Choose 28060 when the surgeon partially removes plantar fascia. Choose 28008 when the documented work is an incision and release without partial fascial excision.
On this page
CMS RVU26D · Effective 2026-10-01
28008 Fascia release Medicare reimbursement rates in California
Reports surgical incision and release of foot fascia, commonly a plantar fasciotomy for persistent plantar fascial symptoms when the fascia is released rather than excised. Compare 28008 office and facility rates across CMS payment localities in California.
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 28008 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$442.85–$546.10
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $103.25 per service.
Facility setting
$282.88–$335.63
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $52.75 per service.
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.
Where 28008 pays more and less in California
29 payment localities
$442.85 to $546.10
Foot surgery
About 28008: Plantar fascia incision or release
Reports surgical incision and release of foot fascia, commonly a plantar fasciotomy for persistent plantar fascial symptoms when the fascia is released rather than excised.
This service involves surgically incising foot fascia to release tension; a familiar example is plantar fasciotomy for persistent plantar fasciitis. An orthopedic foot and ankle surgeon or podiatric surgeon typically performs it in an operating room or ambulatory surgery setting. The operative technique is a release, not removal of a portion or all of the plantar fascia.
Select the code when the operative report supports an incision or release of fascia and identifies the treated site and side. Document the indication and the actual procedure performed; distinguish release from partial or more extensive fascial excision. 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 28008
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.48 · 35%
- Practice expense (office) RVU7.73 · 61%
- Malpractice RVU0.43 · 3%
1.9K
Medicare services in 2024 · #2505 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.
28008 compared with similar codes
Office rates for California, from the same CMS release.
28062 describes more extensive removal of plantar fascia. It is not the choice for a release performed by incision alone.
28250 describes division of plantar fascia and muscle, including Steindler stripping. 28008 is for incision of foot fascia without that broader muscle procedure.
Compare 28008 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $444.20 | Facility $284.23 |
| Chico | Office $442.85 | Facility $282.88 |
| El Centro | Office $442.92 | Facility $282.95 |
| Fresno | Office $442.85 | Facility $282.88 |
| Hanford-Corcoran | Office $442.85 | Facility $282.88 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $470.75 | Facility $298.07 |
| Madera | Office $442.85 | Facility $282.88 |
| Merced | Office $442.85 | Facility $282.88 |
| Modesto | Office $442.85 | Facility $282.88 |
| Napa | Office $506.65 | Facility $314.27 |
| Oxnard-Thousand Oaks-Ventura | Office $467.95 | Facility $295.43 |
| Redding | Office $442.85 | Facility $282.88 |
| Rest Of California | Office $442.85 | Facility $282.88 |
| Riverside-San Bernardino-Ontario | Office $447.56 | Facility $287.58 |
| Sacramento-Roseville-Folsom | Office $462.99 | Facility $293.24 |
| Salinas | Office $461.21 | Facility $292.04 |
| San Diego-Chula Vista-Carlsbad | Office $470.70 | Facility $296.13 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $534.49 | Facility $328.68 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $534.00 | Facility $328.20 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $546.10 | Facility $335.63 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $544.11 | Facility $333.63 |
| San Luis Obispo-Paso Robles | Office $453.96 | Facility $287.70 |
| Santa Cruz-Watsonville | Office $474.18 | Facility $296.83 |
| Santa Maria-Santa Barbara | Office $462.57 | Facility $292.38 |
| Santa Rosa-Petaluma | Office $478.88 | Facility $299.64 |
| Stockton | Office $442.85 | Facility $282.88 |
| Vallejo | Office $505.95 | Facility $313.57 |
| Visalia | Office $442.85 | Facility $282.88 |
| Yuba City | Office $442.85 | Facility $282.88 |
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28008 billing questions
How is this code different from 28060?
This code represents incision and release of foot fascia. 28060 represents partial removal of plantar fascia, so the operative technique—not just the diagnosis—determines the choice.
What documentation supports reporting the release?
The operative report should identify the fascia and side treated and describe the incision or release performed. It should make clear that fascia was released rather than excised.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How should bilateral procedures and other same-session procedures be handled?
CMS pays bilateral reporting with modifier 50 at 150%. 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% reduction.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing are 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.
