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CMS RVU26D · Effective 2026-10-01

28250 Foot fascia surgery Medicare reimbursement rates in Maine

Reports surgical revision of foot fascia, typically the plantar fascia, when operative treatment is needed for an abnormal or restrictive fascial band. Compare 28250 office and facility rates across CMS payment localities in Maine.

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 28250 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$558.81–$585.62

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $26.81 per service.

Facility setting

$363.37–$375.10

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $11.73 per service.

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.

Find 28250 in your payment locality →

Foot surgery

About 28250: Foot fascia revision

Reports surgical revision of foot fascia, typically the plantar fascia, when operative treatment is needed for an abnormal or restrictive fascial band.

A foot and ankle orthopedic surgeon or podiatric surgeon revises or releases fascia in the foot, most often the plantar fascia, to address an abnormal or restrictive fascial band. The service is performed in an operative setting and involves direct surgical work on fascia rather than repair or release of a tendon or joint capsule.

Select this code when the operative report supports revision of foot fascia; document the treated site, side, indication, and work performed. The code has 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 28250

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 RVU5.91 · 33%
  • Practice expense (office) RVU11.20 · 62%
  • Malpractice RVU0.83 · 5%

335

Medicare services in 2024 · #3903 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.

28250 compared with similar codes

Office rates for Maine, from the same CMS release.

28060

Plantar fascia surgery

Partial excision

$491.07–$514.59

Use 28060 for partial excision of the plantar fascia. This code represents revision of foot fascia, not a specified partial fasciectomy.

28062

Plantar fasciectomy

Radical excision

$551.07–$575.93

Use 28062 when the documented service is radical plantar fasciectomy. Do not select it solely because a fascial revision is extensive.

28238

Tendon revision

Foot tendon

$641.84–$670.13

28238 concerns revision of a foot tendon. Choose this code when the operative work is on fascia instead of tendon.

28270

Foot contracture release

Midfoot joint, each joint

$457.44–$479.69

28270 describes release of a foot contracture. This code is for revision of fascia, not release of a contracture as such.

Compare 28250 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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28250 billing questions

How is this different from a plantar fasciectomy?

This code represents revision of foot fascia. Codes 28060 and 28062 describe partial and radical plantar fasciectomy, respectively, so choose based on the documented procedure and extent.

Can this be reported with a foot tendon procedure?

The fascia work and tendon work involve different structures. Report both only when the operative documentation supports distinct, separately performed procedures and applicable coding rules permit it.

What documentation supports this code?

Document the fascial site and side, the condition treated, and the specific revision or release performed. The report should distinguish fascial work from tendon repair or joint-capsule release.

How does the global period affect postoperative visits?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How are bilateral and multiple procedures handled?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one 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 may be available. 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.

RVUs for 28250PPRRVU2026_Oct_nonQPP.csv, line 3,160 (RVU26D)