$1,136.68
Use 28295 when the documented hallux valgus correction uses a proximal metatarsal osteotomy. For 28292, the distinguishing work is resection at the proximal phalanx base.
On this page
CMS RVU26D · Effective 2026-10-01
28292 Bunion correction Medicare reimbursement rates in Connecticut
Reports hallux valgus surgery that corrects the bunion deformity with resection at the base of the proximal phalanx, including sesamoidectomy when performed. Compare 28292 office and facility rates across CMS payment localities in Connecticut.
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 28292 in Connecticut?
Connecticut 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
$746.89
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$485.01
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 28292: Hallux valgus correction with phalangeal resection
Reports hallux valgus surgery that corrects the bunion deformity with resection at the base of the proximal phalanx, including sesamoidectomy when performed.
This operation corrects hallux valgus using resection at the base of the great toe’s proximal phalanx, often described as a Keller-type procedure. A foot and ankle surgeon or podiatric surgeon may perform it for a painful bunion deformity, including cases where the operative plan calls for removing part of the phalanx rather than correcting the deformity with a metatarsal osteotomy or fusion. Sesamoidectomy is included when performed as part of the correction. The service is commonly performed in an ambulatory surgery center or hospital outpatient setting.
Select the code from the procedure documented, not the bunion diagnosis alone. The operative report should establish the phalangeal-base resection and describe the correction performed, laterality, and any sesamoid work. It 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 28292
- 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 RVU7.25 · 34%
- Practice expense (office) RVU13.02 · 62%
- Malpractice RVU0.78 · 4%
5.8K
Medicare services in 2024 · #1781 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.
28292 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$939.82
28296 describes hallux valgus correction using a distal metatarsal osteotomy; 28292 describes correction involving proximal phalanx-base resection.
$916.66
Both involve the proximal phalanx, but 28298 is an osteotomy. Choose 28292 when the documented correction includes resection at the phalangeal base.
$1,097.85
28297 is used for hallux valgus correction by joint arthrodesis. 28292 represents correction with proximal phalanx-base resection rather than fusion.
Compare 28292 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
Connecticut →
Office / nonfacility
$746.89
Facility
$485.01
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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 28292 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
3,173
- Code
- 28292
- Physician work
- 7.25
- Practice expense
- 13.02
- Malpractice
- 0.78
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.25 | × 1.020 | 7.3950 |
| Practice expense | 13.02 | × 1.077 | 14.0225 |
| Malpractice | 0.78 | × 1.210 | 0.9438 |
| Total RVUs | 22.3613 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$746.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.25 | 1.02 |
| Practice expense | 13.02 | 1.077 |
| Malpractice | 0.78 | 1.21 |
(7.25 × 1.02 + 13.02 × 1.077 + 0.78 × 1.21) × $33.4009 = $746.89
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.25 | 1.02 |
| Practice expense | 5.74 | 1.077 |
| Malpractice | 0.78 | 1.21 |
(7.25 × 1.02 + 5.74 × 1.077 + 0.78 × 1.21) × $33.4009 = $485.01
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.
28292 billing questions
What operative detail supports 28292?
The report should document hallux valgus correction that includes resection at the base of the proximal phalanx. The diagnosis of bunion or a description of prominence removal alone does not establish this procedure.
Is sesamoidectomy separately reported?
Sesamoidectomy is included when performed as part of this hallux valgus correction.
How does 28292 differ from 28298?
28292 involves resection at the proximal phalanx base. 28298 is the hallux valgus correction code for a proximal phalanx osteotomy.
How is bilateral surgery paid?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; 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.
3,17028288,,Partial removal of foot bone,A,,5.87,11.73,,5.92,,0.68,18.28,12.47,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808