$483.36–$526.95
This code applies to the toe interphalangeal joint. 28270 applies to the metatarsophalangeal joint at the base of the toe.
On this page
CMS RVU26D · Effective 2026-10-01
28272 Toe joint release Medicare reimbursement rates in Florida
Reports surgical release of a contracted toe interphalangeal joint capsule, counted for each treated joint when the capsule itself is released. Compare 28272 office and facility rates across CMS payment localities in Florida.
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 28272 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$372.51–$404.72
3 of 3 localities have a supported rate.
Facility setting
$240.96–$261.47
3 of 3 localities have a supported rate.
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.
Where 28272 pays more and less in Florida
3 payment localities
$372.51 to $404.72
Foot surgery
About 28272: Interphalangeal toe joint capsulotomy
Reports surgical release of a contracted toe interphalangeal joint capsule, counted for each treated joint when the capsule itself is released.
This procedure releases a contracted capsule at a toe interphalangeal joint to improve motion or correct a fixed deformity. It may be performed by an orthopedic or podiatric surgeon during foot surgery, including treatment of a rigid toe contracture. The operative report should identify each treated joint and describe the capsular release; a tendon release alone is a different service.
Report the service for each interphalangeal joint released, and support the count with the operative findings and procedure details. 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% multiple procedure reduction. For bilateral performance, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 28272
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.82 · 34%
- Practice expense (office) RVU7.12 · 63%
- Malpractice RVU0.35 · 3%
6.7K
Medicare services in 2024 · #1689 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.
28272 compared with similar codes
Office rates for Florida, from the same CMS release.
$543.69–$594.24
Use 28285 for a hammertoe correction operation. Use 28272 when the documented service is capsular release at an interphalangeal joint, rather than the broader deformity correction.
$368.87–$401.64
28232 describes open flexor tendon release. 28272 describes release of the toe interphalangeal joint capsule.
Compare 28272 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$389.63
Facility
$250.23
Miami →
Office / nonfacility
$404.72
Facility
$261.47
Rest Of Florida →
Office / nonfacility
$372.51
Facility
$240.96
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28272 billing questions
How does this differ from 28270?
28272 is for release at a toe interphalangeal joint. 28270 concerns the metatarsophalangeal joint, where the toe meets the foot.
Can this be reported with hammertoe correction 28285?
Choose the code that represents the operation actually performed. When the interphalangeal release is part of the hammertoe correction, review the operative work and applicable coding guidance before reporting a separate capsulotomy.
Is a flexor tendon release enough to report 28272?
No. This code represents release of the interphalangeal joint capsule; an open flexor tendon release is a different procedure, described by 28232.
How many units should be reported?
Report each interphalangeal joint released. Document the specific toe and joint for every release.
What Medicare payment rules affect bilateral cases and other procedures in the session?
Modifier 50 is paid at 150% for bilateral performance. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the 50% multiple procedure reduction.
Does Medicare pay an assistant surgeon for this service?
No. Medicare's statutory restriction bars assistant-at-surgery payment for this code; co-surgeons and team surgery are also 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.
3,16328262,,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
3,16628272,,Release of toe joint each,A,,3.82,7.12,,3.00,,0.35,11.29,7.17,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16728280,,Fusion of toes,A,,5.20,9.17,,3.90,,0.54,14.91,9.64,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16828285,,Repair of hammertoe,A,,5.48,10.32,,5.00,,0.62,16.42,11.10,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16928286,,Repair of hammertoe,A,,4.58,7.90,,3.34,,0.40,12.88,8.32,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00