CPT code 28107: Bone lesion surgery, tarsal or metatarsal, allograft2026 Medicare rate & RVUs

Medicare pays $497.67 for 28107 nationally in the office and $324.99 in a hospital or facility. Local office rates run $448.43–$641.43.

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

What 28107 covers

A foot-and-ankle orthopedic surgeon or podiatric surgeon removes or curettes a bone cyst or benign tumor in a tarsal or metatarsal bone and uses donor bone material to fill the resulting defect. The service is generally performed in an operating room or other surgical facility. The code is specific to these foot bones; a lesion in the talus or calcaneus belongs to a different code group.

Select this code when the operative report identifies the tarsal or metatarsal bone treated, the lesion removal or curettage, and use of an allograft. The grafting work is represented in the service, so do not separately report a graft procedure for that same defect. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. 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.

Where 28107 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

28107 rates by state

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

How the 28107 rate is calculated

Each of 28107’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 28107

28107 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 51

28107 compared with similar codes

How to choose

28106Foot bone lesionTarsal or metatarsal, autograft

Use 28107 when an allograft fills the defect; 28106 is the corresponding tarsal or metatarsal lesion service with an autograft.

28104Bone lesion excisionTarsal or metatarsal, without graft

This code identifies allograft use for the tarsal or metatarsal defect. Code 28104 describes lesion removal in those bones without that graft distinction.

28103Foot bone lesionTarsal or metatarsal, autograft

Both involve grafting a bone lesion, but 28103 is for the talus or calcaneus; 28107 is for another tarsal or metatarsal bone.

Codes related to 28107

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

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