$405.18–$439.49
28344 addresses reconstruction for polydactyly, or extra toe tissue. Use 28360 when the operation reconstructs a cleft-foot deformity.
On this page
CMS RVU26D · Effective 2026-10-01
28360 Foot reconstruction Medicare reimbursement rates in Florida
Reconstructs a congenital cleft foot by surgically correcting the split-foot deformity, typically during operative treatment of a structural birth anomaly. Compare 28360 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 28360 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
No supported rate
Facility setting
$1057.81–$1200.75
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 28360 pays more and less in Florida
Foot surgery
About 28360: Cleft foot reconstruction
Reconstructs a congenital cleft foot by surgically correcting the split-foot deformity, typically during operative treatment of a structural birth anomaly.
This major operation corrects a congenital cleft foot, also called split foot or ectrodactyly. An orthopedic or podiatric surgeon reconstructs the affected foot’s structure; the specific work depends on the patient’s anatomy and the deformity being addressed. The service is generally performed in an operating room, often as part of planned treatment for a congenital foot abnormality. The operative report should identify the cleft-foot diagnosis and describe the reconstruction performed.
Report 28360 for the cleft-foot reconstruction itself, rather than a procedure directed only at an extra toe, webbed toes, or an isolated toe deformity. The 90-day global period 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 may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 28360
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.55 · 47%
- Practice expense (office) RVU13.05 · 43%
- Malpractice RVU3.09 · 10%
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.
28360 compared with similar codes
Office rates for Florida, from the same CMS release.
$498.25–$539.51
28345 addresses reconstruction for syndactyly, or webbed toes. It is not a substitute for reconstruction of the cleft foot itself.
$541.92–$596.06
28313 is directed at repair of a toe deformity. Choose 28360 when the operative target is the congenital cleft-foot structure.
Compare 28360 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
Unavailable
Facility
$1114.13
Miami →
Office / nonfacility
Unavailable
Facility
$1200.75
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1057.81
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28360 billing questions
How is 28360 distinguished from toe reconstruction codes?
Use 28360 for reconstruction of the cleft-foot deformity. Codes for polydactyly, syndactyly, or an isolated toe deformity address those specific conditions instead.
Does the 90-day global period include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral cleft-foot reconstruction reported?
Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for 28360. Co-surgeons and team surgery are not permitted.
What happens when other 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.
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.
3,19428341,,Resect enlarged toe,A,,8.50,10.18,,4.27,,0.72,19.40,13.49,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19528344,,Repair extra toe(s),A,,4.29,7.62,,3.24,,0.37,12.28,7.90,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19628345,,Repair webbed toe(s),A,,5.94,8.62,,3.71,,0.49,15.05,10.14,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19728360,,Reconstruct cleft foot,A,,14.55,13.05,NA,13.05,,3.09,30.69,30.69,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19828400,,Cltx calcaneal fx w/o mnpj,A,,2.25,5.50,,4.39,,0.37,8.12,7.01,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19928405,,Cltx calcaneal fx w/mnpj,A,,4.62,9.41,,6.35,,1.00,15.03,11.97,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,20028406,,Prq skel fix clcnl fx w/mnpj,A,,6.40,8.84,NA,8.84,,1.21,16.45,16.45,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00