$678.74
This code reports foot tendon revision generally. Code 28238 identifies a distinct reconstruction service, so base selection on the operation documented rather than the shared foot-tendon context.
On this page
CMS RVU26D · Effective 2026-10-01
28261 Tendon revision Medicare reimbursement rates in Delaware
Reports operative revision of a foot tendon when the surgeon revises previously altered tendon tissue to address persistent or recurrent dysfunction. Compare 28261 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 28261 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
$1110.87
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$777.24
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 surgery
About 28261: Foot tendon revision surgery
Reports operative revision of a foot tendon when the surgeon revises previously altered tendon tissue to address persistent or recurrent dysfunction.
This code describes surgery to revise a tendon in the foot. It may be performed by an orthopedic foot-and-ankle surgeon or a podiatric surgeon when a previously operated or altered tendon requires further surgical correction. The operative report should identify the tendon and foot site, the reason revision was needed, and the work performed. The code is relevant to procedures performed in a facility operating room or, less commonly, an office setting.
Select the code based on the documented revision of foot tendon tissue, rather than a tendon release or incision alone. Documentation should distinguish revision from the original repair and describe the operative findings and technique. 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; co-surgeons and team surgery are not permitted.
CMS billing rules for 28261
- 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 RVU12.78 · 38%
- Practice expense (office) RVU18.67 · 55%
- Malpractice RVU2.19 · 7%
169
Medicare services in 2024 · #4478 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.
28261 compared with similar codes
Office rates for Delaware, from the same CMS release.
Compare 28261 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
$1110.87
Facility
$777.24
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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 28261 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,162
- Code
- 28261
- Physician work
- 12.78
- Practice expense
- 18.67
- Malpractice
- 2.19
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.78 | × 1.005 | 12.8439 |
| Practice expense | 18.67 | × 0.988 | 18.4460 |
| Malpractice | 2.19 | × 0.899 | 1.9688 |
| Total RVUs | 33.2587 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$1110.87
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.78 | 1.005 |
| Practice expense | 18.67 | 0.988 |
| Malpractice | 2.19 | 0.899 |
(12.78 × 1.005 + 18.67 × 0.988 + 2.19 × 0.899) × $33.4009 = $1110.87
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.78 | 1.005 |
| Practice expense | 8.56 | 0.988 |
| Malpractice | 2.19 | 0.899 |
(12.78 × 1.005 + 8.56 × 0.988 + 2.19 × 0.899) × $33.4009 = $777.24
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.
28261 billing questions
How is this different from a foot tendon release?
Report this code for revision of foot tendon tissue. Codes 28225 and 28226 describe tendon release procedures, not revision.
What should the operative note establish?
Document the foot tendon revised, the reason further surgery was required, and the revision work performed. The note should make clear that the procedure was a revision rather than a release or incision.
Does the code have a 90-day global period?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can modifier 50 be used for bilateral surgery?
Yes. CMS pays bilateral reporting with modifier 50 at 150%.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are 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.
3,15928240,,Release of big toe,A,,4.37,8.37,,3.48,,0.44,13.18,8.29,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16028250,,Revision of foot fascia,A,,5.91,11.20,,4.84,,0.83,17.94,11.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16128260,,Release of midfoot joint,A,,7.99,13.47,,6.01,,1.24,22.70,15.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16228261,,Revision of foot tendon,A,,12.78,18.67,,8.56,,2.19,33.64,23.53,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16328262,,Revision of foot and ankle,A,,16.78,24.34,,10.97,,3.20,44.32,30.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16428264,,Release of midfoot joint,A,,10.38,16.62,,7.46,,1.73,28.73,19.57,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16528270,,Release of foot contracture,A,,4.81,9.32,,4.21,,0.50,14.63,9.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,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