$464.73
28200 is for foot flexor tendon repair without a free graft. Use 28238 when the operative service is a revision rather than that repair.
On this page
CMS RVU26D · Effective 2026-10-01
28238 Tendon revision Medicare reimbursement rates in Oklahoma
Reports operative revision of a foot tendon when the documented procedure revises previously treated tendon tissue rather than performing a straightforward primary repair. Compare 28238 office and facility rates across CMS payment localities in Oklahoma.
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 28238 in Oklahoma?
Oklahoma 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
$636.10
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$434.17
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 28238: Foot tendon revision surgery
Reports operative revision of a foot tendon when the documented procedure revises previously treated tendon tissue rather than performing a straightforward primary repair.
CPT 28238 covers operative revision of a tendon in the foot. An orthopedic foot-and-ankle surgeon or podiatric surgeon may perform the procedure when the tendon requires revision after prior treatment. The specific tendon, side, and operative approach depend on the patient’s condition and the surgeon’s findings. The operative report should make clear that the work is a revision of the foot tendon, not simply a new primary repair or a tendon release.
Select the code based on the procedure actually performed and documented. Identify the affected tendon and side, the reason for revision, and the revision work in the operative report. This major surgery has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 28238
- 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 RVU7.76 · 38%
- Practice expense (office) RVU11.81 · 58%
- Malpractice RVU0.95 · 5%
667
Medicare services in 2024 · #3305 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.
28238 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$565.17
28202 describes foot flexor tendon repair with a free graft. The documented service, not simply the presence of prior tendon treatment, determines whether revision or grafted repair applies.
$413.34
28220 is for foot tendon release work. It is not the choice when the surgeon revises the tendon itself.
Compare 28238 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
Oklahoma →
Office / nonfacility
$636.10
Facility
$434.17
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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 28238 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
3,158
- Code
- 28238
- Physician work
- 7.76
- Practice expense
- 11.81
- Malpractice
- 0.95
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.76 | × 1.000 | 7.7600 |
| Practice expense | 11.81 | × 0.893 | 10.5463 |
| Malpractice | 0.95 | × 0.777 | 0.7381 |
| Total RVUs | 19.0445 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$636.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.76 | 1 |
| Practice expense | 11.81 | 0.893 |
| Malpractice | 0.95 | 0.777 |
(7.76 × 1 + 11.81 × 0.893 + 0.95 × 0.777) × $33.4009 = $636.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.76 | 1 |
| Practice expense | 5.04 | 0.893 |
| Malpractice | 0.95 | 0.777 |
(7.76 × 1 + 5.04 × 0.893 + 0.95 × 0.777) × $33.4009 = $434.17
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.
28238 billing questions
How does 28238 differ from a foot tendon repair code?
Use 28238 for a documented revision of a foot tendon. Codes such as 28200 or 28208 describe tendon repair services, with the code choice depending on the tendon and repair details.
Can tendon release or adhesion work be reported as 28238?
Choose the code for the work actually performed. A tendon release or adhesion procedure is distinct from revising the tendon itself.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 28238 paid when other 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 at 50%.
Can 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.
How should bilateral surgery be reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
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.
3,15528230,,Incision of foot tendon(s),A,,4.25,8.21,,3.40,,0.43,12.89,8.08,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15628232,,Incision of toe tendon,A,,3.42,7.44,,3.16,,0.34,11.20,6.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15728234,,Incision of foot tendon,A,,3.45,8.51,,3.99,,0.37,12.33,7.81,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15828238,,Revision of foot tendon,A,,7.76,11.81,,5.04,,0.95,20.52,13.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15928240,,Release of big toe,A,,4.37,8.37,,3.48,,0.44,13.18,8.29,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16028250,,Revision of foot fascia,A,,5.91,11.20,,4.84,,0.83,17.94,11.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16128260,,Release of midfoot joint,A,,7.99,13.47,,6.01,,1.24,22.70,15.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193