No office rate
Use 28810 for amputation involving a toe and its metatarsal, commonly a single ray; use 28805 when the forefoot is removed through the metatarsals.
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CMS RVU26D · Effective 2026-10-01
28805 Foot amputation Medicare reimbursement rates in Colorado
A transmetatarsal foot amputation removes the forefoot through the metatarsals and is reported when disease or injury requires removal at that level. Compare 28805 office and facility rates across CMS payment localities in Colorado.
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 28805 in Colorado?
Colorado 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
No supported rate
Facility setting
$654.60
1 of 1 localities have a supported rate.
Payment area: Colorado
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 28805: Transmetatarsal foot amputation
A transmetatarsal foot amputation removes the forefoot through the metatarsals and is reported when disease or injury requires removal at that level.
This operation removes the forefoot by dividing the metatarsals, typically to address severe infection, gangrene, or nonviable tissue that cannot be managed with a toe or single-ray amputation. An orthopedic or podiatric surgeon commonly performs it in a hospital or other surgical setting. The operative level distinguishes this procedure from removal limited to one toe or ray and from a more proximal midfoot amputation.
Select the code from the documented extent of the operation, not the diagnosis alone. The operative report should identify the side, the metatarsal-level transection, and the tissue removed. Medicare assigns 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; CMS does not permit co-surgeon or team-surgery billing for this procedure.
CMS billing rules for 28805
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.39 · 64%
- Practice expense (office) RVU5.49 · 28%
- Malpractice RVU1.56 · 8%
6.7K
Medicare services in 2024 · #1681 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.
28805 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Code 28800 describes a midfoot-level amputation, which is more proximal than a transmetatarsal removal.
$306.38
Code 28820 is limited to toe amputation; 28805 removes the forefoot through the metatarsals.
$299.02
Code 28825 describes partial toe amputation, not removal of the forefoot through the metatarsals.
Compare 28805 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
Colorado →
Office / nonfacility
Unavailable
Facility
$654.60
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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 28805 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,256
- Code
- 28805
- Physician work
- 12.39
- Practice expense
- 5.49
- Malpractice
- 1.56
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.39 | × 1.012 | 12.5387 |
| Practice expense | 5.49 | × 1.064 | 5.8414 |
| Malpractice | 1.56 | × 0.781 | 1.2184 |
| Total RVUs | 19.5984 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$654.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.39 | 1.012 |
| Practice expense | 5.49 | 1.064 |
| Malpractice | 1.56 | 0.781 |
(12.39 × 1.012 + 5.49 × 1.064 + 1.56 × 0.781) × $33.4009 = $654.60
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.
28805 billing questions
How does this differ from a ray amputation?
Report 28805 when the forefoot is amputated through the metatarsals. Code 28810 describes removal involving a toe and its metatarsal, such as a single ray.
Are related postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For a bilateral procedure, report modifier 50; CMS pays the service at 150%.
What operative documentation supports 28805?
Document the side and the actual extent of the amputation, including that the forefoot was divided through the metatarsals. The operative level helps distinguish this code from toe, ray, and midfoot procedures.
Can an assistant surgeon be billed?
Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery billing for this procedure.
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.
3,25328755,,Fusion of big toe joint,A,,7.31,19.27,,5.77,,0.91,27.49,13.99,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25428760,,Fusion of big toe joint,A,,8.91,13.51,,6.11,,1.05,23.47,16.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25528800,,Amputation of midfoot,A,,8.57,5.12,NA,5.12,,1.02,14.71,14.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25628805,,Amputation thru metatarsal,A,,12.39,5.49,NA,5.49,,1.56,19.44,19.44,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25728810,,Amputation toe & metatarsal,A,,6.47,4.45,NA,4.45,,0.96,11.88,11.88,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25828820,,Amputation of toe,A,,3.42,5.06,,1.00,,0.42,8.90,4.84,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25928825,,Partial amputation of toe,A,,3.32,4.97,,0.97,,0.39,8.68,4.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899