$516.61–$574.97
Choose 28344 for reconstruction involving polydactyly; choose 28345 when the procedure repairs syndactyly, or webbing, between toes.
On this page
CMS RVU26D · Effective 2026-10-01
28344 Toe reconstruction Medicare reimbursement rates in Washington
Corrective surgery for polydactyly reshapes the foot or remaining toes after treatment of an extra toe, typically by an orthopedic or podiatric surgeon. Compare 28344 office and facility rates across CMS payment localities in Washington.
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 28344 in Washington?
Washington 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
$422.56–$472.84
2 of 2 localities have a supported rate.
Facility setting
$268.51–$293.34
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 28344: Polydactyly toe reconstruction
Corrective surgery for polydactyly reshapes the foot or remaining toes after treatment of an extra toe, typically by an orthopedic or podiatric surgeon.
CPT 28344 covers operative reconstruction for polydactyly, the presence of an extra toe. The surgeon addresses the duplicated digit and reconstructs the affected toe or foot as needed to achieve a functional and balanced result. Orthopedic foot and ankle surgeons, pediatric orthopedic surgeons, and podiatric surgeons may perform this procedure, often in an operating room for a congenital foot or toe anomaly. The work is more than treating an acquired toe deformity: the operative indication is the extra digit and the reconstruction associated with it.
Report the code when the operative record supports reconstruction for polydactyly. Documentation should identify the affected foot, describe the extra digit and its relationship to the adjacent toes, and explain the reconstructive work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28344
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.29 · 35%
- Practice expense (office) RVU7.62 · 62%
- Malpractice RVU0.37 · 3%
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.
28344 compared with similar codes
Office rates for Washington, from the same CMS release.
Compare 28344 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
Rest Of Washington →
Office / nonfacility
$422.56
Facility
$268.51
Seattle (King Cnty) →
Office / nonfacility
$472.84
Facility
$293.34
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28344 billing questions
How is 28344 different from repair of webbed toes?
28344 is for reconstruction addressing an extra toe. CPT 28345 is used when the operative problem is webbing between toes.
What documentation supports 28344?
Document the side, the duplicated digit's anatomy and connection to adjacent toes, and the reconstruction performed for polydactyly.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral 28344 reported?
Use modifier 50 for a bilateral procedure; CMS payment is 150% under the stated bilateral rule.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is restricted. Co-surgeon payment requires supporting documentation, and 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.
3,19228322,,Repair of metatarsals,A,,8.32,14.74,,6.55,,1.31,24.37,16.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19328340,,Resect enlarged toe tissue,A,,6.97,9.12,,3.84,,0.59,16.68,11.40,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19428341,,Resect enlarged toe,A,,8.50,10.18,,4.27,,0.72,19.40,13.49,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19528344,,Repair extra toe(s),A,,4.29,7.62,,3.24,,0.37,12.28,7.90,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19628345,,Repair webbed toe(s),A,,5.94,8.62,,3.71,,0.49,15.05,10.14,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19728360,,Reconstruct cleft foot,A,,14.55,13.05,NA,13.05,,3.09,30.69,30.69,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19828400,,Cltx calcaneal fx w/o mnpj,A,,2.25,5.50,,4.39,,0.37,8.12,7.01,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00