No office rate
This code identifies tibial nerve decompression. Code 64708 is a broader open neuroplasty option for a major peripheral nerve when no more specific nerve code applies.
On this page
CMS RVU26D · Effective 2026-10-01
28035 Nerve decompression Medicare reimbursement rates in Delaware
Reports surgical release of the tibial nerve, commonly for tarsal tunnel compression causing pain, tingling, or numbness in the ankle and foot. Compare 28035 office and facility rates across CMS payment localities in Delaware.
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 28035 in Delaware?
Delaware 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
$539.83
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$340.50
1 of 1 localities have a supported rate.
Payment area: Delaware
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 28035: Tibial nerve decompression at the ankle
Reports surgical release of the tibial nerve, commonly for tarsal tunnel compression causing pain, tingling, or numbness in the ankle and foot.
This procedure releases pressure on the tibial nerve as it passes through the tarsal tunnel near the medial ankle. An orthopedic or podiatric surgeon typically performs it in an operating room for a patient with symptoms and findings consistent with tibial nerve compression. The surgeon opens the tunnel by releasing constricting tissue around the nerve; the operative details depend on the site and extent of compression.
Select this code when the operation decompresses the tibial nerve, rather than another nerve or a nerve that is excised. The operative report should identify the nerve and describe the decompression performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery is not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28035
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.10 · 31%
- Practice expense (office) RVU10.57 · 65%
- Malpractice RVU0.66 · 4%
1.5K
Medicare services in 2024 · #2681 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.
28035 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Tibial nerve decompression relieves pressure while preserving the nerve; 28055 describes nerve excision in the foot.
Compare 28035 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
Delaware →
Office / nonfacility
$539.83
Facility
$340.50
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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 28035 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,097
- Code
- 28035
- Physician work
- 5.10
- Practice expense
- 10.57
- Malpractice
- 0.66
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.10 | × 1.005 | 5.1255 |
| Practice expense | 10.57 | × 0.988 | 10.4432 |
| Malpractice | 0.66 | × 0.899 | 0.5933 |
| Total RVUs | 16.1620 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$539.83
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.1 | 1.005 |
| Practice expense | 10.57 | 0.988 |
| Malpractice | 0.66 | 0.899 |
(5.1 × 1.005 + 10.57 × 0.988 + 0.66 × 0.899) × $33.4009 = $539.83
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.1 | 1.005 |
| Practice expense | 4.53 | 0.988 |
| Malpractice | 0.66 | 0.899 |
(5.1 × 1.005 + 4.53 × 0.988 + 0.66 × 0.899) × $33.4009 = $340.50
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.
28035 billing questions
When is this code appropriate instead of 28036?
Use this code for decompression of the tibial nerve. Code 28036 is for decompression of a different nerve in the leg.
Does the procedure include release of the tarsal tunnel?
The code describes tibial nerve decompression, commonly performed by releasing constricting tissue over the nerve in the tarsal tunnel. The operative report should establish that the tibial nerve was decompressed.
Can modifier 50 be used for bilateral surgery?
Yes. CMS pays bilateral procedures reported with modifier 50 at 150%.
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.
Can an assistant surgeon or co-surgeon be reported?
An assistant at surgery is not paid under the statutory restriction. Co-surgeons are paid only when supporting documentation is provided.
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.
3,09428020,,Exploration of foot joint,A,,5.02,11.16,,4.79,,0.70,16.88,10.51,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09528022,,Exploration of foot joint,A,,4.69,9.66,,4.16,,0.55,14.90,9.40,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09628024,,Exploration of toe joint,A,,4.41,9.27,,4.02,,0.49,14.17,8.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09728035,,Decompression of tibia nerve,A,,5.10,10.57,,4.53,,0.66,16.33,10.29,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09828039,,Exc foot/toe tum sc 1.5 cm/>,A,,5.28,8.40,,3.57,,0.59,14.27,9.44,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09928041,,Exc foot/toe tum dep 1.5cm/>,A,,6.95,4.83,NA,4.83,,0.83,12.61,12.61,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10028043,,Exc foot/toe tum sc < 1.5 cm,A,,3.86,7.18,,3.15,,0.40,11.44,7.41,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503