No office rate
This code covers the three-joint hindfoot complex. Choose pantalar arthrodesis when the ankle is also fused.
On this page
CMS RVU26D · Effective 2026-10-01
28715 Hindfoot fusion Medicare reimbursement rates in Connecticut
Reports fusion of the subtalar, talonavicular, and calcaneocuboid joints for a rigid hindfoot deformity or arthritis involving all three joints. Compare 28715 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 28715 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
No supported rate
Facility setting
$937.42
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 and ankle surgery
About 28715: Triple hindfoot joint fusion
Reports fusion of the subtalar, talonavicular, and calcaneocuboid joints for a rigid hindfoot deformity or arthritis involving all three joints.
An orthopedic foot and ankle surgeon prepares and fuses the subtalar, talonavicular, and calcaneocuboid joints to stabilize a painful, rigid hindfoot. Common reasons include advanced arthritis or deformity affecting this three-joint complex, such as a rigid flatfoot. The operation is generally performed in a hospital or ambulatory surgery setting, with fixation used to hold the joints in position while they heal.
Choose this code when the operative report supports fusion of all three joints; a fusion limited to the subtalar joint or extended to the ankle has a different scope. Documentation should identify the joints fused and the indication. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28715
- 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 RVU13.08 · 49%
- Practice expense (office) RVU11.02 · 42%
- Malpractice RVU2.36 · 9%
2.1K
Medicare services in 2024 · #2439 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.
28715 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This code covers three hindfoot joints; 28725 is for arthrodesis limited to the subtalar joint.
No office rate
28730 applies to multiple or transverse midtarsal or tarsometatarsal fusion, rather than the subtalar, talonavicular, and calcaneocuboid joints.
Compare 28715 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
Unavailable
Facility
$937.42
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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 28715 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
3,246
- Code
- 28715
- Physician work
- 13.08
- Practice expense
- 11.02
- Malpractice
- 2.36
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.08 | × 1.020 | 13.3416 |
| Practice expense | 11.02 | × 1.077 | 11.8685 |
| Malpractice | 2.36 | × 1.210 | 2.8556 |
| Total RVUs | 28.0657 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$937.42
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.08 | 1.02 |
| Practice expense | 11.02 | 1.077 |
| Malpractice | 2.36 | 1.21 |
(13.08 × 1.02 + 11.02 × 1.077 + 2.36 × 1.21) × $33.4009 = $937.42
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.
28715 billing questions
How does this differ from a subtalar fusion?
This code represents fusion of the subtalar, talonavicular, and calcaneocuboid joints. Use the subtalar fusion code when the operative work is limited to that joint.
When is a pantalar fusion the better code?
Use the pantalar arthrodesis code when the fusion includes the ankle as well as the hindfoot joints. This code covers the three-joint hindfoot complex, not an ankle fusion.
Can a separate gastrocnemius recession be reported?
A separately performed recession to address equinus may be reported with the fusion when supported by the operative documentation. The fusion alone does not establish that a recession was performed.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS rule provided. Document the work on both feet and follow applicable claim-line instructions.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care. A separately reportable service must be distinct from that routine global care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires 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.
3,24328666,,Treat toe dislocation,A,,2.59,2.11,NA,2.11,,0.21,4.91,4.91,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24428675,,Repair of toe dislocation,A,,5.48,11.42,,5.62,,0.70,17.60,11.80,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24528705,,Arthrodesis pantalar,A,,19.82,10.20,NA,10.20,,3.11,33.13,33.13,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24628715,,Arthrodesis triple,A,,13.08,11.02,NA,11.02,,2.36,26.46,26.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24728725,,Arthrodesis subtalar,A,,10.94,9.04,NA,9.04,,1.85,21.83,21.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24828730,,Fusion of foot bones,A,,10.43,8.26,NA,8.26,,1.62,20.31,20.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24928735,,Fusion of foot bones,A,,11.92,8.07,NA,8.07,,1.82,21.81,21.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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