CPT code 28100: Bone lesion excision, talus or calcaneus2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $625.57 for 28100 in the office and $383.74 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28100 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 28100 covers

This service removes or curettes a bone cyst or benign tumor in the talus or calcaneus. An orthopedic surgeon or podiatric surgeon typically performs it in an operating room, using an approach that exposes the affected bone and allows the lesion to be treated. The operative report should identify the bone and lesion and describe the work performed; the code is for these two bones, not other tarsal bones or toe bones.

Select this code when the lesion is in the talus or calcaneus and the procedure does not use a graft; grafted procedures have separate sibling codes. Document the diagnosis, exact site, and whether grafting was performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 South Dakota compares for 28100

Across 109 of 109 payment localities, the office rate for 28100 runs from $570.84 in Arkansas to $840.61 in San Benito County, CA. South Dakota pays $625.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28100 rates by state

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

See 28100 in every payment locality

How the 28100 rate is calculated

Each of 28100’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 28100

28100 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 28100

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

How 28100 has changed in South Dakota

Price 28100 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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