CPT code 28046: Tumor resection, soft tissue under 3 cm2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $643.77 for 28046 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28046 nationwide

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

What 28046 covers

This code describes radical resection of a soft-tissue tumor in the foot or toe when the tumor is less than 3 cm. The surgeon removes the tumor with a wider operative resection than a routine local excision. Orthopedic surgeons, podiatric surgeons, and surgeons treating soft-tissue tumors may perform the operation, commonly in a facility operating room. The operative report should identify the foot or toe site and document the tumor’s size and the extent of tissue removed.

Select this code for the radical resection approach and size threshold, not simply because a tumor was removed; use the appropriate local-excision code when the operative method and tissue depth fit that code instead. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is 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 Virginia compares for 28046

Across 109 of 109 payment localities, the facility rate for 28046 runs from $608.44 in Arkansas to $854.98 in Alaska. Virginia pays $643.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28046 rates by state

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

See 28046 in every payment locality

How the 28046 rate is calculated

Each of 28046’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 28046

28046 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

Codes related to 28046

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

How 28046 has changed in Virginia

Price 28046 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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