$546.59
Both codes address flexor tendon repair in the foot. Choose 28200 for a repair without a free graft and 28202 when a free graft is used.
On this page
CMS RVU26D · Effective 2026-10-01
28200 Foot tendon repair Medicare reimbursement rates in Arkansas
Reports repair of a flexor tendon in the foot without a free graft, whether performed as a primary repair or a secondary repair. Compare 28200 office and facility rates across CMS payment localities in Arkansas.
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 28200 in Arkansas?
Arkansas 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
$448.56
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$284.16
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 28200: Primary or secondary flexor tendon repair
Reports repair of a flexor tendon in the foot without a free graft, whether performed as a primary repair or a secondary repair.
This service repairs a flexor tendon in the foot without using a free graft. A podiatrist or orthopedic foot and ankle surgeon may perform it for a tendon laceration or rupture requiring surgical repair. The operative report should identify the tendon and foot site, describe the injury and repair, and support that no free graft was used. The code is reported for each tendon repaired; it is not the code for extensor tendon repair or tendon release.
The service has a 90-day global period, including 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare 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 28200
- 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 RVU4.62 · 31%
- Practice expense (office) RVU9.92 · 66%
- Malpractice RVU0.56 · 4%
1.7K
Medicare services in 2024 · #2568 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.
28200 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$442.36
This code is for repair of a flexor tendon. Code 28208 is for repair of an extensor tendon without a free graft.
$534.57
This code is for flexor tendon repair without a free graft. Code 28210 is for extensor tendon repair using a free graft.
Compare 28200 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
Arkansas →
Office / nonfacility
$448.56
Facility
$284.16
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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 28200 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,147
- Code
- 28200
- Physician work
- 4.62
- Practice expense
- 9.92
- Malpractice
- 0.56
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.62 | × 1.000 | 4.6200 |
| Practice expense | 9.92 | × 0.859 | 8.5213 |
| Malpractice | 0.56 | × 0.515 | 0.2884 |
| Total RVUs | 13.4297 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$448.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.62 | 1 |
| Practice expense | 9.92 | 0.859 |
| Malpractice | 0.56 | 0.515 |
(4.62 × 1 + 9.92 × 0.859 + 0.56 × 0.515) × $33.4009 = $448.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.62 | 1 |
| Practice expense | 4.19 | 0.859 |
| Malpractice | 0.56 | 0.515 |
(4.62 × 1 + 4.19 × 0.859 + 0.56 × 0.515) × $33.4009 = $284.16
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.
28200 billing questions
How does this differ from 28202?
Both concern flexor tendon repair in the foot. Use 28200 when the repair does not use a free graft; 28202 is the graft-repair counterpart.
Can this code report an extensor tendon repair?
No. This code is for a flexor tendon. Use the corresponding extensor repair code when the repaired tendon is an extensor tendon.
How many units should be reported?
Report one unit for each flexor tendon repaired. The operative documentation should identify the tendon or tendons treated.
Does the code include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral repairs?
No. The descriptor or anatomy makes modifier 50 inappropriate for this code.
How are assistant and co-surgeon claims handled?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided; 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.
3,14428190,,Removal of foot foreign body,A,,1.96,5.00,,1.65,,0.21,7.17,3.82,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14528192,,Removal of foot foreign body,A,,4.66,8.56,,3.67,,0.46,13.68,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14628193,,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
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541