No office rate
Use 28300 for an osteotomy of the calcaneus; 28302 describes an osteotomy of the ankle bone.
On this page
CMS RVU26D · Effective 2026-10-01
28300 Heel osteotomy Medicare reimbursement rates in Virginia
Reports a surgical cut and realignment of the calcaneus, commonly used to correct hindfoot alignment in conditions such as cavovarus or flexible flatfoot. Compare 28300 office and facility rates across CMS payment localities in Virginia.
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 28300 in Virginia?
Virginia 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
$591.34–$677.24
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 28300: Calcaneal osteotomy for heel realignment
Reports a surgical cut and realignment of the calcaneus, commonly used to correct hindfoot alignment in conditions such as cavovarus or flexible flatfoot.
A calcaneal osteotomy cuts and repositions part of the heel bone to change hindfoot alignment. Orthopedic foot-and-ankle surgeons and podiatric surgeons may perform it for deformities such as a varus heel in cavovarus or a valgus heel in flexible flatfoot. The approach may shift or reshape the bone, with fixation used as needed to maintain the correction. The operative report should establish that the calcaneus itself was cut and describe the correction and side treated.
Report this code for the heel-bone osteotomy, not an osteotomy of the ankle or other tarsal bones. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures subject to the multiple-procedure rule, the highest-valued procedure is paid in full and the others at 50%. 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 payment is not permitted.
CMS billing rules for 28300
- 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 RVU9.49 · 52%
- Practice expense (office) RVU7.20 · 39%
- Malpractice RVU1.61 · 9%
3.7K
Medicare services in 2024 · #2042 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.
28300 compared with similar codes
Office rates for Virginia, from the same CMS release.
$848.64–$985.79
Use 28300 when the heel bone is cut. Code 28304 is for osteotomy of other tarsal bones, excluding the calcaneus and talus.
No office rate
Code 28305 concerns osteotomy of tarsal bones other than the calcaneus or talus with a graft; it is not the calcaneal osteotomy code.
Compare 28300 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$677.24
Virginia →
Office / nonfacility
Unavailable
Facility
$591.34
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28300 billing questions
How is this code distinguished from an osteotomy of another foot bone?
Use it when the bone cut and realignment involve the calcaneus. An osteotomy of the ankle bone or other tarsal bones is represented by a different code.
What documentation supports reporting this code?
The operative report should identify the calcaneus and side, the deformity being addressed, and the bone cut and realignment performed.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period.
How is bilateral surgery paid?
When the procedure is reported bilaterally with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment 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.
3,17628297,,Cor hlx vlgs jt arthrd,A,,9.06,20.68,,6.64,,1.12,30.86,16.82,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17728298,,Cor hlx vlgs prx phlx osteot,A,,7.56,17.21,,5.92,,0.99,25.76,14.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17828299,,Cor hlx vlgs double osteot,A,,9.06,20.84,,6.68,,1.13,31.03,16.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17928300,,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