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CMS RVU26D · Effective 2026-10-01

28011 Toe tendon release Medicare reimbursement rates in Georgia

Percutaneous release of multiple tendons in a toe is reported when a surgeon treats a toe contracture by cutting more than one tendon. Compare 28011 office and facility rates across CMS payment localities in Georgia.

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 28011 in Georgia?

Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$305.17–$326.50

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $21.33 per service.

Facility setting

$255.12–$269.49

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $14.37 per service.

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.

Find 28011 in your payment locality →

Foot surgery

About 28011: Percutaneous release of multiple toe tendons

Percutaneous release of multiple tendons in a toe is reported when a surgeon treats a toe contracture by cutting more than one tendon.

This service releases more than one tendon in a toe through a percutaneous approach, using small skin openings rather than an open exposure. It may be performed by a podiatric or orthopedic surgeon to address a toe contracture, such as a flexible deformity in which tendon tightness limits toe position. The operative note should identify the treated toe and the tendons released; the code is distinguished from the single-tendon service by the number of tendons treated.

Report the multiple-tendon service when the documented procedure releases multiple tendons, not merely because more than one toe is involved. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 28011

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU4.17 · 43%
  • Practice expense (office) RVU5.02 · 52%
  • Malpractice RVU0.41 · 4%

4.6K

Medicare services in 2024 · #1934 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.

28011 compared with similar codes

Office rates for Georgia, from the same CMS release.

28010

Toe tendon release

Single tendon, percutaneous

$223.11–$239.59

Choose 28010 for a percutaneous release of one toe tendon; choose 28011 when multiple tendons are released.

28270

Foot contracture release

Midfoot joint, each joint

$458.24–$497.47

28270 describes release at a metatarsophalangeal joint. This code describes percutaneous release of multiple toe tendons.

28285

Hammertoe repair

Lesser-toe deformity correction

$515.19–$558.67

28285 is a hammertoe correction procedure, rather than a percutaneous multiple-tendon release.

Compare 28011 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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28011 billing questions

How does this differ from 28010?

28011 is for percutaneous release of multiple tendons in a toe. 28010 is the corresponding single-tendon service.

Does treating more than one toe establish multiple tendons?

No. The distinction is the number of tendons released, not simply the number of toes treated. Document the toe and tendons addressed.

Can modifier 50 be used for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50 to report it bilaterally.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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.

RVUs for 28011PPRRVU2026_Oct_nonQPP.csv, line 3,093 (RVU26D)