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

Reports removal of a foot or toe tumor located beneath the fascia when the tumor measures at least 1.5 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Connecticut, Medicare pays $444.07 for 28041 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$444.07Hospital or facility

Check a contract rate as a % of Medicare · 28041 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 28041 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 28041 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 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.

How Connecticut compares for 28041

Across 109 of 109 payment localities, the facility rate for 28041 runs from $384.99 in Arkansas to $535.29 in Alaska. Connecticut pays $444.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

28041 in Connecticut vs other payment areas
  1. Connecticut · this page$444.07
  2. Los Angeles, CA · California$450.91+$6.84
  3. Washington, DC area · District of Columbia$465.57+$21.50
  4. Miami, FL · Florida$470.19+$26.12
  5. Chicago, IL · Illinois$459.52+$15.45
  6. Manhattan, NY · New York$478.42+$34.35
  7. Alaska · Alaska$535.29+$91.22

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

Every other payment area

28041 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$388.99
ArkansasArkansas—$384.99
ArizonaArizona—$412.19
Bakersfield, CACalifornia—$430.24
Chico, CACalifornia—$427.76
El Centro, CACalifornia—$427.89
Fresno, CACalifornia—$427.76
Hanford, CACalifornia—$427.76

28041 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
28041 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 28041 in every payment locality

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.

How the rate is built · 28041

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.95

6.95 RVUs× 1.000 GPCI

Practice expense4.83

4.83 RVUs× 1.000 GPCI

Malpractice0.83

0.83 RVUs× 1.000 GPCI

Adjusted RVUs

12.6100

Conversion factor

$33.4009

Medicare rate

$421.19

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,099

Code
28041
Physician work
6.95
Practice expense
4.83
Malpractice
0.83

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 28041 in Connecticut
ComponentRVULocality factorAdjusted
Physician work6.95× 1.0207.0890
Practice expense4.83× 1.0775.2019
Malpractice0.83× 1.2101.0043
Total RVUs13.2952
Conversion factor× 33.4009

Facility rate, Connecticut$444.07

Facility: (6.95 × 1.02 + 4.83 × 1.077 + 0.83 × 1.21) × $33.4009 = $444.07

Open 28041 in the RVU calculator

Payment rules and modifiers for 28041

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

CMS payment indicators · 28041

Tumor excision, deep, 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)0Not paid without supporting documentation.
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 · 28041

Tumor excision, deep, 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

28041 without 50 · national facility

$421.19

Tumor excision, deep, 1.5 cm or larger

28041-50 · Bilateral: 150%

$631.79

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 28041 has changed in Connecticut

28041 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$444.07RVU26D
2026-07-01Not available in this setting$444.07RVU26C
2026-04-01Not available in this setting$444.07RVU26B
2026-01-01Not available in this setting$444.07RVU26A
2025-10-01Not available in this setting$470.64RVU25D
2025-07-01Not available in this setting$470.64RVU25C
2025-04-01Not available in this setting$470.64RVU25B
2025-01-01Not available in this setting$470.64RVU25A
2024-10-01Not available in this setting$481.90RVU24D
2024-07-01Not available in this setting$481.90RVU24C
2024-04-01Not available in this setting$481.90RVU24B
2024-03-09Not available in this setting$481.90RVU24AR
2024-01-01Not available in this setting$474.04RVU24A
2023-10-01Not available in this setting$483.61RVU23D
2023-07-01Not available in this setting$483.61RVU23C
2023-04-01Not available in this setting$483.61RVU23B
2023-01-01Not available in this setting$483.61RVU23A
2022-10-01Not available in this setting$486.51RVU22D
2022-07-01Not available in this setting$486.51RVU22C
2022-04-01Not available in this setting$486.51RVU22B
2022-01-01Not available in this setting$486.51RVU22A
2021-10-01Not available in this setting$487.30RVU21D
2021-07-01Not available in this setting$487.30RVU21C
2021-04-01Not available in this setting$487.30RVU21B
2021-01-01Not available in this setting$487.30RVU21A
2020-10-01Not available in this setting$502.82RVU20D
2020-07-01Not available in this setting$502.82RVU20C
2020-04-01Not available in this setting$502.82RVU20B
2020-01-01Not available in this setting$502.82RVU20A
2019-10-01Not available in this setting$504.82RVU19D
2019-07-01Not available in this setting$504.82RVU19C
2019-04-01Not available in this setting$504.82RVU19B
2019-01-01Not available in this setting$504.82RVU19A
2018-10-01Not available in this setting$506.32RVU18D
2018-07-01Not available in this setting$506.32RVU18C
2018-04-01Not available in this setting$506.32RVU18B
2018-01-01Not available in this setting$506.32RVU18AR1
2017-10-01Not available in this setting$507.15RVU17D
2017-07-01Not available in this setting$507.15RVU17C
2017-04-01Not available in this setting$507.15RVU17B
2017-01-01Not available in this setting$507.15RVU17A
2016-10-01Not available in this setting$511.99RVU16D
2016-07-01Not available in this setting$511.99RVU16C
2016-04-01Not available in this setting$511.99RVU16B
2016-01-01Not available in this setting$511.99RVU16A
2015-10-01Not available in this setting$509.81RVU15D
2015-07-01Not available in this setting$509.81RVU15C
2015-04-01Not available in this setting$507.27RVU15B
2015-01-01Not available in this setting$507.27RVU15A
2014-10-01Not available in this setting$506.77RVU14D
2014-07-01Not available in this setting$506.77RVU14C
2014-04-01Not available in this setting$506.77RVU14B
2014-01-01Not available in this setting$506.77RVU14A
2013-10-01Not available in this setting$502.27RVU13D
2013-07-01Not available in this setting$502.27RVU13C
2013-04-01Not available in this setting$502.27RVU13B
2013-01-01Not available in this setting$502.27RVU13AR

Price 28041 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

28041 billing questions

How is this different from 28039?

This code is for a tumor beneath the fascia measuring at least 1.5 cm. Code 28039 is for a tumor at the subcutaneous level measuring at least 1.5 cm.

When should 28045 be reported instead?

Use 28045 for a deep foot or toe tumor smaller than 1.5 cm. The operative documentation should support both the depth and the size used for code selection.

What documentation supports this code?

Document the specific foot or toe site, the tumor’s relationship to the fascia, its measured size, and the removal performed. The record should make clear that the lesion is deep and at least 1.5 cm.

Does the 90-day global include related follow-up?

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

How does Medicare handle bilateral reporting and assistants?

Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

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 28041PPRRVU2026_Oct_nonQPP.csv, line 3,099 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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