{
    "code": "28292",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/28292/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/28292/2016/D",
    "description": "Surgical correction of a bunion — the bony bump and inward drift of the big toe known as hallux valgus — in which the surgeon also removes the base of the first bone of the big toe to realign the joint and relieve pressure. The sesamoid bones beneath the joint may be removed in the same session when they contribute to the deformity. It is one of several distinct bunion repairs, separated in the fee schedule by exactly which bone work is performed.",
    "answer": {
        "question": "How much did Medicare pay for CPT 28292 in Q4 2016?",
        "text": "Medicare paid $814.55 for CPT 28292 in the office (non-facility) setting and $619.06 in a facility under the Q4 2016 Physician Fee Schedule, effective October 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "D",
        "label": "Q4 2016",
        "effective": "October 1 – December 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 814.55,
        "facility": 619.06,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 9.05,
        "practice_expense_non_facility": 12.89,
        "practice_expense_facility": 7.43,
        "malpractice": 0.81
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q4 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/D",
        "file": "PPRRVU16_V0804.csv",
        "row": 6835,
        "sha256": "376b12d2df1b1c1abaed1e123e9501352bf559c75a0a4f87f52878742af491c9"
    },
    "modified_at": "2026-08-04T03:07:13+00:00"
}