$408.62
Use 28230 for open division of one extensor tendon; 28234 describes the multiple-tendon extensor procedure.
On this page
CMS RVU26D · Effective 2026-10-01
28230 Tendon incision Medicare reimbursement rates in Wyoming
Report this procedure for open division of one extensor tendon in the foot or toe to address a tendon-related deformity or contracture. Compare 28230 office and facility rates across CMS payment localities in Wyoming.
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 28230 in Wyoming?
Wyoming 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
$426.80
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$266.15
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Foot surgery
About 28230: Open extensor tendon incision, single tendon
Report this procedure for open division of one extensor tendon in the foot or toe to address a tendon-related deformity or contracture.
This procedure is an open tenotomy: the surgeon exposes and intentionally divides one extensor tendon in the foot or toe. A podiatric or orthopedic surgeon may perform it to address a deformity or contracture when the extensor tendon is contributing to the problem. The operative report should identify the tendon, its location, the side, and the reason for division; a procedure involving multiple extensor tendons is distinguished from a single-tendon service.
Report the service for the open division itself, not for freeing a tendon from adhesions or repairing a torn tendon. Documentation should support the tendon treated and the open approach. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. For bilateral surgery reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 28230
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.25 · 33%
- Practice expense (office) RVU8.21 · 64%
- Malpractice RVU0.43 · 3%
1.8K
Medicare services in 2024 · #2546 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.
28230 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$371.14
Choose by tendon function: 28230 is for an extensor tendon, while 28232 is for a flexor tendon.
$538.05
28230 intentionally divides an extensor tendon. 28222 releases a single extensor tendon from adhesions without the same division procedure.
$499.49
28230 divides a tendon intentionally; 28200 is a tendon repair service. Use the procedure actually performed, not merely the presence of a tendon problem.
Compare 28230 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
Wyoming** →
Office / nonfacility
$426.80
Facility
$266.15
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 28230 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,155
- Code
- 28230
- Physician work
- 4.25
- Practice expense
- 8.21
- Malpractice
- 0.43
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.25 | × 1.000 | 4.2500 |
| Practice expense | 8.21 | × 1.000 | 8.2100 |
| Malpractice | 0.43 | × 0.740 | 0.3182 |
| Total RVUs | 12.7782 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$426.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.25 | 1 |
| Practice expense | 8.21 | 1 |
| Malpractice | 0.43 | 0.74 |
(4.25 × 1 + 8.21 × 1 + 0.43 × 0.74) × $33.4009 = $426.80
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.25 | 1 |
| Practice expense | 3.4 | 1 |
| Malpractice | 0.43 | 0.74 |
(4.25 × 1 + 3.4 × 1 + 0.43 × 0.74) × $33.4009 = $266.15
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.
28230 billing questions
When should I report this instead of 28234?
Report 28230 for open division of one extensor tendon. Code 28234 is the corresponding service when multiple extensor tendons are divided.
How does this differ from 28232?
28230 describes division of an extensor tendon; 28232 is for an open tenotomy of a flexor tendon. The operative note should establish which tendon was treated.
Is tendon release from adhesions reported with this code?
No. Tenotomy divides the tendon; tenolysis frees a tendon from adhesions. For a single extensor tendon, compare the documented service with 28222.
What documentation supports reporting one tendon?
Document the specific extensor tendon, foot or toe location, side, open approach, and clinical reason for division. The record should distinguish one tendon from multiple tendons.
How is bilateral surgery reported under the CMS rules?
For the bilateral procedure, report modifier 50; CMS payment is 150%.
Can an assistant or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are 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.
3,15228222,,Release of foot tendons,A,,5.62,10.03,,4.21,,0.62,16.27,10.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15328225,,Release of foot tendon,A,,3.69,8.21,,3.44,,0.39,12.29,7.52,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15428226,,Release of foot tendons,A,,4.55,14.39,,6.17,,0.98,19.92,11.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15528230,,Incision of foot tendon(s),A,,4.25,8.21,,3.40,,0.43,12.89,8.08,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15628232,,Incision of toe tendon,A,,3.42,7.44,,3.16,,0.34,11.20,6.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15728234,,Incision of foot tendon,A,,3.45,8.51,,3.99,,0.37,12.33,7.81,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,15828238,,Revision of foot tendon,A,,7.76,11.81,,5.04,,0.95,20.52,13.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,