28035 Decompression of tibia nerve
Also known as: tarsal tunnel release, posterior tibial nerve decompression, tarsal tunnel syndrome surgery
Decompression or release of the tarsal tunnel or tibial nerve in the foot region. This procedure relieves compression of the posterior tibial nerve (tarsal tunnel syndrome) through fascial release.
In Plain Language
freeing a compressed nerve in the ankle; nerve pressure relief in the foot
Clinical Context
Indicated for tarsal tunnel syndrome with pain, tingling, and paresthesias in the medial foot and plantar surface. Performed when conservative management fails to provide relief.
RVU Breakdown
| Work RVU | 5.10 |
| Total RVU | 5.10 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.10, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28035?
CPT 28035 (Decompression of tibia nerve) is a Surgery code. Decompression or release of the tarsal tunnel or tibial nerve in the foot region. This procedure relieves compression of the posterior tibial nerve (tarsal tunnel syndrome) through fascial release.
What is the wRVU value for CPT 28035?
The work RVU for CPT 28035 is 5.10. This code is primarily used by orthopedic surgery, foot and ankle surgery, neurosurgery. It has a 90-day global period.
When is CPT 28035 used?
Indicated for tarsal tunnel syndrome with pain, tingling, and paresthesias in the medial foot and plantar surface. Performed when conservative management fails to provide relief.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.