CPT code 28080: Neuroma excision, single interdigital nerve2026 Medicare rate & RVUs in North Dakota

Removal of a symptomatic interdigital nerve thickening, commonly in the forefoot, when a podiatrist or foot surgeon excises the affected nerve segment.

CMS RVU26DEffective Oct 1, 2026One payment locality5.3K Medicare services in 2024

In North Dakota, Medicare pays $536.53 for 28080 in the office and $358.84 when it’s performed in a hospital or facility.

$536.53Office (non-facility)
$358.84Hospital or facility
−2.0%vs the national office rate ($547.44)

Check a contract rate as a % of Medicare · 28080 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 28080 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 28080 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 28080 covers

This service removes a segment of an irritated, thickened interdigital nerve, commonly for a Morton's neuroma causing forefoot burning or a pebble-like sensation. Podiatrists and foot and ankle surgeons typically perform it in an operating room or ambulatory surgery setting. The third web space is a common site, but code selection follows the procedure performed, not a presumed location.

Report one unit for each neuroma excised, with documentation identifying the side, interspace, symptoms, and removal of the nerve segment. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant is paid only when medical necessity is documented; 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 North Dakota compares for 28080

Across 109 of 109 payment localities, the office rate for 28080 runs from $486.26 in Arkansas to $720.20 in San Benito County, CA. North Dakota pays $536.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

28080 in North Dakota vs other payment areas
  1. North Dakota · this page$536.53
  2. Los Angeles, CA · California$615.61+$79.08
  3. Washington, DC area · District of Columbia$624.06+$87.53
  4. Miami, FL · Florida$590.73+$54.20
  5. Chicago, IL · Illinois$574.19+$37.66
  6. Manhattan, NY · New York$628.40+$91.87
  7. Alaska · Alaska$642.45+$105.92

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

Every other payment area

28080 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$493.12$337.64
ArkansasArkansas$486.26$333.62
ArizonaArizona$533.30$361.12
Bakersfield, CACalifornia$578.86$384.11
Chico, CACalifornia$577.20$382.45
El Centro, CACalifornia$577.29$382.54
Fresno, CACalifornia$577.20$382.45
Hanford, CACalifornia$577.20$382.45

28080 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.

$486.26

$648.70

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

View every state and territory as a table
28080 office rate range by state
State / territoryOffice rate rangeLocalities
AK$642.451
AL$493.121
AR$486.261
AZ$533.301
CA$577.20–$720.2029
CO$569.051
CT$583.011
DC$624.061
DE$541.931
FL$540.37–$590.733
GA$510.93–$557.542
GU$590.501
HI$590.501
IA$504.851
ID$508.101
IL$525.53–$574.194
IN$510.931
KS$502.741
KY$504.731
LA$504.03–$528.062
MA$565.89–$623.842
MD$551.97–$624.063
ME$510.84–$537.332
MI$517.56–$547.072
MN$545.261
MO$495.80–$529.683
MS$491.111
MT$547.401
NC$515.971
ND$536.531
NE$507.471
NH$560.351
NJ$589.66–$617.982
NM$520.361
NV$544.741
NY$523.45–$643.395
OH$515.331
OK$503.671
OR$540.50–$586.422
PA$516.03–$569.042
PR$551.241
RI$560.701
SC$516.511
SD$535.241
TN$505.201
TX$512.77–$567.178
UT$523.321
VA$535.74–$624.062
VI$551.241
VT$534.661
WA$564.76–$636.162
WI$519.161
WV$506.791
WY$542.661

See 28080 in every payment locality

How the 28080 rate is calculated

Each of 28080’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 · 28080

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.74

4.74 RVUs× 1.000 GPCI

Practice expense11.10

11.10 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

16.3900

Conversion factor

$33.4009

Medicare rate

$547.44

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,112

Code
28080
Physician work
4.74
Practice expense
11.10
Malpractice
0.55

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 28080 in North Dakota
ComponentRVULocality factorAdjusted
Physician work4.74× 1.0004.7400
Practice expense11.10× 1.00011.1000
Malpractice0.55× 0.4060.2233
Total RVUs16.0633
Conversion factor× 33.4009

Office rate, North Dakota$536.53

Office: (4.74 × 1 + 11.1 × 1 + 0.55 × 0.406) × $33.4009 = $536.53

Facility: (4.74 × 1 + 5.78 × 1 + 0.55 × 0.406) × $33.4009 = $358.84

Open 28080 in the RVU calculator

Payment rules and modifiers for 28080

28080 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28080

Neuroma excision, single interdigital nerve

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)0The 150% bilateral adjustment doesn’t apply.
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 · 28080

Neuroma excision, single interdigital nerve

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 51 · payment effect

With and without the modifier

28080 without 51 · national office

$547.44

Neuroma excision, single interdigital nerve

28080-51 · Second procedure: 50%

$273.72

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 28080 has changed in North Dakota

28080 · Office / nonfacility

$536.53

Effective 2026-10-01

The base rate is $22.41 higher than on 2025-10-01, moving from $514.12 to $536.53 (4.4%).

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

    $514.12changed to$536.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.86 changed to 4.74
    • Practice expense RVU 10.76 changed to 11.10
    • Malpractice RVU 0.53 changed to 0.55
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $525.73changed to$514.12

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.67 changed to 10.76
    • Malpractice RVU 0.51 changed to 0.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $517.15changed to$525.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $528.36changed to$517.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.49 changed to 10.67
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $533.72changed to$528.36

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.33 changed to 10.49
    • Malpractice RVU 0.54 changed to 0.51
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $538.79changed to$533.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.37 changed to 10.33
    • Malpractice RVU 0.49 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $538.73changed to$538.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.83 changed to 10.37
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $539.97changed to$538.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.88 changed to 9.83
    • Malpractice RVU 0.45 changed to 0.49
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $538.50changed to$539.97

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.85 changed to 9.88
    • Malpractice RVU 0.46 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $537.15changed to$538.50

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.47 changed to 0.46
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $533.66changed to$537.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.79 changed to 9.85
    • Malpractice RVU 0.46 changed to 0.47
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $538.70changed to$533.66

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.86 changed to 9.79
    • Malpractice RVU 0.49 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $536.02changed to$538.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $528.26changed to$536.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.64 changed to 9.86
    • Malpractice RVU 0.46 changed to 0.49
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $538.86changed to$528.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.73 changed to 9.64
    • Malpractice RVU 0.48 changed to 0.46
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $538.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$536.53$358.84RVU26D
2026-07-01$536.53$358.84RVU26C
2026-04-01$536.53$358.84RVU26B
2026-01-01$536.53$358.84RVU26A
2025-10-01$514.12$370.17RVU25D
2025-07-01$514.12$370.17RVU25C
2025-04-01$514.12$370.17RVU25B
2025-01-01$514.12$370.17RVU25A
2024-10-01$525.73$374.27RVU24D
2024-07-01$525.73$374.27RVU24C
2024-04-01$525.73$374.27RVU24B
2024-03-09$525.73$374.27RVU24AR
2024-01-01$517.15$368.16RVU24A
2023-10-01$528.36$373.16RVU23D
2023-07-01$528.36$373.16RVU23C
2023-04-01$528.36$373.16RVU23B
2023-01-01$528.36$373.16RVU23A
2022-10-01$533.72$372.46RVU22D
2022-07-01$533.72$372.46RVU22C
2022-04-01$533.72$372.46RVU22B
2022-01-01$533.72$372.46RVU22A
2021-10-01$538.79$369.91RVU21D
2021-07-01$538.79$369.91RVU21C
2021-04-01$538.79$369.91RVU21B
2021-01-01$538.79$369.91RVU21A
2020-10-01$538.73$374.16RVU20D
2020-07-01$538.73$374.16RVU20C
2020-04-01$538.73$374.16RVU20B
2020-01-01$538.73$374.16RVU20A
2019-10-01$539.97$373.83RVU19D
2019-07-01$539.97$373.83RVU19C
2019-04-01$539.97$373.83RVU19B
2019-01-01$539.97$373.83RVU19A
2018-10-01$538.50$372.54RVU18D
2018-07-01$538.50$372.54RVU18C
2018-04-01$538.50$372.54RVU18B
2018-01-01$538.50$372.54RVU18AR1
2017-10-01$537.15$372.06RVU17D
2017-07-01$537.15$372.06RVU17C
2017-04-01$537.15$372.06RVU17B
2017-01-01$537.15$372.06RVU17A
2016-10-01$533.66$370.03RVU16D
2016-07-01$533.66$370.03RVU16C
2016-04-01$533.66$370.03RVU16B
2016-01-01$533.66$370.03RVU16A
2015-10-01$538.70$372.68RVU15D
2015-07-01$538.70$372.68RVU15C
2015-04-01$536.02$370.83RVU15B
2015-01-01$536.02$370.83RVU15A
2014-10-01$528.26$367.42RVU14D
2014-07-01$528.26$367.42RVU14C
2014-04-01$528.26$367.42RVU14B
2014-01-01$528.26$367.42RVU14A
2013-10-01$538.86$367.73RVU13D
2013-07-01$538.86$367.73RVU13C
2013-04-01$538.86$367.73RVU13B
2013-01-01$538.86$367.73RVU13AR

Price 28080 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

28080 billing questions

How is this different from an injection for Morton's neuroma?

Use 28080 when the surgeon excises the affected interdigital nerve segment. Code 64455 describes an injection treatment, not surgical removal.

Does this code cover removal of any forefoot mass?

No. It is specific to excision of an interdigital neuroma. Soft-tissue tumor codes such as 28039 or 28043 are selected according to tumor depth and size when those criteria describe the procedure.

Can modifier 50 be used when both feet are treated?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What postoperative care is included?

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

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% multiple-procedure reduction.

When can an assistant surgeon be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 28080PPRRVU2026_Oct_nonQPP.csv, line 3,112 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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