CPT code 28041: Tumor excision, deep, 1.5 cm or larger2026 Medicare rate & RVUs

Medicare pays $421.19 for 28041 nationally in a facility.

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

What 28041 covers

A surgeon, commonly an orthopedic surgeon or podiatrist, uses this code to remove a tumor in the foot or toe that lies deep to the fascia and measures 1.5 cm or more. The procedure may be performed in an operating room or another setting appropriate for the surgical approach. The operative report should identify the foot or toe site, describe the tumor’s depth and measured size, and explain the extent of removal.

Choose this code when both the deep location and size threshold are supported; a superficial lesion or a smaller deep lesion falls under a different code in the family. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. For bilateral surgery, modifier 50 results in payment at 150%. Assistant-at-surgery payment requires documented medical necessity; 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.

Where 28041 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28041 rates by state

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

How the 28041 rate is calculated

Each of 28041’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.

Payment rules and modifiers for 28041

28041 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

28041 compared with similar codes

How to choose

28039Tumor excisionSubcutaneous, 1.5 cm or larger

Both codes use the 1.5 cm threshold, but 28039 applies to a subcutaneous tumor. This code requires a tumor beneath the fascia.

28045Foot mass excisionDeep, under 1.5 cm

Both codes describe deep foot or toe tumor excision; choose 28045 when the tumor is smaller than 1.5 cm.

28046Tumor resectionSoft tissue under 3 cm

Code 28046 describes resection of a foot or toe tumor under a different resection category. Use this code for the deep excision defined by the 1.5 cm threshold, not based on size alone.

Codes related to 28041

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates