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CPT code 28102: Bone lesion excision, tarsal or metatarsal, autograft2026 Medicare rate & RVUs

Removal or curettage of a benign lesion in a tarsal or metatarsal bone with an autologous bone graft to fill the defect.

CMS RVU26DEffective Oct 1, 2026109 payment localities77 Medicare services in 2024

Medicare pays $583.18 for 28102 nationally in a facility.

Medicare rate · 28102

Bone lesion excision, tarsal or metatarsal, autograft

Office or facility?

Work RVUs
7.72
Total RVUs
17.46
Global days
090

National rate · 2026

$583.18

Facility setting, before claim adjustments.

See every locality for 28102 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 28102 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 28102 covers

This service treats a bone cyst or benign tumor in a tarsal or metatarsal bone of the foot. The surgeon exposes the involved bone, removes or curettes the lesion, and fills the resulting defect with the patient’s own bone. Obtaining the autograft is included. Orthopedic foot and ankle surgeons and podiatric surgeons may perform the procedure in a hospital or ambulatory surgical setting.

Select this code when the treated bone is tarsal or metatarsal and the defect is filled with autograft; document the lesion, exact bone, removal or curettage, and graft use. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment 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.

Where 28102 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28102 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$525.59
AlaskaUnavailable$705.10
ArizonaUnavailable$566.90
ArkansasUnavailable$518.47
Atlanta, GAUnavailable$599.29
Austin, TXUnavailable$593.14
Bakersfield, CAUnavailable$592.63
Baltimore area, MDUnavailable$620.04
Beaumont, TXUnavailable$554.94
Brazoria, TXUnavailable$570.76

28102 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
28102 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

How the 28102 rate is calculated

Each of 28102’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 · 28102

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.72

7.72 RVUs× 1.000 GPCI

Practice expense8.10

8.10 RVUs× 1.000 GPCI

Malpractice1.64

1.64 RVUs× 1.000 GPCI

Adjusted RVUs

17.4600

Conversion factor

$33.4009

Medicare rate

$583.18

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

Payment rules and modifiers for 28102

28102 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28102

Bone lesion excision, tarsal or metatarsal, autograft

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)2Paid.
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 · 28102

Bone lesion excision, tarsal or metatarsal, autograft

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

28102 without 50 · national facility

$583.18

Bone lesion excision, tarsal or metatarsal, autograft

28102-50 · Bilateral: 150%

$874.77

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

28102 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 28102

    Bone lesion excision, tarsal or metatarsal, autograft7.72 wRVU

    Not priced

  • 28100

    Bone lesion excision, talus or calcaneus5.68 wRVU

    $645.31

  • 28104

    Bone lesion excision, tarsal or metatarsal, without graft5.13 wRVU

    $540.76

  • 28107

    Bone lesion surgery, tarsal or metatarsal, allograft5.59 wRVU

    $497.67

How to choose

28100Bone lesion excisionTalus or calcaneus
Both include autograft, but 28100 is for the talus or calcaneus; this code is for another tarsal or a metatarsal bone.
28104Bone lesion excisionTarsal or metatarsal, without graft
The treated bone is also tarsal or metatarsal, but 28104 uses allograft rather than the patient’s own bone.
28107Bone lesion surgeryTarsal or metatarsal, allograft
This code includes autograft for the tarsal or metatarsal defect; 28107 describes the corresponding lesion procedure without graft.

Codes related to 28102

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

Codes related to 28102
CodeHow it relatesNational office range
Same family
28100Bone lesion excision, talus or calcaneusAutograft lesion excision for the talus or calcaneus rather than a tarsal or metatarsal bone.$570.84–$840.61
28103Foot bone lesion, tarsal or metatarsal, autograftAllograft lesion excision for the talus or calcaneus.No office rate
28104Bone lesion excision, tarsal or metatarsal, without graftAllograft lesion excision for a tarsal or metatarsal bone.$481.32–$703.52
28106Foot bone lesion, tarsal or metatarsal, autograftLesion excision for the talus or calcaneus without graft.No office rate
28107Bone lesion surgery, tarsal or metatarsal, allograftLesion excision for a tarsal or metatarsal bone without graft.$448.43–$641.43

28102 billing questions

When is this code appropriate instead of 28100?

Use this code for a lesion in a tarsal or metatarsal bone treated with autograft. Code 28100 is for the talus or calcaneus with autograft.

Is graft harvest included?

Yes. The service includes obtaining and using the patient’s own bone graft to fill the defect.

Can the graft be billed separately?

The autograft and its procurement are included in this service. The operative note should identify the graft as autologous and describe its use in the defect.

How is bilateral treatment reported?

CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. Document the treated bone and lesion on each side.

What postoperative care is included?

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

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. CMS does not permit co-surgeon or team-surgery payment 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 28102PPRRVU2026_Oct_nonQPP.csv, line 3,118 (RVU26D)

Open CMS sourceHow we calculate rates

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