No office rate
Choose 28735 when the multiple or transverse midfoot fusion includes an osteotomy; choose 28730 when it does not.
On this page
CMS RVU26D · Effective 2026-10-01
28735 Midfoot fusion Medicare reimbursement rates in Wyoming
Reports fusion across multiple midtarsal or tarsometatarsal joints when an osteotomy is also performed to correct midfoot alignment or deformity. Compare 28735 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 28735 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
No supported rate
Facility setting
$712.67
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 28735: Multiple midfoot fusion with osteotomy
Reports fusion across multiple midtarsal or tarsometatarsal joints when an osteotomy is also performed to correct midfoot alignment or deformity.
This code covers fusion of multiple joints in the midfoot, or a transverse fusion across the midfoot, when the operation also includes an osteotomy. Foot and ankle orthopedic surgeons and podiatric surgeons may perform it for conditions such as painful midfoot arthritis or deformity requiring both joint fusion and bony realignment. The operative report should identify the joints fused and describe the osteotomy and its role in the correction.
Select this code when the fusion involves multiple or transverse midtarsal or tarsometatarsal joints and an osteotomy is performed; a single-joint fusion or a multiple-joint fusion without osteotomy points to a different code. The osteotomy is part of the service represented here. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, 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 available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28735
- 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 RVU11.92 · 55%
- Practice expense (office) RVU8.07 · 37%
- Malpractice RVU1.82 · 8%
977
Medicare services in 2024 · #2986 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.
28735 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$837.18
28740 describes a single midtarsal or tarsometatarsal joint fusion. This code is for multiple joints or a transverse fusion with an osteotomy.
No office rate
28715 is a triple arthrodesis of hindfoot joints. This code concerns multiple or transverse fusion in the midfoot with an osteotomy.
Compare 28735 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
Unavailable
Facility
$712.67
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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 28735 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,249
- Code
- 28735
- Physician work
- 11.92
- Practice expense
- 8.07
- Malpractice
- 1.82
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.92 | × 1.000 | 11.9200 |
| Practice expense | 8.07 | × 1.000 | 8.0700 |
| Malpractice | 1.82 | × 0.740 | 1.3468 |
| Total RVUs | 21.3368 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$712.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.92 | 1 |
| Practice expense | 8.07 | 1 |
| Malpractice | 1.82 | 0.74 |
(11.92 × 1 + 8.07 × 1 + 1.82 × 0.74) × $33.4009 = $712.67
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.
28735 billing questions
How does this differ from 28730?
Both address multiple or transverse midfoot fusion. This code includes an osteotomy; 28730 is the corresponding fusion without an osteotomy.
Can the osteotomy be billed separately?
The osteotomy is included in this code’s service when performed as part of the midfoot fusion and correction.
When is 28740 a better choice?
Use 28740 for a fusion of a single midtarsal or tarsometatarsal joint, rather than multiple joints or a transverse fusion.
What documentation supports selecting this code?
Document the specific midtarsal or tarsometatarsal joints fused and the osteotomy performed, including its role in correcting alignment or deformity.
What payment rules affect the claim?
Medicare applies a 90-day global period and standard multiple-procedure reduction for procedures in the same session. Modifier 50 applies to bilateral procedures under the stated bilateral payment rule.
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.
3,24628715,,Arthrodesis triple,A,,13.08,11.02,NA,11.02,,2.36,26.46,26.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24728725,,Arthrodesis subtalar,A,,10.94,9.04,NA,9.04,,1.85,21.83,21.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24828730,,Fusion of foot bones,A,,10.43,8.26,NA,8.26,,1.62,20.31,20.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,24928735,,Fusion of foot bones,A,,11.92,8.07,NA,8.07,,1.82,21.81,21.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25028737,,Revision of foot bones,A,,10.75,6.83,NA,6.83,,1.34,18.92,18.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25128740,,Fusion of foot bones,A,,9.06,15.05,,6.94,,1.29,25.40,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,25228750,,Fusion of big toe joint,A,,8.53,21.44,,6.36,,1.17,31.14,16.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,