an extra digit.
- 28360Foot reconstruction
- 28360 is for reconstruction of a cleft foot; 28344 addresses polydactyly.
28344 billing questions
How is 28344 different from repair of webbed toes?
28344 is for reconstruction addressing an extra toe. billing code 28345 is used when the operative problem is webbing between toes.
What documentation supports 28344?
Document the side, the duplicated digit's anatomy and connection to adjacent toes, and the reconstruction performed for polydactyly.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral 28344 reported?
Use modifier 50 for a bilateral procedure; CMS payment is 150% under the stated bilateral rule.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is restricted. Co-surgeon payment requires supporting documentation, and 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 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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