$704.07
Both address midfoot capsular release, but 28264 represents the extensive release. Choose the code that matches the operative extent.
On this page
CMS RVU26D · Effective 2026-10-01
28264 Midfoot release Medicare reimbursement rates in Indiana
Reports extensive surgical release of a contracted midfoot joint capsule to improve motion or correct a rigid foot deformity. Compare 28264 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 28264 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
$889.38
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$605.77
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 28264: Extensive midfoot joint capsule release
Reports extensive surgical release of a contracted midfoot joint capsule to improve motion or correct a rigid foot deformity.
This code describes an extensive operative release of a contracted midfoot joint capsule. Foot and ankle surgeons may perform it for a rigid deformity or restricted midfoot motion, including in reconstructive treatment of a stiff or deformed foot. The operative report should identify the affected joint or joints, the contracture, and the specific release performed; the procedure is more extensive than a limited midfoot capsular release.
Report the service for the documented extensive midfoot release, not simply because the surgeon operated in the midfoot. The note should establish the extent and structures addressed so the work can be distinguished from a less extensive release or a release at another foot joint. CMS 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%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 28264
- 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 RVU10.38 · 36%
- Practice expense (office) RVU16.62 · 58%
- Malpractice RVU1.73 · 6%
221
Medicare services in 2024 · #4232 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.
28264 compared with similar codes
Office rates for Indiana, from the same CMS release.
$1,366.04
This is another related midfoot release code. Compare the specific procedure performed and documented rather than choosing by diagnosis alone.
$457.35
28270 concerns release of a foot joint contracture; 28264 is for an extensive midfoot release.
Compare 28264 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
$889.38
Facility
$605.77
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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 28264 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,164
- Code
- 28264
- Physician work
- 10.38
- Practice expense
- 16.62
- Malpractice
- 1.73
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.38 | × 1.000 | 10.3800 |
| Practice expense | 16.62 | × 0.927 | 15.4067 |
| Malpractice | 1.73 | × 0.486 | 0.8408 |
| Total RVUs | 26.6275 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$889.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.38 | 1 |
| Practice expense | 16.62 | 0.927 |
| Malpractice | 1.73 | 0.486 |
(10.38 × 1 + 16.62 × 0.927 + 1.73 × 0.486) × $33.4009 = $889.38
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.38 | 1 |
| Practice expense | 7.46 | 0.927 |
| Malpractice | 1.73 | 0.486 |
(10.38 × 1 + 7.46 × 0.927 + 1.73 × 0.486) × $33.4009 = $605.77
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.
28264 billing questions
How is this different from 28260?
28264 is for an extensive midfoot capsular release. Use 28260 when the documented release is the less extensive midfoot procedure.
What documentation supports the extensive-release level?
The operative report should describe the midfoot contracture, the joint or joints addressed, and the extent of the capsular release. A diagnosis of stiffness alone does not establish the operative extent.
Can the service be reported on both feet?
Yes, when the extensive release is performed bilaterally. CMS identifies modifier 50 for bilateral reporting and pays the procedure at 150%.
How does the multiple-procedure reduction affect this code?
When it is one of multiple procedures in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50% under the standard multiple-procedure rule.
Is an assistant at surgery payable?
CMS indicates that assistant-at-surgery payment may be made for this service. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
3,16128260,,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
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
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