Billing code 28286: Hammertoe repairMedicare rate & RVUs in Kansas
Reports surgical correction of a hammertoe that includes release of the metatarsophalangeal joint when performed to address associated toe contracture.
Medicare pays $398.25 for 28286 in the office in Kansas (Kansas). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28286 covers
A foot and ankle surgeon or podiatrist uses this code for operative correction of a hammertoe that also involves release of the metatarsophalangeal (MTP) joint when performed. The correction addresses the toe deformity, such as through work at an interphalangeal joint, while the MTP release addresses contracture at the toe’s base. These procedures are commonly performed in an outpatient surgical setting for a painful or function-limiting hammertoe.
Choose this code when the operative report supports hammertoe correction with the MTP release included in the service; use 28285 when the correction does not include MTP release. Document the affected toe, the deformity, and the correction and release performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
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.
28286 in Kansas
| Payment locality | Office | Facility |
|---|---|---|
| Kansas | $398.25 | $260.56 |
How the 28286 rate is calculated
Each of 28286’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 28286
RVUs × geographic indexes × conversion factor
Work4.58
4.58 RVUs× 1.000 GPCI
Practice expense7.90
7.90 RVUs× 1.000 GPCI
Malpractice0.40
0.40 RVUs× 1.000 GPCI
Adjusted RVUs
12.8800
Conversion factor
$33.4009
Medicare rate
$430.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28286
28286 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28286
Hammertoe repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28286
Hammertoe repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28286 without 50 · national office
$430.20
Hammertoe repair
28286-50 · Bilateral: 150%
$645.30
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28286 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28285Hammertoe repair
- Both codes correct hammertoe. Choose 28286 when the service includes MTP joint release; choose 28285 when it does not.
- 28270Foot contracture release
- This code describes MTP joint capsulotomy as an isolated procedure; 28286 describes hammertoe correction that includes MTP release when performed.
- 28272Toe joint release
- This code addresses capsulotomy at a toe interphalangeal joint. It is not the hammertoe correction service with MTP release represented by 28286.
28286 billing questions
How does this code differ from 28285?
Use 28286 for hammertoe correction that includes MTP joint release when performed. Use 28285 for hammertoe correction without that MTP release.
Can the MTP release be reported separately?
The MTP release is part of this hammertoe service when performed. Do not separately report the same release as a standalone service in addition to 28286.
What should the operative note document?
Identify the affected toe and describe the hammertoe correction and MTP release performed. The note should support why the MTP joint required release as part of the correction.
How are bilateral procedures paid?
CMS pays bilateral reporting with modifier 50 at 150%. The code also follows the standard multiple procedure reduction when other procedures are performed in the same session.
Does the global period include postoperative visits?
Yes. The 90-day major-surgery global 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 28286 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →