CPT code 28039: Tumor excision, subcutaneous, 1.5 cm or larger2026 Medicare rate & RVUs in Alabama

Removal of a subcutaneous soft-tissue mass of the foot or toe measuring at least 1.5 cm, selected by its tissue plane and size.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Alabama, Medicare pays $433.01 for 28039 in the office and $291.85 when it’s performed in a hospital or facility.

$433.01Office (non-facility)
$291.85Hospital or facility
−9.2%vs the national office rate ($476.63)

Check a contract rate as a % of Medicare · 28039 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 28039 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 28039 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 28039 covers

This code describes surgical removal of a soft-tissue mass beneath the skin of a foot or toe when the mass measures 1.5 cm or more. A podiatrist or orthopedic foot surgeon may remove a palpable mass, such as a subcutaneous lipoma, in an operating room or another appropriate surgical setting. The defining features are the subcutaneous location and the size of the lesion, not the length of the incision.

Choose this code when the operative findings place the mass in subcutaneous tissue and document its size at or above the threshold. The report should identify the foot or toe, describe the tissue plane and mass, and record its dimensions. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one 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 made; co-surgeons and team surgery are not permitted.

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.

How Alabama compares for 28039

Across 109 of 109 payment localities, the office rate for 28039 runs from $427.51 in Arkansas to $610.90 in San Benito County, CA. Alabama pays $433.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

28039 in Alabama vs other payment areas
  1. Alabama · this page$433.01
  2. Los Angeles, CA · California$528.58+$95.57
  3. Washington, DC area · District of Columbia$538.32+$105.31
  4. Miami, FL · Florida$518.27+$85.26
  5. Chicago, IL · Illinois$504.79+$71.78
  6. Manhattan, NY · New York$544.92+$111.91
  7. Alaska · Alaska$574.20+$141.19

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

28039 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$427.51$288.93
ArizonaArizona$465.10$308.77
Bakersfield, CACalifornia$499.21$322.40
Chico, CACalifornia$497.42$320.61
El Centro, CACalifornia$497.52$320.70
Fresno, CACalifornia$497.42$320.61
Hanford, CACalifornia$497.42$320.61
Madera, CACalifornia$497.42$320.61

28039 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$427.51

$574.20

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28039 office rate range by state
State / territoryOffice rate rangeLocalities
AK$574.201
AL$433.011
AR$427.511
AZ$465.101
CA$497.42–$610.9029
CO$492.391
CT$505.901
DC$538.321
DE$472.161
FL$474.20–$518.273
GA$450.11–$485.612
GU$506.771
HI$506.771
IA$440.901
ID$443.801
IL$463.32–$504.794
IN$446.021
KS$439.921
KY$443.811
LA$443.54–$462.762
MA$490.32–$536.122
MD$480.15–$538.323
ME$446.74–$466.832
MI$454.76–$480.332
MN$470.891
MO$437.40–$463.203
MS$432.491
MT$476.591
NC$450.721
ND$464.931
NE$442.771
NH$485.671
NJ$511.41–$533.972
NM$457.301
NV$473.621
NY$456.75–$557.835
OH$452.381
OK$442.221
OR$469.66–$505.552
PA$452.54–$495.112
PR$479.421
RI$487.111
SC$452.351
SD$463.551
TN$441.981
TX$449.98–$491.018
UT$457.791
VA$466.07–$538.322
VI$479.421
VT$464.091
WA$489.08–$545.532
WI$451.211
WV$448.371
WY$471.511

See 28039 in every payment locality

How the 28039 rate is calculated

Each of 28039’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 28039

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.28

5.28 RVUs× 1.000 GPCI

Practice expense8.40

8.40 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

14.2700

Conversion factor

$33.4009

Medicare rate

$476.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,098

Code
28039
Physician work
5.28
Practice expense
8.40
Malpractice
0.59

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 28039 in Alabama
ComponentRVULocality factorAdjusted
Physician work5.28× 1.0005.2800
Practice expense8.40× 0.8757.3500
Malpractice0.59× 0.5660.3339
Total RVUs12.9639
Conversion factor× 33.4009

Office rate, Alabama$433.01

Office: (5.28 × 1 + 8.4 × 0.875 + 0.59 × 0.566) × $33.4009 = $433.01

Facility: (5.28 × 1 + 3.57 × 0.875 + 0.59 × 0.566) × $33.4009 = $291.85

Open 28039 in the RVU calculator

Payment rules and modifiers for 28039

28039 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28039

Tumor excision, subcutaneous, 1.5 cm or larger

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28039

Tumor excision, subcutaneous, 1.5 cm or larger

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28039 without 50 · national office

$476.63

Tumor excision, subcutaneous, 1.5 cm or larger

28039-50 · Bilateral: 150%

$714.95

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 28039 has changed in Alabama

28039 · Office / nonfacility

$433.01

Effective 2026-10-01

The base rate is $18.47 higher than on 2025-10-01, moving from $414.54 to $433.01 (4.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $414.54changed to$433.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.42 changed to 5.28
    • Practice expense RVU 8.12 changed to 8.40
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $432.19changed to$414.54

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.30 changed to 8.12
    • Malpractice RVU 0.61 changed to 0.59

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $425.13changed to$432.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $446.80changed to$425.13

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.29 changed to 8.30
    • Malpractice RVU 0.65 changed to 0.61
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $468.72changed to$446.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.34 changed to 8.29
    • Malpractice RVU 0.78 changed to 0.65
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $478.44changed to$468.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.57 changed to 8.34
    • Malpractice RVU 0.74 changed to 0.78

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $476.30changed to$478.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.24 changed to 8.57
    • Malpractice RVU 0.64 changed to 0.74
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $474.44changed to$476.30

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.37 changed to 8.24
    • Malpractice RVU 0.60 changed to 0.64
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $480.32changed to$474.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.57 changed to 8.37

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$480.32

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$433.01$291.85RVU26D
2026-07-01$433.01$291.85RVU26C
2026-04-01$433.01$291.85RVU26B
2026-01-01$433.01$291.85RVU26A
2025-10-01$414.54$304.91RVU25D
2025-07-01$414.54$304.91RVU25C
2025-04-01$414.54$304.91RVU25B
2025-01-01$414.54$304.91RVU25A
2024-10-01$432.19$313.59RVU24D
2024-07-01$432.19$313.59RVU24C
2024-04-01$432.19$313.59RVU24B
2024-03-09$432.19$313.59RVU24AR
2024-01-01$425.13$308.47RVU24A
2023-10-01$446.80$322.73RVU23D
2023-07-01$446.80$322.73RVU23C
2023-04-01$446.80$322.73RVU23B
2023-01-01$446.80$322.73RVU23A
2022-10-01$468.72$336.58RVU22D
2022-07-01$468.72$336.58RVU22C
2022-04-01$468.72$336.58RVU22B
2022-01-01$468.72$336.58RVU22A
2021-10-01$478.44$336.84RVU21D
2021-07-01$478.44$336.84RVU21C
2021-04-01$478.44$336.84RVU21B
2021-01-01$478.44$336.84RVU21A
2020-10-01$476.30$336.42RVU20D
2020-07-01$476.30$336.42RVU20C
2020-04-01$476.30$336.42RVU20B
2020-01-01$476.30$336.42RVU20A
2019-10-01$474.44$331.70RVU19D
2019-07-01$474.44$331.70RVU19C
2019-04-01$474.44$331.70RVU19B
2019-01-01$474.44$331.70RVU19A
2018-10-01$480.32$332.94RVU18D
2018-07-01$480.32$332.94RVU18C
2018-04-01$480.32$332.94RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28039 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

28039 billing questions

How does this differ from code 28043?

Both describe subcutaneous soft-tissue tumor excision on the foot or toe. Use 28039 for a mass at least 1.5 cm; 28043 is for one smaller than 1.5 cm.

When is 28041 more appropriate?

Use 28041 when the foot or toe mass is subfascial, such as intramuscular, and measures at least 1.5 cm. This code is for a subcutaneous mass.

What documentation supports reporting this code?

Document the foot or toe site, the subcutaneous tissue plane, and the mass dimensions showing it meets the 1.5 cm threshold. The operative report should support that the mass was removed.

Is routine closure separately reported?

Routine exposure, removal, hemostasis, and closure are part of the excision. A separate diagnostic biopsy of the same mass is not reported when that mass is removed in the same session.

How does Medicare handle bilateral excision and multiple procedures?

Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

What is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 28039PPRRVU2026_Oct_nonQPP.csv, line 3,098 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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