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CMS RVU26D · Effective 2026-10-01

28737 Foot bone revision Medicare reimbursement rates in Oklahoma

Reports operative revision of foot bones to correct a problem involving a previously treated bone, rather than a primary foot-bone fusion. Compare 28737 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 28737 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

No supported rate

Facility setting

$597.55

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.

Find 28737 in your payment locality →

Foot surgery

About 28737: Revision of foot bones

Reports operative revision of foot bones to correct a problem involving a previously treated bone, rather than a primary foot-bone fusion.

CPT 28737 describes an operation to revise foot bones. It is generally performed by an orthopedic foot and ankle surgeon or podiatric surgeon in an operating room when prior treatment of a foot bone requires operative correction. The code is selected for the revision service itself; the specific bone, prior procedure, problem being corrected, and work performed should be clear in the operative report. Do not select it solely because the patient has had earlier foot surgery if the current operation is a different, separately defined procedure.

Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Record the revision indication and operative details, including the bone addressed and how the procedure corrected the problem.

CMS billing rules for 28737

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 RVU10.75 · 57%
  • Practice expense (office) RVU6.83 · 36%
  • Malpractice RVU1.34 · 7%

179

Medicare services in 2024 · #4427 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.

28737 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

28730

Midfoot fusion

Multiple joints or transverse

No office rate

28730 describes a multiple or transverse midfoot fusion. Choose 28737 when the documented operation is revision of foot bones, not that defined fusion service.

28735

Midfoot fusion

Multiple joints with osteotomy

No office rate

28735 describes midfoot fusion with an osteotomy. The operative report must support that fusion service; revision of previously treated foot bones is the distinction for 28737.

28740

Foot fusion

Single midtarsal or tarsometatarsal joint

$784.99

28740 is for fusion of a single midfoot joint. It is not interchangeable with 28737 merely because the revision operation involves a joint.

Compare 28737 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

Office and facility base rates · shared scale starting at $0

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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 28737 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

3,250

Code
28737
Physician work
10.75
Practice expense
6.83
Malpractice
1.34

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 28737 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work10.75× 1.00010.7500
Practice expense6.83× 0.8936.0992
Malpractice1.34× 0.7771.0412
Total RVUs17.8904
Conversion factor× 33.4009

Facility rate, Oklahoma$597.55

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work10.751
Practice expense6.830.893
Malpractice1.340.777

(10.75 × 1 + 6.83 × 0.893 + 1.34 × 0.777) × $33.4009 = $597.55

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.

28737 billing questions

How do I distinguish 28737 from a foot-bone arthrodesis code?

Use 28737 for the revision service when the operation revises foot bones. When the operative service is a defined fusion, select the applicable arthrodesis code, such as one for multiple or single midfoot joints.

What documentation supports reporting 28737?

The operative report should identify the bone or bones revised, the condition prompting revision, relevant prior treatment, and the corrective work performed.

Is postoperative care included in 28737?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral and same-session procedures handled?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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.

RVUs for 28737PPRRVU2026_Oct_nonQPP.csv, line 3,250 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)