No office rate
Choose 28735 when the multiple or transverse midfoot fusion includes an osteotomy. Code 28730 is for the corresponding fusion without that osteotomy distinction.
On this page
CMS RVU26D · Effective 2026-10-01
28730 Midfoot fusion Medicare reimbursement rates in New Jersey
Reports surgical fusion across multiple midfoot joints or a transverse midfoot fusion, such as for painful arthritis or instability. Compare 28730 office and facility rates across CMS payment localities in New Jersey.
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 28730 in New Jersey?
New Jersey 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
No supported rate
Facility setting
$722.94–$748.14
2 of 2 localities have a supported rate.
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 28730: Multiple midfoot joint fusion
Reports surgical fusion across multiple midfoot joints or a transverse midfoot fusion, such as for painful arthritis or instability.
The surgeon prepares the involved midfoot joint surfaces and stabilizes them so the bones can unite. This code covers fusion involving multiple midtarsal or tarsometatarsal joints, or a transverse fusion across the midfoot. Orthopedic foot and ankle surgeons and podiatrists commonly perform these procedures in an operating room for conditions such as painful midfoot arthritis or instability.
Select this code when the operative report supports a multiple-joint or transverse fusion without the osteotomy distinction associated with 28735. Document the fused joints, side, indication, and any osteotomy performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. With modifier 50, a bilateral procedure is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 28730
- 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 RVU10.43 · 51%
- Practice expense (office) RVU8.26 · 41%
- Malpractice RVU1.62 · 8%
6.1K
Medicare services in 2024 · #1749 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.
28730 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$910.91–$950.81
Code 28740 applies to a single midtarsal or tarsometatarsal joint; 28730 represents multiple joints or a transverse fusion.
No office rate
Code 28715 describes fusion across the triple-joint hindfoot complex. Code 28730 concerns multiple or transverse fusion in the midfoot.
Compare 28730 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$748.14
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$722.94
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28730 billing questions
When should 28730 be selected instead of 28740?
Use 28730 for fusion of multiple midtarsal or tarsometatarsal joints, or a transverse midfoot fusion. Code 28740 describes fusion of a single joint in this region.
How does 28730 differ from 28735?
Code 28735 is the related multiple or transverse midfoot fusion code when an osteotomy is also performed. Check the operative report for the osteotomy and the specific joints fused.
What documentation supports 28730?
The operative report should identify the midfoot joints fused, laterality, and whether the work forms a multiple-joint or transverse fusion. It should also describe any osteotomy.
How are bilateral procedures reported?
CMS lists bilateral payment with modifier 50 at 150%. The operative documentation should support performance on both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available for 28730. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
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.
3,24528705,,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
3,25128740,,Fusion of foot bones,A,,9.06,15.05,,6.94,,1.29,25.40,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00