$301.37
28010 represents percutaneous release of one toe tendon; 28011 is the multiple-tendon counterpart.
On this page
CMS RVU26D · Effective 2026-10-01
28010 Toe tendon release Medicare reimbursement rates in Indiana
Reports percutaneous release of one toe tendon to relieve a tendon-driven deformity, such as a flexible hammertoe or claw toe. Compare 28010 office and facility rates across CMS payment localities in Indiana.
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 28010 in Indiana?
Indiana 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
$221.53
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$186.85
1 of 1 localities have a supported rate.
Payment area: Indiana
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 and toe surgery
About 28010: Percutaneous single-tendon toe release
Reports percutaneous release of one toe tendon to relieve a tendon-driven deformity, such as a flexible hammertoe or claw toe.
A surgeon, commonly a podiatrist or orthopedic foot and ankle specialist, releases one tendon in a toe through a percutaneous approach. The procedure may be used for a flexible hammertoe or claw toe when tendon contracture contributes to the deformity. It is performed in office-based surgical settings and in facility operating rooms. This code identifies a single tendon in a toe, rather than a tendon in the foot or multiple toe tendons.
Report the service when documentation supports a percutaneous release of one toe tendon, including the treated toe, tendon, approach, and clinical indication. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 28010
- 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 RVU2.90 · 41%
- Practice expense (office) RVU3.89 · 55%
- Malpractice RVU0.26 · 4%
20.6K
Medicare services in 2024 · #1137 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.
28010 compared with similar codes
Office rates for Indiana, from the same CMS release.
$395.96
Choose 28010 for a tendon in a toe and 28008 for a tendon in the foot.
$350.11
28232 describes an open toe flexor tendon release. 28010 is for a percutaneous single-tendon release and does not specify a flexor tendon.
$512.64
28285 represents hammertoe correction, a broader corrective procedure; 28010 is limited to percutaneous release of one toe tendon.
Compare 28010 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
Indiana →
Office / nonfacility
$221.53
Facility
$186.85
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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 28010 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,092
- Code
- 28010
- Physician work
- 2.90
- Practice expense
- 3.89
- Malpractice
- 0.26
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.90 | × 1.000 | 2.9000 |
| Practice expense | 3.89 | × 0.927 | 3.6060 |
| Malpractice | 0.26 | × 0.486 | 0.1264 |
| Total RVUs | 6.6324 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$221.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.9 | 1 |
| Practice expense | 3.89 | 0.927 |
| Malpractice | 0.26 | 0.486 |
(2.9 × 1 + 3.89 × 0.927 + 0.26 × 0.486) × $33.4009 = $221.53
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.9 | 1 |
| Practice expense | 2.77 | 0.927 |
| Malpractice | 0.26 | 0.486 |
(2.9 × 1 + 2.77 × 0.927 + 0.26 × 0.486) × $33.4009 = $186.85
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.
28010 billing questions
When should 28011 be used instead?
Use 28010 for a percutaneous release of one toe tendon. Code 28011 is the related code for multiple tendons.
How does 28010 differ from 28008?
Both describe percutaneous tendon release, but 28010 is for a tendon in a toe; 28008 is for a tendon in the foot.
Can modifier 50 be reported for bilateral toe releases?
No. CMS identifies bilateral adjustment as inappropriate for 28010 because its descriptor or anatomy makes modifier 50 unsuitable.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
What documentation supports reporting 28010?
Document the treated toe and tendon, the percutaneous approach, and the tendon-related deformity or condition prompting the release.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 28010. 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.
3,08928003,,Treatment of foot infection,A,,5.15,5.49,,1.22,,0.54,11.18,6.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09028005,,Treat foot bone lesion,A,,9.20,5.85,NA,5.85,,0.96,16.01,16.01,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09128008,,Incision of foot fascia,A,,4.48,7.73,,3.36,,0.43,12.64,8.27,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09228010,,Incision of toe tendon,A,,2.90,3.89,,2.77,,0.26,7.05,5.93,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09328011,,Incision of toe tendons,A,,4.17,5.02,,3.34,,0.41,9.60,7.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09428020,,Exploration of foot joint,A,,5.02,11.16,,4.79,,0.70,16.88,10.51,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09528022,,Exploration of foot joint,A,,4.69,9.66,,4.16,,0.55,14.90,9.40,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915