No office rate
Choose 28725 when the subtalar joint alone is fused. Choose 28715 when the operative fusion includes the additional joints of a triple arthrodesis.
On this page
CMS RVU26D · Effective 2026-10-01
28725 Subtalar fusion Medicare reimbursement rates in Nebraska
Reports surgical fusion of the subtalar joint, commonly performed for painful hindfoot arthritis or deformity when the talocalcaneal joint is treated. Compare 28725 office and facility rates across CMS payment localities in Nebraska.
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 28725 in Nebraska?
Nebraska 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
No supported rate
Facility setting
$667.46
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Orthopedic surgery
About 28725: Subtalar joint fusion
Reports surgical fusion of the subtalar joint, commonly performed for painful hindfoot arthritis or deformity when the talocalcaneal joint is treated.
An orthopedic foot and ankle surgeon fuses the joint between the talus and calcaneus, typically to address painful subtalar arthritis, post-traumatic joint damage, or hindfoot deformity. The operation involves preparing the joint surfaces and stabilizing the bones in the intended alignment; it is commonly performed in a hospital or ambulatory surgical setting. The operative report should identify the subtalar joint and describe the fusion performed.
Choose this code when the subtalar joint is fused, rather than a broader construct that includes other hindfoot joints. The 90-day global period includes the day-before preoperative visit and related postoperative care during the global period. 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. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 28725
- 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 RVU10.94 · 50%
- Practice expense (office) RVU9.04 · 41%
- Malpractice RVU1.85 · 8%
6.9K
Medicare services in 2024 · #1672 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.
28725 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This code represents a more extensive hindfoot fusion. Base selection on the joints fused, not simply on the diagnosis or the presence of hindfoot deformity.
$782.88
28740 concerns fusion of a single midtarsal or tarsometatarsal joint. 28725 is for fusion of the subtalar joint.
Compare 28725 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$667.46
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 28725 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,247
- Code
- 28725
- Physician work
- 10.94
- Practice expense
- 9.04
- Malpractice
- 1.85
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.94 | × 1.000 | 10.9400 |
| Practice expense | 9.04 | × 0.923 | 8.3439 |
| Malpractice | 1.85 | × 0.378 | 0.6993 |
| Total RVUs | 19.9832 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$667.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.94 | 1 |
| Practice expense | 9.04 | 0.923 |
| Malpractice | 1.85 | 0.378 |
(10.94 × 1 + 9.04 × 0.923 + 1.85 × 0.378) × $33.4009 = $667.46
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.
28725 billing questions
When is 28725 appropriate instead of a triple arthrodesis code?
Use 28725 when the subtalar joint is fused. A triple arthrodesis includes additional hindfoot joints, so select the code that reflects the joints actually fused.
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 bilateral subtalar fusion reported?
CMS identifies this as a bilateral procedure reported with modifier 50 and paid at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What documentation supports selecting this code?
Document the subtalar joint treated, the clinical reason for fusion, and the operative work performed. The note should make clear whether the fusion was limited to that joint or included other hindfoot joints.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
3,24428675,,Repair of toe dislocation,A,,5.48,11.42,,5.62,,0.70,17.60,11.80,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24528705,,Arthrodesis pantalar,A,,19.82,10.20,NA,10.20,,3.11,33.13,33.13,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24628715,,Arthrodesis triple,A,,13.08,11.02,NA,11.02,,2.36,26.46,26.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24728725,,Arthrodesis subtalar,A,,10.94,9.04,NA,9.04,,1.85,21.83,21.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24828730,,Fusion of foot bones,A,,10.43,8.26,NA,8.26,,1.62,20.31,20.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24928735,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068