$841.33
This code fuses the first MTP joint. Code 28755 is for fusion of the great toe interphalangeal joint.
On this page
CMS RVU26D · Effective 2026-10-01
28750 Great toe fusion Medicare reimbursement rates in Kansas
Reports fusion of the great toe metatarsophalangeal joint, commonly performed for painful arthritis, advanced hallux rigidus, or deformity requiring joint stabilization. Compare 28750 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 28750 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
$951.97
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$496.64
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 28750: Great toe metatarsophalangeal joint fusion
Reports fusion of the great toe metatarsophalangeal joint, commonly performed for painful arthritis, advanced hallux rigidus, or deformity requiring joint stabilization.
This service fuses the joint between the first metatarsal and the great toe. The surgeon removes joint cartilage and stabilizes the bones so they can unite, typically using fixation such as screws or a plate. Orthopedic foot and ankle surgeons and podiatric surgeons perform it for conditions such as painful first MTP arthritis, advanced hallux rigidus, or selected deformities and salvage situations. It is distinct from fusion of the great toe interphalangeal joint.
Report one unit for the treated MTP joint, with documentation identifying the joint, side, indication, and arthrodesis performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 28750
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.53 · 27%
- Practice expense (office) RVU21.44 · 69%
- Malpractice RVU1.17 · 4%
19.7K
Medicare services in 2024 · #1157 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.
28750 compared with similar codes
Office rates for Kansas, from the same CMS release.
$723.20
Code 28760 is another great toe interphalangeal arthrodesis option. Confirm the joint and operative procedure before choosing between the codes.
$645.65
Code 28289 reports hallux rigidus treatment by cheilectomy, not fusion. It may be selected when the surgeon treats the joint while preserving motion.
Compare 28750 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
$951.97
Facility
$496.64
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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 28750 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,252
- Code
- 28750
- Physician work
- 8.53
- Practice expense
- 21.44
- Malpractice
- 1.17
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.53 | × 1.000 | 8.5300 |
| Practice expense | 21.44 | × 0.904 | 19.3818 |
| Malpractice | 1.17 | × 0.504 | 0.5897 |
| Total RVUs | 28.5014 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$951.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1 |
| Practice expense | 21.44 | 0.904 |
| Malpractice | 1.17 | 0.504 |
(8.53 × 1 + 21.44 × 0.904 + 1.17 × 0.504) × $33.4009 = $951.97
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1 |
| Practice expense | 6.36 | 0.904 |
| Malpractice | 1.17 | 0.504 |
(8.53 × 1 + 6.36 × 0.904 + 1.17 × 0.504) × $33.4009 = $496.64
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.
28750 billing questions
How is this code distinguished from great toe interphalangeal fusion?
This code is for fusion at the first metatarsophalangeal joint, where the great toe meets the foot. Use the interphalangeal fusion code when the fusion is at the joint within the great toe.
Does the 90-day global period include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral procedure reported for Medicare payment?
Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
What documentation supports reporting this fusion?
Document the first MTP joint and side treated, the clinical indication, and that the surgeon performed arthrodesis. The operative report should distinguish the MTP joint from the great toe interphalangeal joint.
How does the multiple-procedure rule affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
3,24928735,,Fusion of foot bones,A,,11.92,8.07,NA,8.07,,1.82,21.81,21.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25028737,,Revision of foot bones,A,,10.75,6.83,NA,6.83,,1.34,18.92,18.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25128740,,Fusion of foot bones,A,,9.06,15.05,,6.94,,1.29,25.40,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25228750,,Fusion of big toe joint,A,,8.53,21.44,,6.36,,1.17,31.14,16.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25328755,,Fusion of big toe joint,A,,7.31,19.27,,5.77,,0.91,27.49,13.99,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25428760,,Fusion of big toe joint,A,,8.91,13.51,,6.11,,1.05,23.47,16.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25528800,,Amputation of midfoot,A,,8.57,5.12,NA,5.12,,1.02,14.71,14.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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