Billing code 28250: Foot fascia surgeryMedicare rate & RVUs in Texas
Reports surgical revision of foot fascia, typically the plantar fascia, when operative treatment is needed for an abnormal or restrictive fascial band.
Medicare pays $563.58–$618.14 for 28250 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28250 covers
A foot and ankle orthopedic surgeon or podiatric surgeon revises or releases fascia in the foot, most often the plantar fascia, to address an abnormal or restrictive fascial band. The service is performed in an operative setting and involves direct surgical work on fascia rather than repair or release of a tendon or joint capsule.
Select this code when the operative report supports revision of foot fascia; document the treated site, side, indication, and work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, 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 payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 28250 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$563.58 to $618.14
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $618.14 | $393.39 |
| Beaumont | $563.58 | $370.26 |
| Brazoria | $591.33 | $380.81 |
| Dallas | $595.56 | $383.98 |
| Fort Worth | $592.18 | $382.72 |
| Galveston | $593.40 | $382.46 |
| Houston | $608.60 | $397.65 |
| Rest Of Texas | $577.44 | $375.85 |
How the 28250 rate is calculated
Each of 28250’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 28250
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.91Practice expense 11.20Malpractice 0.83
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28250
28250 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28250
Foot fascia surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28250
Foot fascia surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28250 without 50 · national office
$599.21
Foot fascia surgery
28250-50 · Bilateral: 150%
$898.82
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28250 compared with similar codes
Compare codes
28250 vs 28060 vs 28062 vs 28238 vs 28270: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28060Plantar fascia surgery
- Use 28060 for partial excision of the plantar fascia. This code represents revision of foot fascia, not a specified partial fasciectomy.
- 28062Plantar fasciectomy
- Use 28062 when the documented service is radical plantar fasciectomy. Do not select it solely because a fascial revision is extensive.
- 28238Tendon revision
- 28238 concerns revision of a foot tendon. Choose this code when the operative work is on fascia instead of tendon.
- 28270Foot contracture release
- 28270 describes release of a foot contracture. This code is for revision of fascia, not release of a contracture as such.
28250 billing questions
How is this different from a plantar fasciectomy?
This code represents revision of foot fascia. Codes 28060 and 28062 describe partial and radical plantar fasciectomy, respectively, so choose based on the documented procedure and extent.
Can this be reported with a foot tendon procedure?
The fascia work and tendon work involve different structures. Report both only when the operative documentation supports distinct, separately performed procedures and applicable coding rules permit it.
What documentation supports this code?
Document the fascial site and side, the condition treated, and the specific revision or release performed. The report should distinguish fascial work from tendon repair or joint-capsule release.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are bilateral and multiple 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 at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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