$1,028.99
Choose 28755 for the great toe interphalangeal joint and 28750 for the metatarsophalangeal joint at the base of the toe.
On this page
CMS RVU26D · Effective 2026-10-01
28755 Big toe fusion Medicare reimbursement rates in Delaware
Reports surgical fusion of the great toe’s interphalangeal joint, typically to address painful arthritis or a rigid toe deformity. Compare 28755 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 28755 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
$908.62
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$463.12
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 28755: Great toe interphalangeal joint fusion
Reports surgical fusion of the great toe’s interphalangeal joint, typically to address painful arthritis or a rigid toe deformity.
A foot and ankle surgeon or podiatric surgeon removes the joint surfaces of the great toe’s interphalangeal joint, aligns the toe, and stabilizes the bones so they can fuse. The operation is commonly performed in an operating room for a painful, stiff or rigid deformity at the joint, including when conservative care has not relieved symptoms. The fusion is specifically at the joint between the great toe’s two phalanges, not at the joint between the toe and the first metatarsal.
Report 28755 for the interphalangeal-joint fusion itself. The operative report should identify the joint treated, the reason for fusion, the work performed and the fixation used. Medicare assigns a 90-day global period, which includes 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% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28755
- 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 RVU7.31 · 27%
- Practice expense (office) RVU19.27 · 70%
- Malpractice RVU0.91 · 3%
2.4K
Medicare services in 2024 · #2315 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.
28755 compared with similar codes
Office rates for Delaware, from the same CMS release.
$776.45
28760 describes great toe interphalangeal fusion with tendon transfer; 28755 describes the fusion without that additional tendon-transfer work.
$543.13
28285 reports hammertoe correction, not fusion of the great toe interphalangeal joint. Select based on the procedure documented.
Compare 28755 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
$908.62
Facility
$463.12
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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 28755 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,253
- Code
- 28755
- Physician work
- 7.31
- Practice expense
- 19.27
- Malpractice
- 0.91
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.005 | 7.3465 |
| Practice expense | 19.27 | × 0.988 | 19.0388 |
| Malpractice | 0.91 | × 0.899 | 0.8181 |
| Total RVUs | 27.2034 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$908.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1.005 |
| Practice expense | 19.27 | 0.988 |
| Malpractice | 0.91 | 0.899 |
(7.31 × 1.005 + 19.27 × 0.988 + 0.91 × 0.899) × $33.4009 = $908.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1.005 |
| Practice expense | 5.77 | 0.988 |
| Malpractice | 0.91 | 0.899 |
(7.31 × 1.005 + 5.77 × 0.988 + 0.91 × 0.899) × $33.4009 = $463.12
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.
28755 billing questions
How is 28755 different from 28750?
28755 is for fusion at the great toe’s interphalangeal joint. 28750 is for fusion at the metatarsophalangeal joint, where the great toe meets the foot.
What should the operative note establish?
Document the great toe interphalangeal joint as the fusion site, the condition prompting surgery, and the fusion and stabilization performed.
Does the surgical global include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 28755 reported for Medicare?
For bilateral procedures, report modifier 50; Medicare pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction. 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.
3,25028737,,Revision of foot bones,A,,10.75,6.83,NA,6.83,,1.34,18.92,18.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25128740,,Fusion of foot bones,A,,9.06,15.05,,6.94,,1.29,25.40,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25228750,,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
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