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

In Puerto Rico, Medicare pays $585.33 for 28102 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28102 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 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.

How Puerto Rico compares for 28102

Across 109 of 109 payment localities, the facility rate for 28102 runs from $518.47 in Arkansas to $705.71 in San Benito County, CA. Puerto Rico pays $585.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28102 rates by state

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

See 28102 in every payment locality

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.

Payment rules and modifiers for 28102

28102 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 28102

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

How 28102 has changed in Puerto Rico

Price 28102 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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