0101T
No office rateEsw muscskel sys nos
Choose 28890 for high-energy treatment of the plantar fascia under anesthesia. 0101T is for lower-energy musculoskeletal shock wave treatment without anesthesia.
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CMS RVU26D · Effective 2026-10-01
28890 Shock wave therapy Medicare reimbursement rates in Wisconsin
Reports high-energy extracorporeal shock wave treatment of the plantar fascia under anesthesia, commonly for persistent plantar fasciopathy. Compare 28890 office and facility rates across CMS payment localities in Wisconsin.
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 28890 in Wisconsin?
Wisconsin 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
$289.60
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$195.53
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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.
Musculoskeletal procedure
About 28890: High-energy plantar fascia shock wave therapy
Reports high-energy extracorporeal shock wave treatment of the plantar fascia under anesthesia, commonly for persistent plantar fasciopathy.
This procedure delivers focused, high-energy acoustic pulses to the plantar fascia, typically to treat persistent plantar fasciopathy. A physician or other qualified health care professional performs the treatment, generally in an outpatient setting. The service is performed under anesthesia, and ultrasound guidance is included in the code. It is distinct from lower-energy shock wave treatment and from injection or surgical release of the fascia.
Report 28890 for high-energy treatment involving the plantar fascia, not for a different foot structure or a lower-energy protocol. Documentation should identify the treated side and plantar fascia, describe the high-energy treatment and anesthesia, and support the procedure performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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 multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28890
- 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 RVU3.36 · 37%
- Practice expense (office) RVU5.45 · 60%
- Malpractice RVU0.29 · 3%
454
Medicare services in 2024 · #3648 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.
28890 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$56.99
20550 reports an injection involving the plantar fascia; 28890 reports high-energy extracorporeal shock wave treatment.
$401.40
28008 describes surgical release of the plantar fascia. It is not the shock wave treatment reported with 28890.
$497.16
28060 involves partial excision of plantar fascia tissue, whereas 28890 treats the fascia with high-energy shock waves.
Compare 28890 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
Wisconsin →
Office / nonfacility
$289.60
Facility
$195.53
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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 28890 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
3,260
- Code
- 28890
- Physician work
- 3.36
- Practice expense
- 5.45
- Malpractice
- 0.29
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.36 | × 1.000 | 3.3600 |
| Practice expense | 5.45 | × 0.958 | 5.2211 |
| Malpractice | 0.29 | × 0.308 | 0.0893 |
| Total RVUs | 8.6704 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$289.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.36 | 1 |
| Practice expense | 5.45 | 0.958 |
| Malpractice | 0.29 | 0.308 |
(3.36 × 1 + 5.45 × 0.958 + 0.29 × 0.308) × $33.4009 = $289.60
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.36 | 1 |
| Practice expense | 2.51 | 0.958 |
| Malpractice | 0.29 | 0.308 |
(3.36 × 1 + 2.51 × 0.958 + 0.29 × 0.308) × $33.4009 = $195.53
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.
28890 billing questions
How is 28890 different from 0101T?
28890 is for high-energy shock wave treatment of the plantar fascia under anesthesia. 0101T describes a lower-energy musculoskeletal shock wave service that does not require anesthesia.
Is ultrasound guidance separately reported?
No. Ultrasound guidance is included in 28890.
Can modifier 50 be used for treatment of both plantar fasciae?
CMS identifies this as a bilateral procedure. Bilateral reporting with modifier 50 is paid at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for 28890?
CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
When is 20550 a better fit?
Use 20550 for an injection involving the plantar fascia. It describes an injection service, not high-energy extracorporeal shock wave treatment.
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.
3,25728810,,Amputation toe & metatarsal,A,,6.47,4.45,NA,4.45,,0.96,11.88,11.88,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25828820,,Amputation of toe,A,,3.42,5.06,,1.00,,0.42,8.90,4.84,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25928825,,Partial amputation of toe,A,,3.32,4.97,,0.97,,0.39,8.68,4.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26028890,,Hi enrgy eswt plantar fascia,A,,3.36,5.45,,2.51,,0.29,9.10,6.16,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26128899,,Unlisted px foot/toes,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26229000,,Appl halo type body cast,A,,2.19,10.81,,3.19,,0.92,13.92,6.30,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26329010,,Appl risser jacket body only,A,,2.01,7.06,,2.15,,0.43,9.50,4.59,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,