Surgical excision of plantar fascia involving removal of both involved and uninvolved fascial tissue from the foot to relieve pain and tension.

Verified May 8, 2026 · 7 sources ↓

Medicare: $587.19
Total RVUs: 17.58
Global, days: 90
Region: Foot & ankle

Drawn from CMSAAPCAssociationdatabaseCgsmedicare

Documentation requirements

What must appear in the operative or office note to support the claim.

Source · Editorial brief grounded in 7 cited references ↓

Specify that both involved and uninvolved plantar fascia were excised — partial resection alone maps to 28060, not 28062.
Document the surgical approach by name (e.g., medial longitudinal heel incision) and the specific fascial segment(s) removed with measurements where possible.
Record tourniquet placement, duration, and release to support the operative record.
Confirm conservative treatment failure prior to surgery: document duration, modalities used (orthotics, physical therapy, corticosteroid injections), and response.
Note laterality explicitly (left or right foot) in both the pre-op diagnosis and operative note to support LT/RT modifier use.
If concomitant procedures were performed on separate anatomic sites, document each site distinctly to support any modifier 59/XS appended.

Applicable modifiers

Modifiers commonly billed with this code.

Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual

22 Increased complexity 24 Unrelated E/M during global 25 Significant separate E/M 50 Bilateral procedure 51 Multiple procedures 58 Staged or related 59 Distinct service 78 Unplanned return — related 79 Unrelated during global LT Left side RT Right side XS Separate structure

What this code covers

Source · Editorial summary grounded in 7 cited references ↓

28062 describes a fasciectomy of the plantar fascia in which the surgeon removes both the diseased and surrounding uninvolved fascia — a more extensive resection than the partial fasciectomy reported with 28060. The operative approach typically involves a longitudinal incision at the heel, blunt dissection through the fat pad, identification of the medial plantar fascia under direct vision, and excision of a segment (commonly the medial third). A tourniquet is applied at the ankle for hemostasis. Closure is with nonabsorbable suture; patients are typically placed in a removable walking boot post-operatively.

The 90-day global period covers the day-before visit, the procedure, and all routine post-op care through day 90. Bill unrelated services in that window with modifier 79; use modifier 78 if the patient returns to the OR for a complication directly related to this fasciectomy.

NCCI Policy is explicit: codes 28008, 28060, 28062, 28250, and 29893 all describe plantar fascia procedures, and no two of these may be reported for the ipsilateral foot at the same encounter. There is no modifier exception to bypass this edit for the same foot. If the patient requires a separate, distinct procedure at a different anatomic site on the same day, document that site clearly and append the appropriate modifier.

RVU & reimbursement

Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.

Source · CMS Physician Fee Schedule, RVU26A · January 2026

Work RVU	6.52
Practice expense RVU	10.4
Malpractice RVU	0.66
Total RVU	17.58
Medicare national rate	$587.19
Global period	90 days

Payment by site of service

Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.

Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026

Setting	Medicare rate (national)
Office (PFS non-facility) Procedure performed in physician's office	$587.19
HOPD (APC 5113) Hospital outpatient department	$3,342.87
ASC (PI A2) Ambulatory surgical center (freestanding)	$1,644.87

Common denial reasons

The recurring reasons claims for CPT 28062 get rejected.

Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓

Bundling denial when 28062 is billed with 28060, 28008, 28250, or 29893 for the ipsilateral foot at the same encounter — NCCI prohibits any two codes from this group on the same foot, same day.
Insufficient documentation of conservative treatment failure, leading to medical necessity denial for the fasciectomy.
Laterality modifier missing or mismatched: payers expecting LT or RT when bilateral procedures are performed on separate dates.
Upcoding flags when operative note describes only a partial fascial release but 28062 (complete/radical excision) is billed — the note must support removal of both involved and uninvolved tissue.
Global period violations: post-op E&M visits billed without modifier 24, or related procedures returned to OR without modifier 78.

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 7 cited references ↓

01What is the difference between 28060 and 28062?

28060 is a partial plantar fasciectomy — only the diseased portion is removed. 28062 involves excision of both the involved and uninvolved fascia, making it the more extensive procedure. The operative note must explicitly support removal of surrounding uninvolved tissue to justify 28062 over 28060.

02Can I bill 28062 and 28060 together on the same foot?

No. NCCI policy explicitly prohibits reporting any two codes from the group 28008, 28060, 28062, 28250, and 29893 for the ipsilateral foot at the same encounter. There is no modifier that overrides this edit for the same foot.

03Which modifiers are needed when 28062 is performed bilaterally?

Append LT and RT to distinguish each foot when billing bilaterally. If billed on the same claim line with modifier 50, confirm your payer accepts 50 for this code — some commercial payers prefer separate line items with LT and RT instead.

04Can 28062 be billed with 29893 (endoscopic plantar fasciotomy) on the same foot?

No. 29893 is in the same NCCI-restricted group as 28062 for the ipsilateral foot. Billing both on the same foot at the same encounter will result in denial of the lower-valued code with no modifier bypass available.

05What global period applies, and how do I bill a post-op visit for an unrelated problem?

28062 carries a 90-day global period. Post-op E&M visits for problems unrelated to the fasciectomy require modifier 24 to bypass the global edit. For a new, unrelated surgical procedure during the 90-day window, use modifier 79.

06Is modifier 22 ever appropriate for 28062?

Yes, when the procedure required substantially more work than typical — for example, extensive scarring from prior surgery, adhesions, or anatomic anomalies that significantly prolonged the dissection. Document the added complexity specifically in the operative note with estimated additional time and the reason for it.

Sources & references

Editorial content was developed using the following public sources. Last verified May 8, 2026.

Mira AI Scribe

Mira's AI scribe captures the extent of fascial excision (involved and uninvolved tissue), the specific segment removed with measurements, approach, tourniquet use, and laterality directly from the surgeon's dictation. This prevents the most common audit flag for 28062 — an operative note that describes a partial release but supports a complete fasciectomy code — and eliminates the laterality ambiguity that triggers LT/RT modifier denials.

See how Mira captures CPT 28062 documentation