$519.76
Use 28060 for partial excision of the plantar fascia. This code represents revision of foot fascia, not a specified partial fasciectomy.
On this page
CMS RVU26D · Effective 2026-10-01
28250 Foot fascia surgery Medicare reimbursement rates in Wyoming
Reports surgical revision of foot fascia, typically the plantar fascia, when operative treatment is needed for an abnormal or restrictive fascial band. Compare 28250 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 28250 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
$592.00
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$379.57
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 28250: Foot fascia revision
Reports surgical revision of foot fascia, typically the plantar fascia, when operative treatment is needed for an abnormal or restrictive fascial band.
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.
CMS billing rules for 28250
- 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 RVU5.91 · 33%
- Practice expense (office) RVU11.20 · 62%
- Malpractice RVU0.83 · 5%
335
Medicare services in 2024 · #3903 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.
28250 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$581.46
Use 28062 when the documented service is radical plantar fasciectomy. Do not select it solely because a fascial revision is extensive.
$677.14
28238 concerns revision of a foot tendon. Choose this code when the operative work is on fascia instead of tendon.
$484.31
28270 describes release of a foot contracture. This code is for revision of fascia, not release of a contracture as such.
Compare 28250 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
$592.00
Facility
$379.57
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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 28250 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,160
- Code
- 28250
- Physician work
- 5.91
- Practice expense
- 11.20
- Malpractice
- 0.83
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.91 | × 1.000 | 5.9100 |
| Practice expense | 11.20 | × 1.000 | 11.2000 |
| Malpractice | 0.83 | × 0.740 | 0.6142 |
| Total RVUs | 17.7242 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$592.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.91 | 1 |
| Practice expense | 11.2 | 1 |
| Malpractice | 0.83 | 0.74 |
(5.91 × 1 + 11.2 × 1 + 0.83 × 0.74) × $33.4009 = $592.00
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.91 | 1 |
| Practice expense | 4.84 | 1 |
| Malpractice | 0.83 | 0.74 |
(5.91 × 1 + 4.84 × 1 + 0.83 × 0.74) × $33.4009 = $379.57
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.
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 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.
3,15728234,,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
3,15928240,,Release of big toe,A,,4.37,8.37,,3.48,,0.44,13.18,8.29,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16028250,,Revision of foot fascia,A,,5.91,11.20,,4.84,,0.83,17.94,11.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16128260,,Release of midfoot joint,A,,7.99,13.47,,6.01,,1.24,22.70,15.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16228261,,Revision of foot tendon,A,,12.78,18.67,,8.56,,2.19,33.64,23.53,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16328262,,Revision of foot and ankle,A,,16.78,24.34,,10.97,,3.20,44.32,30.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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.,,,,,,