No office rate
Use 28805 when the amputation passes through the metatarsal bones. This code describes the more proximal midtarsal level.
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CMS RVU26D · Effective 2026-10-01
28800 Foot amputation Medicare reimbursement rates in Connecticut
Reports removal of the foot through the midtarsal joint when disease or injury requires amputation proximal to the forefoot while retaining the heel. Compare 28800 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 28800 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
$517.37
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 28800: Amputation through the midtarsal joint
Reports removal of the foot through the midtarsal joint when disease or injury requires amputation proximal to the forefoot while retaining the heel.
This operation removes the foot at the midtarsal level, commonly described as a Chopart amputation, while leaving the heel portion of the foot. It may be performed for extensive infection, gangrene, nonhealing ischemic tissue, or severe trauma when a more distal amputation cannot adequately remove affected tissue. An orthopedic or foot-and-ankle surgeon typically performs it in an operating room; vascular surgeons may be involved in care for ischemic disease.
Report the code when the operative level is the midfoot, not the metatarsals or an individual toe. The operative report should establish the amputation level, laterality, indication, and extent of tissue removal. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28800
- 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 RVU8.57 · 58%
- Practice expense (office) RVU5.12 · 35%
- Malpractice RVU1.02 · 7%
540
Medicare services in 2024 · #3487 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.
28800 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Use 28810 for removal of a toe together with its metatarsal, rather than amputation of the foot at the midtarsal level.
$315.51
Use 28820 for amputation of a toe; it does not describe removal of the foot through the midtarsal joint.
Compare 28800 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
$517.37
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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 28800 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
3,255
- Code
- 28800
- Physician work
- 8.57
- Practice expense
- 5.12
- Malpractice
- 1.02
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.57 | × 1.020 | 8.7414 |
| Practice expense | 5.12 | × 1.077 | 5.5142 |
| Malpractice | 1.02 | × 1.210 | 1.2342 |
| Total RVUs | 15.4898 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$517.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.57 | 1.02 |
| Practice expense | 5.12 | 1.077 |
| Malpractice | 1.02 | 1.21 |
(8.57 × 1.02 + 5.12 × 1.077 + 1.02 × 1.21) × $33.4009 = $517.37
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.
28800 billing questions
How is this distinguished from a transmetatarsal amputation?
Use this code when the operative amputation is through the midtarsal joint. An amputation through the metatarsal bones is reported with 28805.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150%.
What documentation supports the code?
The operative report should identify the midtarsal amputation level, side, indication, and extent of tissue removed.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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.
3,25228750,,Fusion of big toe joint,A,,8.53,21.44,,6.36,,1.17,31.14,16.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25328755,,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
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