$621.43
Choose 28289 when the hallux rigidus correction is performed without an implant. Choose 28291 when an implant is used.
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CMS RVU26D · Effective 2026-10-01
28289 Hallux rigidus surgery Medicare reimbursement rates in Kansas
Reports operative treatment of hallux rigidus at the first metatarsophalangeal joint using cheilectomy, debridement, and capsular release without an implant. Compare 28289 office and facility rates across CMS payment localities in Kansas.
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 28289 in Kansas?
Kansas 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
$645.65
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$407.11
1 of 1 localities have a supported rate.
Payment area: Kansas
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 28289: Hallux rigidus correction without implant
Reports operative treatment of hallux rigidus at the first metatarsophalangeal joint using cheilectomy, debridement, and capsular release without an implant.
This operation treats hallux rigidus, a painful, stiff first metatarsophalangeal joint, by removing limiting bone and diseased tissue and releasing the joint capsule. It is typically performed by an orthopedic foot and ankle surgeon or podiatric surgeon in an operating room or ambulatory surgery setting. The defining distinction from the related implant procedure is that no implant is used.
Report the service when the operative note supports the hallux rigidus correction and its components at the first metatarsophalangeal joint. The code has a 90-day 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28289
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.73 · 32%
- Practice expense (office) RVU13.47 · 64%
- Malpractice RVU0.84 · 4%
6.4K
Medicare services in 2024 · #1722 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.
28289 compared with similar codes
Office rates for Kansas, from the same CMS release.
$648.42
28292 addresses hallux valgus (bunion) correction; 28289 addresses hallux rigidus at the first metatarsophalangeal joint.
$813.47
28296 is a hallux valgus correction involving a distal metatarsal osteotomy. It is not the hallux rigidus correction reported with 28289.
Compare 28289 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
Kansas →
Office / nonfacility
$645.65
Facility
$407.11
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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 28289 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,171
- Code
- 28289
- Physician work
- 6.73
- Practice expense
- 13.47
- Malpractice
- 0.84
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.73 | × 1.000 | 6.7300 |
| Practice expense | 13.47 | × 0.904 | 12.1769 |
| Malpractice | 0.84 | × 0.504 | 0.4234 |
| Total RVUs | 19.3302 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$645.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.73 | 1 |
| Practice expense | 13.47 | 0.904 |
| Malpractice | 0.84 | 0.504 |
(6.73 × 1 + 13.47 × 0.904 + 0.84 × 0.504) × $33.4009 = $645.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.73 | 1 |
| Practice expense | 5.57 | 0.904 |
| Malpractice | 0.84 | 0.504 |
(6.73 × 1 + 5.57 × 0.904 + 0.84 × 0.504) × $33.4009 = $407.11
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.
28289 billing questions
How does this differ from 28291?
Both address hallux rigidus at the first metatarsophalangeal joint. Use 28289 for the correction without an implant; 28291 is the implant procedure.
What should the operative note support?
Document hallux rigidus, the affected first metatarsophalangeal joint, the correction performed, and whether an implant was used. The note should support the reported service rather than only describing a general bunion or toe procedure.
Does the code include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
When the procedure is performed bilaterally, modifier 50 applies, and CMS pays the bilateral procedure at 150%.
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%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
3,16828285,,Repair of hammertoe,A,,5.48,10.32,,5.00,,0.62,16.42,11.10,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16928286,,Repair of hammertoe,A,,4.58,7.90,,3.34,,0.40,12.88,8.32,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17028288,,Partial removal of foot bone,A,,5.87,11.73,,5.92,,0.68,18.28,12.47,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17128289,,Corrj halux rigdus w/o implt,A,,6.73,13.47,,5.57,,0.84,21.04,13.14,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17228291,,Corrj halux rigdus w/implt,A,,7.81,11.54,,4.73,,0.72,20.07,13.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17328292,,Cor hlx vlgs rsc prx phlx bs,A,,7.25,13.02,,5.74,,0.78,21.05,13.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17428295,,Cor hlx vlgs prx mtar osteot,A,,8.36,22.31,,7.27,,1.22,31.89,16.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958