$826.71–$907.87
Choose 28305 when autograft is used with the midtarsal osteotomy. Choose 28304 for the related osteotomy without autograft.
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CMS RVU26D · Effective 2026-10-01
28305 Midfoot osteotomy Medicare reimbursement rates in Pennsylvania
Reports a midtarsal bone osteotomy using autograft, such as a grafted medial cuneiform procedure during surgical correction of flexible flatfoot. Compare 28305 office and facility rates across CMS payment localities in Pennsylvania.
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 28305 in Pennsylvania?
Pennsylvania 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
$604.12–$650.55
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 and ankle surgery
About 28305: Midtarsal osteotomy with bone graft
Reports a midtarsal bone osteotomy using autograft, such as a grafted medial cuneiform procedure during surgical correction of flexible flatfoot.
The surgeon makes a controlled cut through a midtarsal bone, adjusts its position or shape, and uses autogenous bone graft as part of the reconstruction. A familiar example is a grafted medial cuneiform osteotomy during reconstruction of flexible flatfoot. Orthopedic foot-and-ankle surgeons and podiatric surgeons perform these procedures in an operating room, commonly in a hospital or ambulatory surgery center.
Report this code when the operative work is a midtarsal osteotomy with autograft; code 28304 describes the related midtarsal osteotomy without autograft. The operative report should identify the bone treated, the osteotomy and correction performed, and use of autograft. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. 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.
CMS billing rules for 28305
- 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 RVU10.50 · 56%
- Practice expense (office) RVU6.70 · 36%
- Malpractice RVU1.52 · 8%
122
Medicare services in 2024 · #4728 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.
28305 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
This code is for a midtarsal bone osteotomy with autograft; 28300 is for an osteotomy of the calcaneus.
No office rate
Use 28302 when the documented osteotomy is of a tarsal bone covered by that code, rather than the midtarsal osteotomy with autograft described here.
$593.51–$653.70
Use 28306 for an osteotomy of a metatarsal. This code applies to a midtarsal osteotomy performed with autograft.
Compare 28305 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$650.55
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$604.12
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28305 billing questions
How does this differ from 28304?
Both describe a midtarsal osteotomy, but this code includes use of autograft. Use 28304 for the corresponding osteotomy without autograft.
What documentation supports reporting this code?
Document the midtarsal bone treated, the osteotomy and correction performed, and that autograft was used as part of the reconstruction.
Does the code include routine postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure. Modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires 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.
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
3,18228305,,Incise/graft midfoot bones,A,,10.50,6.70,NA,6.70,,1.52,18.72,18.72,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18328306,,Incision of metatarsal,A,,5.85,12.14,,4.88,,0.82,18.81,11.55,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18428307,,Incision of metatarsal,A,,6.34,17.61,,7.21,,1.34,25.29,14.89,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,18528308,,Incision of metatarsal,A,,5.34,11.51,,5.11,,0.68,17.53,11.13,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00