$418.58
28220 addresses release, lengthening, or tenotomy of a foot tendon. Choose 28240 when the treated structure is the abductor hallucis muscle.
On this page
CMS RVU26D · Effective 2026-10-01
28240 Great toe release Medicare reimbursement rates in Indiana
Reports operative lengthening or release of the abductor hallucis muscle when its tightness affects great-toe position or motion. Compare 28240 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 28240 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
$412.26
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$260.85
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 surgery
About 28240: Abductor hallucis muscle release
Reports operative lengthening or release of the abductor hallucis muscle when its tightness affects great-toe position or motion.
This procedure lengthens or releases the abductor hallucis muscle, a muscle along the inner side of the foot that acts on the great toe. A foot and ankle surgeon or podiatrist may perform it to address a contracture affecting great-toe position or motion. The operative report should identify the abductor hallucis as the treated structure and describe the work performed; a release of a toe joint or a different tendon is not this service.
Report the code for the abductor hallucis procedure, not for a separate tendon or joint release. Document the indication, treated side, and operative 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 is paid in full and others at 50%. Bilateral reporting with 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 28240
- 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 RVU4.37 · 33%
- Practice expense (office) RVU8.37 · 64%
- Malpractice RVU0.44 · 3%
227
Medicare services in 2024 · #4211 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.
28240 compared with similar codes
Office rates for Indiana, from the same CMS release.
$350.11
28232 describes an open flexor tendon procedure on a toe. It is not the code for work on the abductor hallucis muscle.
$353.73
28272 is a toe joint-capsule release. 28240 is selected for the abductor hallucis muscle procedure, not a joint release.
Compare 28240 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
$412.26
Facility
$260.85
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 28240 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,159
- Code
- 28240
- Physician work
- 4.37
- Practice expense
- 8.37
- Malpractice
- 0.44
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.37 | × 1.000 | 4.3700 |
| Practice expense | 8.37 | × 0.927 | 7.7590 |
| Malpractice | 0.44 | × 0.486 | 0.2138 |
| Total RVUs | 12.3428 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$412.26
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.37 | 1 |
| Practice expense | 8.37 | 0.927 |
| Malpractice | 0.44 | 0.486 |
(4.37 × 1 + 8.37 × 0.927 + 0.44 × 0.486) × $33.4009 = $412.26
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.37 | 1 |
| Practice expense | 3.48 | 0.927 |
| Malpractice | 0.44 | 0.486 |
(4.37 × 1 + 3.48 × 0.927 + 0.44 × 0.486) × $33.4009 = $260.85
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.
28240 billing questions
When should I report 28240 instead of a foot tendon-release code?
Use 28240 when the operative work is on the abductor hallucis muscle. A release involving a different foot tendon is represented by the applicable tendon procedure code.
Is a great-toe joint release included in 28240?
No. This code identifies work on the abductor hallucis muscle; a separate joint-capsule release is a different procedure and should be supported by distinct operative documentation.
How is bilateral 28240 reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Does the 90-day global include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
What happens when 28240 is performed with another procedure?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are paid at 50%.
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.
3,15628232,,Incision of toe tendon,A,,3.42,7.44,,3.16,,0.34,11.20,6.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15728234,,Incision of foot tendon,A,,3.45,8.51,,3.99,,0.37,12.33,7.81,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15828238,,Revision of foot tendon,A,,7.76,11.81,,5.04,,0.95,20.52,13.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15928240,,Release of big toe,A,,4.37,8.37,,3.48,,0.44,13.18,8.29,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16028250,,Revision of foot fascia,A,,5.91,11.20,,4.84,,0.83,17.94,11.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16128260,,Release of midfoot joint,A,,7.99,13.47,,6.01,,1.24,22.70,15.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16228261,,Revision of foot tendon,A,,12.78,18.67,,8.56,,2.19,33.64,23.53,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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