Use 28260 for a less extensive midfoot capsular release. Choose 28262 when the operative work documents an extensive release.
On this page
CMS RVU26D · Effective 2026-10-01
28262 Midfoot release Medicare reimbursement rates in Nevada
Report this procedure for an extensive surgical release of contracted midfoot structures, such as correction of a rigid residual clubfoot deformity. Compare 28262 office and facility rates across CMS payment localities in Nevada.
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 28262 in Nevada?
Nevada 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
$1463.29
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$1016.27
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 28262: Extensive midfoot capsular release
Report this procedure for an extensive surgical release of contracted midfoot structures, such as correction of a rigid residual clubfoot deformity.
This operation releases tight soft tissues around the midfoot joints to improve a fixed deformity or restricted position. An orthopedic foot and ankle surgeon or podiatric surgeon may perform it in an operating room, including for a rigid residual deformity after clubfoot treatment. The operative report should identify the midfoot joints and contracted structures addressed and describe why the release was extensive rather than a more limited capsular release.
Report 28262 when the documented work supports an extensive midfoot release; do not select it solely because the procedure is described generally as a foot release. The service 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 are subject to the standard multiple procedure reduction. For bilateral work, 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 28262
- 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 RVU16.78 · 38%
- Practice expense (office) RVU24.34 · 55%
- Malpractice RVU3.20 · 7%
265
Medicare services in 2024 · #4090 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.
28262 compared with similar codes
Office rates for Nevada, from the same CMS release.
Both codes concern midfoot release procedures, but they represent distinct CPT definitions. Match the code to the specific procedure documented rather than relying on a general description of midfoot release.
28272 addresses release at a toe joint. 28262 is for extensive release involving the midfoot.
Compare 28262 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
Nevada** →
Office / nonfacility
$1463.29
Facility
$1016.27
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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 28262 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,163
- Code
- 28262
- Physician work
- 16.78
- Practice expense
- 24.34
- Malpractice
- 3.20
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.78 | × 1.000 | 16.7800 |
| Practice expense | 24.34 | × 1.001 | 24.3643 |
| Malpractice | 3.20 | × 0.833 | 2.6656 |
| Total RVUs | 43.8099 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$1463.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.78 | 1 |
| Practice expense | 24.34 | 1.001 |
| Malpractice | 3.2 | 0.833 |
(16.78 × 1 + 24.34 × 1.001 + 3.2 × 0.833) × $33.4009 = $1463.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.78 | 1 |
| Practice expense | 10.97 | 1.001 |
| Malpractice | 3.2 | 0.833 |
(16.78 × 1 + 10.97 × 1.001 + 3.2 × 0.833) × $33.4009 = $1016.27
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.
28262 billing questions
How is 28262 distinguished from 28260?
28262 is for an extensive midfoot release. Use 28260 when the documented midfoot capsular release is less extensive.
What documentation supports reporting 28262?
Document the affected midfoot joints, the contracted structures released, the extent of the release, and the fixed deformity or restriction being treated.
Can modifier 50 be reported for bilateral surgery?
CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are assistant or co-surgeon services handled?
Assistant-at-surgery payment may be made. 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.
