$787.33
Use 28295 for a proximal first metatarsal osteotomy; 28296 represents a distal metatarsal osteotomy.
On this page
CMS RVU26D · Effective 2026-10-01
28295 Bunion correction Medicare reimbursement rates in Arkansas
Corrects hallux valgus by realigning the first metatarsal with an osteotomy near its base, as part of surgical bunion treatment. Compare 28295 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 28295 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
$940.32
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$508.80
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 28295: Hallux valgus correction with proximal metatarsal osteotomy
Corrects hallux valgus by realigning the first metatarsal with an osteotomy near its base, as part of surgical bunion treatment.
A foot surgeon uses this procedure to correct hallux valgus by cutting and repositioning the first metatarsal near its proximal end. It is performed for a bunion deformity when the planned correction includes a proximal metatarsal osteotomy. The operation is typically done in a surgical setting by an orthopedic or podiatric surgeon; the operative report should identify the osteotomy site and describe how the first metatarsal was repositioned.
Select this code based on the documented proximal metatarsal osteotomy, rather than the apparent size of the bunion. The record should support hallux valgus correction and distinguish the procedure from a distal metatarsal or proximal phalanx osteotomy. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28295
- 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 RVU8.36 · 26%
- Practice expense (office) RVU22.31 · 70%
- Malpractice RVU1.22 · 4%
425
Medicare services in 2024 · #3682 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.
28295 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$763.32
Use 28298 when the correction uses an osteotomy of the proximal phalanx rather than the proximal first metatarsal.
$915.22
28297 describes hallux valgus correction with first metatarsophalangeal joint fusion, not a proximal metatarsal osteotomy.
$919.98
28299 is for hallux valgus correction involving a double osteotomy; 28295 identifies the proximal metatarsal osteotomy approach.
Compare 28295 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
$940.32
Facility
$508.80
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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 28295 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,174
- Code
- 28295
- Physician work
- 8.36
- Practice expense
- 22.31
- Malpractice
- 1.22
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.36 | × 1.000 | 8.3600 |
| Practice expense | 22.31 | × 0.859 | 19.1643 |
| Malpractice | 1.22 | × 0.515 | 0.6283 |
| Total RVUs | 28.1526 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$940.32
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.36 | 1 |
| Practice expense | 22.31 | 0.859 |
| Malpractice | 1.22 | 0.515 |
(8.36 × 1 + 22.31 × 0.859 + 1.22 × 0.515) × $33.4009 = $940.32
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.36 | 1 |
| Practice expense | 7.27 | 0.859 |
| Malpractice | 1.22 | 0.515 |
(8.36 × 1 + 7.27 × 0.859 + 1.22 × 0.515) × $33.4009 = $508.80
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.
28295 billing questions
How is this code distinguished from 28296?
Choose 28295 when the hallux valgus correction includes an osteotomy near the base of the first metatarsal. Code 28296 describes correction using a distal metatarsal osteotomy.
When would 28298 be considered instead?
28298 is for hallux valgus correction using a proximal phalanx osteotomy. For 28295, the osteotomy is in the proximal first metatarsal.
How should bilateral procedures be reported?
For bilateral surgery, report modifier 50; CMS pays this code at 150% when reported bilaterally.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. An assistant at surgery may be paid; co-surgeons require supporting documentation.
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.
3,17128289,,Corrj halux rigdus w/o implt,A,,6.73,13.47,,5.57,,0.84,21.04,13.14,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17228291,,Corrj halux rigdus w/implt,A,,7.81,11.54,,4.73,,0.72,20.07,13.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17328292,,Cor hlx vlgs rsc prx phlx bs,A,,7.25,13.02,,5.74,,0.78,21.05,13.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17428295,,Cor hlx vlgs prx mtar osteot,A,,8.36,22.31,,7.27,,1.22,31.89,16.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17528296,,Cor hlx vlgs dstl mtar osteo,A,,8.04,17.59,,5.64,,0.82,26.45,14.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17628297,,Cor hlx vlgs jt arthrd,A,,9.06,20.68,,6.64,,1.12,30.86,16.82,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17728298,,Cor hlx vlgs prx phlx osteot,A,,7.56,17.21,,5.92,,0.99,25.76,14.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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