$1,059.09
28295 describes hallux valgus correction with a proximal first-metatarsal osteotomy. Choose 28299 when the correction includes two osteotomies.
On this page
CMS RVU26D · Effective 2026-10-01
28299 Bunion correction Medicare reimbursement rates in Nevada
Reports surgical correction of hallux valgus using two osteotomies, typically addressing deformity at the first metatarsal and proximal phalanx. Compare 28299 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 28299 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
$1030.82
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$557.39
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 28299: Hallux valgus correction with double osteotomy
Reports surgical correction of hallux valgus using two osteotomies, typically addressing deformity at the first metatarsal and proximal phalanx.
A foot and ankle surgeon performs two bone cuts to correct hallux valgus, the deformity commonly called a bunion. The procedure may address the first metatarsal and proximal phalanx to realign the great toe and improve its position. It is generally performed in an operating room or ambulatory surgery setting for a symptomatic deformity requiring more than one osteotomy.
Report 28299 when the operative plan and record support a double-osteotomy correction, rather than a single osteotomy or a first tarsometatarsal joint fusion. Document the deformity, the bones and sites treated, and the osteotomies performed. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28299
- 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 RVU9.06 · 29%
- Practice expense (office) RVU20.84 · 67%
- Malpractice RVU1.13 · 4%
7.6K
Medicare services in 2024 · #1615 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.
28299 compared with similar codes
Office rates for Nevada, from the same CMS release.
$879.47
28296 describes correction with a distal first-metatarsal osteotomy. It is the single-osteotomy option, unlike the double-osteotomy correction represented by 28299.
$855.46
28298 describes hallux valgus correction with a proximal phalanx osteotomy. Use 28299 when the correction involves two osteotomies rather than that single osteotomy.
$1,025.20
28297 corrects hallux valgus through first tarsometatarsal joint arthrodesis. 28299 represents a correction using two osteotomies instead.
Compare 28299 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
$1030.82
Facility
$557.39
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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 28299 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,178
- Code
- 28299
- Physician work
- 9.06
- Practice expense
- 20.84
- Malpractice
- 1.13
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.06 | × 1.000 | 9.0600 |
| Practice expense | 20.84 | × 1.001 | 20.8608 |
| Malpractice | 1.13 | × 0.833 | 0.9413 |
| Total RVUs | 30.8621 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$1030.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.06 | 1 |
| Practice expense | 20.84 | 1.001 |
| Malpractice | 1.13 | 0.833 |
(9.06 × 1 + 20.84 × 1.001 + 1.13 × 0.833) × $33.4009 = $1030.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.06 | 1 |
| Practice expense | 6.68 | 1.001 |
| Malpractice | 1.13 | 0.833 |
(9.06 × 1 + 6.68 × 1.001 + 1.13 × 0.833) × $33.4009 = $557.39
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.
28299 billing questions
When should 28299 be selected instead of a single-osteotomy code?
Use 28299 when the hallux valgus correction includes two osteotomies. A correction using only one osteotomy is represented by the applicable single-osteotomy code.
Can the two osteotomies be billed separately?
28299 represents the double-osteotomy correction. Do not separately report a single-osteotomy code for a component of that same correction.
What documentation supports 28299?
The operative report should identify the hallux valgus correction, the bones and sites treated, and both osteotomies performed.
How is bilateral 28299 reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted 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.
3,17528296,,Cor hlx vlgs dstl mtar osteo,A,,8.04,17.59,,5.64,,0.82,26.45,14.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17628297,,Cor hlx vlgs jt arthrd,A,,9.06,20.68,,6.64,,1.12,30.86,16.82,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17728298,,Cor hlx vlgs prx phlx osteot,A,,7.56,17.21,,5.92,,0.99,25.76,14.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17828299,,Cor hlx vlgs double osteot,A,,9.06,20.84,,6.68,,1.13,31.03,16.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17928300,,Incision of heel bone,A,,9.49,7.20,NA,7.20,,1.61,18.30,18.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18028302,,Incision of ankle bone,A,,9.50,8.66,NA,8.66,,2.02,20.18,20.18,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18128304,,Incision of midfoot bones,A,,9.17,15.47,,6.78,,1.46,26.10,17.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097