$592.28
28313 is for soft-tissue correction of an angular toe deformity. Choose 28312 when the operative correction includes an osteotomy of a toe phalanx.
On this page
CMS RVU26D · Effective 2026-10-01
28313 Toe deformity repair Medicare reimbursement rates in Nevada
Reports soft-tissue reconstruction to correct an angular toe deformity, such as an overlapping toe, when the repair does not involve bone work. Compare 28313 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 28313 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
$542.22
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$342.95
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 28313: Soft-tissue correction of toe deformity
Reports soft-tissue reconstruction to correct an angular toe deformity, such as an overlapping toe, when the repair does not involve bone work.
CPT 28313 covers surgical correction of an angular toe deformity using soft-tissue procedures alone. A common clinical situation is an overlapping lesser toe, such as a second toe that crosses over an adjacent toe. The surgeon or podiatrist rebalances soft tissue around the affected toe to improve its alignment; the procedure is performed in an operating room or ambulatory surgery setting. This code is not the choice when the documented correction includes an osteotomy of a toe bone.
Report the service for each toe corrected and document the deformity, the toe involved, and the soft-tissue work performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 28313
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.02 · 31%
- Practice expense (office) RVU10.62 · 65%
- Malpractice RVU0.70 · 4%
4.7K
Medicare services in 2024 · #1911 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.
28313 compared with similar codes
Office rates for Nevada, from the same CMS release.
$561.77
28310 is a bony correction of the great toe's proximal phalanx. 28313 describes soft-tissue correction of an angular deformity, not that osteotomy.
$545.33
28285 addresses hammertoe correction. 28313 is for angular toe reconstruction using soft-tissue procedures alone, such as correction of an overlapping toe.
$428.24
28286 is specific to correction of a cock-up fifth toe. 28313 describes soft-tissue correction of other angular toe deformities.
Compare 28313 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
$542.22
Facility
$342.95
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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 28313 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,189
- Code
- 28313
- Physician work
- 5.02
- Practice expense
- 10.62
- Malpractice
- 0.70
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.02 | × 1.000 | 5.0200 |
| Practice expense | 10.62 | × 1.001 | 10.6306 |
| Malpractice | 0.70 | × 0.833 | 0.5831 |
| Total RVUs | 16.2337 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$542.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.02 | 1 |
| Practice expense | 10.62 | 1.001 |
| Malpractice | 0.7 | 0.833 |
(5.02 × 1 + 10.62 × 1.001 + 0.7 × 0.833) × $33.4009 = $542.22
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.02 | 1 |
| Practice expense | 4.66 | 1.001 |
| Malpractice | 0.7 | 0.833 |
(5.02 × 1 + 4.66 × 1.001 + 0.7 × 0.833) × $33.4009 = $342.95
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.
28313 billing questions
When is 28313 preferable to 28312?
Use 28313 for angular toe correction performed with soft-tissue procedures alone. CPT 28312 describes a bony osteotomy of a toe phalanx.
Does 28313 include correction of an overlapping toe?
Yes. Soft-tissue reconstruction of an overlapping toe is a typical reason to report 28313, when the documented correction does not include bone work.
How should the number of toes be documented?
Identify each corrected toe and describe its deformity and the soft-tissue work performed. The code is reported for each toe corrected.
Can modifier 50 be used when both feet are treated?
No. CMS identifies bilateral adjustment as inappropriate for 28313. Modifier 50 should not be appended.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are 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.
3,18628309,,Incision of metatarsals,A,,13.81,8.96,NA,8.96,,2.25,25.02,25.02,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18728310,,Revision of big toe,A,,5.43,10.82,,4.37,,0.67,16.92,10.47,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18828312,,Revision of toe,A,,4.57,12.55,,5.09,,0.72,17.84,10.38,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18928313,,Repair deformity of toe,A,,5.02,10.62,,4.66,,0.70,16.34,10.38,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19028315,,Removal of sesamoid bone,A,,4.88,8.99,,3.89,,0.54,14.41,9.31,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19128320,,Repair of foot bones,A,,9.14,6.77,NA,6.77,,1.39,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19228322,,Repair of metatarsals,A,,8.32,14.74,,6.55,,1.31,24.37,16.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,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