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.
In Connecticut, Medicare pays $444.07 for 28041 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Connecticut · this page$444.07
- Los Angeles, CA · California$450.91+$6.84
- Washington, DC area · District of Columbia$465.57+$21.50
- Miami, FL · Florida$470.19+$26.12
- Chicago, IL · Illinois$459.52+$15.45
- Manhattan, NY · New York$478.42+$34.35
- Alaska · Alaska$535.29+$91.22
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $427.76 |
| Merced, CACalifornia | — | $427.76 |
| Modesto, CACalifornia | — | $427.76 |
| Napa, CACalifornia | — | $473.47 |
| Oxnard, CACalifornia | — | $446.60 |
| Redding, CACalifornia | — | $427.76 |
| Rest of CaliforniaCalifornia | — | $427.76 |
| Riverside, CACalifornia | — | $436.78 |
| Sacramento, CACalifornia | — | $442.98 |
| Salinas, CACalifornia | — | $441.17 |
| San Diego, CACalifornia | — | $447.07 |
| Marin County, CACalifornia | — | $494.38 |
| San Francisco, CACalifornia | — | $493.44 |
| San Benito County, CACalifornia | — | $505.16 |
| Santa Clara County, CACalifornia | — | $501.31 |
| San Luis Obispo, CACalifornia | — | $434.69 |
| Santa Cruz, CACalifornia | — | $447.88 |
| Santa Maria, CACalifornia | — | $441.60 |
| Santa Rosa, CACalifornia | — | $452.07 |
| Stockton, CACalifornia | — | $427.76 |
| Vallejo, CACalifornia | — | $472.11 |
| Visalia, CACalifornia | — | $427.76 |
| Yuba City, CACalifornia | — | $427.76 |
| ColoradoColorado | — | $428.22 |
| DelawareDelaware | — | $417.61 |
| Fort Lauderdale, FLFlorida | — | $445.68 |
| Rest of FloridaFlorida | — | $428.03 |
| Atlanta, GAGeorgia | — | $430.04 |
| Rest of GeorgiaGeorgia | — | $409.08 |
| Hawaii, Guam, HIHawaii | — | $431.62 |
| IowaIowa | — | $390.76 |
| IdahoIdaho | — | $393.67 |
| East St. Louis, ILIllinois | — | $436.39 |
| Rest of IllinoisIllinois | — | $422.76 |
| Suburban Chicago, ILIllinois | — | $448.57 |
| IndianaIndiana | — | $395.16 |
| KansasKansas | — | $391.95 |
| KentuckyKentucky | — | $400.92 |
| New Orleans, LALouisiana | — | $415.44 |
| Rest of LouisianaLouisiana | — | $401.47 |
| Metropolitan Boston, MAMassachusetts | — | $458.95 |
| Rest of MassachusettsMassachusetts | — | $427.82 |
| Baltimore area, MDMaryland | — | $443.25 |
| Rest of MarylandMaryland | — | $423.17 |
| Rest of MaineMaine | — | $397.80 |
| Southern Maine, MEMaine | — | $409.50 |
| Detroit, MIMichigan | — | $434.56 |
| Rest of MichiganMichigan | — | $410.73 |
| MinnesotaMinnesota | — | $406.35 |
| Metropolitan Kansas City, MOMissouri | — | $410.71 |
| Metropolitan St. Louis, MOMissouri | — | $413.50 |
| Rest of MissouriMissouri | — | $398.20 |
| MississippiMississippi | — | $391.53 |
| MontanaMontana | — | $421.13 |
| North CarolinaNorth Carolina | — | $400.37 |
| North DakotaNorth Dakota | — | $404.72 |
| NebraskaNebraska | — | $391.52 |
| New HampshireNew Hampshire | — | $424.33 |
| Northern New JerseyNew Jersey | — | $463.51 |
| Rest of New JerseyNew Jersey | — | $448.00 |
| New MexicoNew Mexico | — | $413.37 |
| NevadaNevada | — | $416.72 |
| NYC suburbs and Long Island, NYNew York | — | $490.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $452.78 |
| Queens, NYNew York | — | $477.66 |
| Rest of New YorkNew York | — | $404.89 |
| OhioOhio | — | $407.37 |
| OklahomaOklahoma | — | $397.74 |
| Portland, OROregon | — | $435.71 |
| Rest of OregonOregon | — | $412.31 |
| Metropolitan Philadelphia, PAPennsylvania | — | $437.33 |
| Rest of PennsylvaniaPennsylvania | — | $406.43 |
| Puerto RicoPuerto Rico | — | $422.54 |
| Rhode IslandRhode Island | — | $427.93 |
| South CarolinaSouth Carolina | — | $404.77 |
| South DakotaSouth Dakota | — | $402.78 |
| TennesseeTennessee | — | $393.67 |
| Austin, TXTexas | — | $427.85 |
| Beaumont, TXTexas | — | $404.70 |
| Brazoria, TXTexas | — | $415.49 |
| Dallas, TXTexas | — | $418.69 |
| Fort Worth, TXTexas | — | $417.44 |
| Galveston, TXTexas | — | $417.14 |
| Houston, TXTexas | — | $432.34 |
| Rest of TexasTexas | — | $410.27 |
| UtahUtah | — | $408.68 |
| VirginiaVirginia | — | $410.29 |
| Virgin Islands, VIUnited States Virgin Islands | — | $422.54 |
| VermontVermont | — | $405.88 |
| Rest of WashingtonWashington | — | $426.13 |
| King County, WAWashington | — | $464.34 |
| WisconsinWisconsin | — | $395.23 |
| West VirginiaWest Virginia | — | $412.00 |
| WyomingWyoming | — | $413.98 |
28041 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.95 | × 1.020 | 7.0890 |
| Practice expense | 4.83 | × 1.077 | 5.2019 |
| Malpractice | 0.83 | × 1.210 | 1.0043 |
| Total RVUs | 13.2952 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share 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.
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).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $444.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $444.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $444.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $444.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $470.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $470.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $470.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $470.64 | RVU25A |
| 2024-10-01 | Not available in this setting | $481.90 | RVU24D |
| 2024-07-01 | Not available in this setting | $481.90 | RVU24C |
| 2024-04-01 | Not available in this setting | $481.90 | RVU24B |
| 2024-03-09 | Not available in this setting | $481.90 | RVU24AR |
| 2024-01-01 | Not available in this setting | $474.04 | RVU24A |
| 2023-10-01 | Not available in this setting | $483.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $483.61 | RVU23C |
| 2023-04-01 | Not available in this setting | $483.61 | RVU23B |
| 2023-01-01 | Not available in this setting | $483.61 | RVU23A |
| 2022-10-01 | Not available in this setting | $486.51 | RVU22D |
| 2022-07-01 | Not available in this setting | $486.51 | RVU22C |
| 2022-04-01 | Not available in this setting | $486.51 | RVU22B |
| 2022-01-01 | Not available in this setting | $486.51 | RVU22A |
| 2021-10-01 | Not available in this setting | $487.30 | RVU21D |
| 2021-07-01 | Not available in this setting | $487.30 | RVU21C |
| 2021-04-01 | Not available in this setting | $487.30 | RVU21B |
| 2021-01-01 | Not available in this setting | $487.30 | RVU21A |
| 2020-10-01 | Not available in this setting | $502.82 | RVU20D |
| 2020-07-01 | Not available in this setting | $502.82 | RVU20C |
| 2020-04-01 | Not available in this setting | $502.82 | RVU20B |
| 2020-01-01 | Not available in this setting | $502.82 | RVU20A |
| 2019-10-01 | Not available in this setting | $504.82 | RVU19D |
| 2019-07-01 | Not available in this setting | $504.82 | RVU19C |
| 2019-04-01 | Not available in this setting | $504.82 | RVU19B |
| 2019-01-01 | Not available in this setting | $504.82 | RVU19A |
| 2018-10-01 | Not available in this setting | $506.32 | RVU18D |
| 2018-07-01 | Not available in this setting | $506.32 | RVU18C |
| 2018-04-01 | Not available in this setting | $506.32 | RVU18B |
| 2018-01-01 | Not available in this setting | $506.32 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $507.15 | RVU17D |
| 2017-07-01 | Not available in this setting | $507.15 | RVU17C |
| 2017-04-01 | Not available in this setting | $507.15 | RVU17B |
| 2017-01-01 | Not available in this setting | $507.15 | RVU17A |
| 2016-10-01 | Not available in this setting | $511.99 | RVU16D |
| 2016-07-01 | Not available in this setting | $511.99 | RVU16C |
| 2016-04-01 | Not available in this setting | $511.99 | RVU16B |
| 2016-01-01 | Not available in this setting | $511.99 | RVU16A |
| 2015-10-01 | Not available in this setting | $509.81 | RVU15D |
| 2015-07-01 | Not available in this setting | $509.81 | RVU15C |
| 2015-04-01 | Not available in this setting | $507.27 | RVU15B |
| 2015-01-01 | Not available in this setting | $507.27 | RVU15A |
| 2014-10-01 | Not available in this setting | $506.77 | RVU14D |
| 2014-07-01 | Not available in this setting | $506.77 | RVU14C |
| 2014-04-01 | Not available in this setting | $506.77 | RVU14B |
| 2014-01-01 | Not available in this setting | $506.77 | RVU14A |
| 2013-10-01 | Not available in this setting | $502.27 | RVU13D |
| 2013-07-01 | Not available in this setting | $502.27 | RVU13C |
| 2013-04-01 | Not available in this setting | $502.27 | RVU13B |
| 2013-01-01 | Not available in this setting | $502.27 | RVU13AR |
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
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
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