CPT code 28103: Foot bone lesion, tarsal or metatarsal, autograft2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $379.65 for 28103 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28103 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 28103 covers

An orthopedic or podiatric surgeon uses this service to remove or curette a bone cyst or benign tumor in a tarsal or metatarsal bone and fill the resulting defect with the patient’s bone graft. The procedure is performed in an operative setting; the graft may be harvested as part of the service. The code is specific to these foot bones, rather than the talus or calcaneus or a toe phalanx.

Report it when the operative record identifies the treated bone and lesion, describes excision or curettage, and documents autograft placement. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, CMS pays the highest-valued procedure in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Connecticut compares for 28103

Across 109 of 109 payment localities, the facility rate for 28103 runs from $335.02 in Arkansas to $470.24 in Alaska. Connecticut pays $379.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28103 rates by state

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

See 28103 in every payment locality

How the 28103 rate is calculated

Each of 28103’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 28103

28103 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 28103

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

How 28103 has changed in Connecticut

Price 28103 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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