CPT code 28110: Metatarsal resection, partial fifth-head excision2026 Medicare rate & RVUs in West Virginia
Reports partial removal of the fifth metatarsal head, commonly to relieve a painful lateral prominence that causes shoe pressure or irritation.
In West Virginia, Medicare pays $432.68 for 28110 in the office and $271.88 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28110 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28110 covers
This procedure removes part of the fifth metatarsal head, commonly for a painful bunionette (tailor’s bunion) with lateral prominence and shoe-related pressure or irritation. A podiatrist or orthopedic foot-and-ankle surgeon typically performs it in an operating room or ambulatory surgery center. The operative work is a partial resection of the fifth metatarsal head, rather than removal of the entire metatarsal or correction by metatarsal osteotomy.
Select the code when the documented operation removes only part of the fifth metatarsal head. The operative report should identify the bone and side, describe the extent of resection, and support the indication. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require 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 West Virginia compares for 28110
Across 109 of 109 payment localities, the office rate for 28110 runs from $415.46 in Arkansas to $614.32 in San Benito County, CA. West Virginia pays $432.68. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$432.68
- Los Angeles, CA · California$525.32+$92.64
- Washington, DC area · District of Columbia$532.43+$99.75
- Miami, FL · Florida$503.67+$70.99
- Chicago, IL · Illinois$489.71+$57.03
- Manhattan, NY · New York$536.04+$103.36
- Alaska · Alaska$549.47+$116.79
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $421.28 | $259.37 |
| ArkansasArkansas | $415.46 | $256.51 |
| ArizonaArizona | $455.31 | $276.01 |
| Bakersfield, CACalifornia | $494.08 | $291.28 |
| Chico, CACalifornia | $492.69 | $289.88 |
| El Centro, CACalifornia | $492.77 | $289.96 |
| Fresno, CACalifornia | $492.69 | $289.88 |
| Hanford, CACalifornia | $492.69 | $289.88 |
| Madera, CACalifornia | $492.69 | $289.88 |
| Merced, CACalifornia | $492.69 | $289.88 |
| Modesto, CACalifornia | $492.69 | $289.88 |
| Napa, CACalifornia | $568.42 | $324.54 |
| Oxnard, CACalifornia | $522.59 | $303.88 |
| Redding, CACalifornia | $492.69 | $289.88 |
| Rest of CaliforniaCalifornia | $492.69 | $289.88 |
| Riverside, CACalifornia | $497.70 | $294.89 |
| Sacramento, CACalifornia | $516.38 | $301.17 |
| Salinas, CACalifornia | $514.43 | $299.97 |
| San Diego, CACalifornia | $526.03 | $304.72 |
| Marin County, CACalifornia | $601.01 | $340.10 |
| San Francisco, CACalifornia | $600.49 | $339.58 |
| San Benito County, CACalifornia | $614.32 | $347.49 |
| Santa Clara County, CACalifornia | $612.18 | $345.35 |
| San Luis Obispo, CACalifornia | $506.22 | $295.46 |
| Santa Cruz, CACalifornia | $530.68 | $305.85 |
| Santa Maria, CACalifornia | $516.22 | $300.47 |
| Santa Rosa, CACalifornia | $536.00 | $308.77 |
| Stockton, CACalifornia | $492.69 | $289.88 |
| Vallejo, CACalifornia | $567.67 | $323.79 |
| Visalia, CACalifornia | $492.69 | $289.88 |
| Yuba City, CACalifornia | $492.69 | $289.88 |
| ColoradoColorado | $485.70 | $288.81 |
| ConnecticutConnecticut | $497.48 | $298.19 |
| DelawareDelaware | $462.64 | $279.82 |
| Fort Lauderdale, FLFlorida | $483.78 | $296.34 |
| Rest of FloridaFlorida | $461.16 | $284.26 |
| Atlanta, GAGeorgia | $475.81 | $287.81 |
| Rest of GeorgiaGeorgia | $436.25 | $271.19 |
| Hawaii, Guam, HIHawaii | $503.92 | $293.52 |
| IowaIowa | $431.27 | $261.96 |
| IdahoIdaho | $434.01 | $263.77 |
| East St. Louis, ILIllinois | $457.69 | $287.45 |
| Rest of IllinoisIllinois | $448.56 | $279.61 |
| Suburban Chicago, ILIllinois | $488.60 | $298.56 |
| IndianaIndiana | $436.41 | $264.88 |
| KansasKansas | $429.45 | $262.18 |
| KentuckyKentucky | $431.05 | $266.55 |
| New Orleans, LALouisiana | $450.80 | $276.68 |
| Rest of LouisianaLouisiana | $430.45 | $266.69 |
| Metropolitan Boston, MAMassachusetts | $532.26 | $311.32 |
| Rest of MassachusettsMassachusetts | $483.03 | $288.18 |
| Baltimore area, MDMaryland | $496.08 | $297.54 |
| Rest of MarylandMaryland | $471.17 | $283.91 |
| Rest of MaineMaine | $436.30 | $266.06 |
| Southern Maine, MEMaine | $458.78 | $275.40 |
| Detroit, MIMichigan | $466.81 | $288.24 |
| Rest of MichiganMichigan | $441.89 | $272.94 |
| MinnesotaMinnesota | $465.59 | $275.18 |
| Metropolitan Kansas City, MOMissouri | $447.73 | $273.98 |
| Metropolitan St. Louis, MOMissouri | $452.21 | $276.05 |
| Rest of MissouriMissouri | $423.46 | $263.95 |
| MississippiMississippi | $419.53 | $260.21 |
| MontanaMontana | $467.25 | $282.21 |
| North CarolinaNorth Carolina | $440.65 | $268.01 |
| North DakotaNorth Dakota | $458.15 | $273.11 |
| NebraskaNebraska | $433.49 | $262.70 |
| New HampshireNew Hampshire | $478.26 | $285.63 |
| Northern New JerseyNew Jersey | $527.31 | $312.67 |
| Rest of New JerseyNew Jersey | $503.21 | $301.14 |
| New MexicoNew Mexico | $444.25 | $274.57 |
| NevadaNevada | $465.03 | $279.80 |
| NYC suburbs and Long Island, NYNew York | $548.70 | $328.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $506.57 | $303.95 |
| Queens, NYNew York | $540.12 | $321.40 |
| Rest of New YorkNew York | $446.98 | $271.19 |
| OhioOhio | $440.03 | $271.09 |
| OklahomaOklahoma | $430.19 | $264.94 |
| Portland, OROregon | $500.47 | $294.89 |
| Rest of OregonOregon | $461.46 | $277.16 |
| Metropolitan Philadelphia, PAPennsylvania | $485.62 | $292.99 |
| Rest of PennsylvaniaPennsylvania | $440.63 | $270.77 |
| Puerto RicoPuerto Rico | $470.51 | $283.43 |
| Rhode IslandRhode Island | $478.61 | $287.46 |
| South CarolinaSouth Carolina | $441.06 | $270.08 |
| South DakotaSouth Dakota | $457.08 | $272.04 |
| TennesseeTennessee | $431.53 | $263.33 |
| Austin, TXTexas | $484.05 | $288.28 |
| Beaumont, TXTexas | $437.87 | $269.48 |
| Brazoria, TXTexas | $462.16 | $278.79 |
| Dallas, TXTexas | $465.07 | $280.77 |
| Fort Worth, TXTexas | $462.13 | $279.68 |
| Galveston, TXTexas | $463.53 | $279.79 |
| Houston, TXTexas | $471.95 | $288.21 |
| Rest of TexasTexas | $449.74 | $274.14 |
| UtahUtah | $446.83 | $272.89 |
| VirginiaVirginia | $457.41 | $275.52 |
| Virgin Islands, VIUnited States Virgin Islands | $470.51 | $283.43 |
| VermontVermont | $456.54 | $273.35 |
| Rest of WashingtonWashington | $482.07 | $287.22 |
| King County, WAWashington | $542.75 | $315.71 |
| WisconsinWisconsin | $443.43 | $266.16 |
| WyomingWyoming | $463.28 | $278.24 |
28110 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$415.46
$553.51
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $549.47 | 1 |
| AL | $421.28 | 1 |
| AR | $415.46 | 1 |
| AZ | $455.31 | 1 |
| CA | $492.69–$614.32 | 29 |
| CO | $485.70 | 1 |
| CT | $497.48 | 1 |
| DC | $532.43 | 1 |
| DE | $462.64 | 1 |
| FL | $461.16–$503.67 | 3 |
| GA | $436.25–$475.81 | 2 |
| GU | $503.92 | 1 |
| HI | $503.92 | 1 |
| IA | $431.27 | 1 |
| ID | $434.01 | 1 |
| IL | $448.56–$489.71 | 4 |
| IN | $436.41 | 1 |
| KS | $429.45 | 1 |
| KY | $431.05 | 1 |
| LA | $430.45–$450.80 | 2 |
| MA | $483.03–$532.26 | 2 |
| MD | $471.17–$532.43 | 3 |
| ME | $436.30–$458.78 | 2 |
| MI | $441.89–$466.81 | 2 |
| MN | $465.59 | 1 |
| MO | $423.46–$452.21 | 3 |
| MS | $419.53 | 1 |
| MT | $467.25 | 1 |
| NC | $440.65 | 1 |
| ND | $458.15 | 1 |
| NE | $433.49 | 1 |
| NH | $478.26 | 1 |
| NJ | $503.21–$527.31 | 2 |
| NM | $444.25 | 1 |
| NV | $465.03 | 1 |
| NY | $446.98–$548.70 | 5 |
| OH | $440.03 | 1 |
| OK | $430.19 | 1 |
| OR | $461.46–$500.47 | 2 |
| PA | $440.63–$485.62 | 2 |
| PR | $470.51 | 1 |
| RI | $478.61 | 1 |
| SC | $441.06 | 1 |
| SD | $457.08 | 1 |
| TN | $431.53 | 1 |
| TX | $437.87–$484.05 | 8 |
| UT | $446.83 | 1 |
| VA | $457.41–$532.43 | 2 |
| VI | $470.51 | 1 |
| VT | $456.54 | 1 |
| WA | $482.07–$542.75 | 2 |
| WI | $443.43 | 1 |
| WV | $432.68 | 1 |
| WY | $463.28 | 1 |
How the 28110 rate is calculated
Each of 28110’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 · 28110
RVUs × geographic indexes × conversion factor
Work4.11
4.11 RVUs× 1.000 GPCI
Practice expense9.42
9.42 RVUs× 1.000 GPCI
Malpractice0.46
0.46 RVUs× 1.000 GPCI
Adjusted RVUs
13.9900
Conversion factor
$33.4009
Medicare rate
$467.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact West Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,124
- Code
- 28110
- Physician work
- 4.11
- Practice expense
- 9.42
- Malpractice
- 0.46
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.11 | × 1.000 | 4.1100 |
| Practice expense | 9.42 | × 0.869 | 8.1860 |
| Malpractice | 0.46 | × 1.431 | 0.6583 |
| Total RVUs | 12.9542 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$432.68
Office: (4.11 × 1 + 9.42 × 0.869 + 0.46 × 1.431) × $33.4009 = $432.68
Facility: (4.11 × 1 + 3.88 × 0.869 + 0.46 × 1.431) × $33.4009 = $271.88
Payment rules and modifiers for 28110
28110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28110
Metatarsal resection, partial fifth-head excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28110
Metatarsal resection, partial fifth-head excision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28110 without 50 · national office
$467.28
Metatarsal resection, partial fifth-head excision
28110-50 · Bilateral: 150%
$700.92
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).
How 28110 has changed in West Virginia
28110 · Office / nonfacility
$432.68
Effective 2026-10-01
The base rate is $19.95 higher than on 2025-10-01, moving from $412.73 to $432.68 (4.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$412.73changed to$432.68
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.22 changed to 4.11
- Practice expense RVU 9.18 changed to 9.42
- Malpractice RVU 0.47 changed to 0.46
- Practice expense GPCI 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$425.13changed to$412.73
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.24 changed to 9.18
- Malpractice RVU 0.44 changed to 0.47
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$418.19changed to$425.13
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$424.03changed to$418.19
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.01 changed to 9.24
- Malpractice RVU 0.43 changed to 0.44
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$429.20changed to$424.03
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.95 changed to 9.01
- Malpractice RVU 0.42 changed to 0.43
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$436.76changed to$429.20
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.07 changed to 8.95
- Malpractice RVU 0.43 changed to 0.42
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$441.04changed to$436.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 8.71 changed to 9.07
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$443.64changed to$441.04
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 8.82 changed to 8.71
- Malpractice RVU 0.41 changed to 0.43
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$442.69changed to$443.64
- Conversion factor 35.9996 changed to 36.0391
- Malpractice RVU 0.40 changed to 0.41
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$436.54changed to$442.69
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 8.77 changed to 8.82
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$431.36changed to$436.54
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 8.75 changed to 8.77
- Practice expense GPCI 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$434.60changed to$431.36
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 8.76 changed to 8.75
- Malpractice RVU 0.43 changed to 0.40
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$432.44changed to$434.60
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$425.93changed to$432.44
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 8.63 changed to 8.76
- Malpractice RVU 0.39 changed to 0.43
- Practice expense GPCI 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$429.19changed to$425.93
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 9.53 changed to 8.63
- Malpractice RVU 0.41 changed to 0.39
- Practice expense GPCI 0.828 changed to 0.832
- Malpractice GPCI 1.229 changed to 1.256
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $429.19
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $432.68 | $271.88 | RVU26D |
| 2026-07-01 | $432.68 | $271.88 | RVU26C |
| 2026-04-01 | $432.68 | $271.88 | RVU26B |
| 2026-01-01 | $432.68 | $271.88 | RVU26A |
| 2025-10-01 | $412.73 | $278.06 | RVU25D |
| 2025-07-01 | $412.73 | $278.06 | RVU25C |
| 2025-04-01 | $412.73 | $278.06 | RVU25B |
| 2025-01-01 | $412.73 | $278.06 | RVU25A |
| 2024-10-01 | $425.13 | $281.95 | RVU24D |
| 2024-07-01 | $425.13 | $281.95 | RVU24C |
| 2024-04-01 | $425.13 | $281.95 | RVU24B |
| 2024-03-09 | $425.13 | $281.95 | RVU24AR |
| 2024-01-01 | $418.19 | $277.34 | RVU24A |
| 2023-10-01 | $424.03 | $279.48 | RVU23D |
| 2023-07-01 | $424.03 | $279.48 | RVU23C |
| 2023-04-01 | $424.03 | $279.48 | RVU23B |
| 2023-01-01 | $424.03 | $279.48 | RVU23A |
| 2022-10-01 | $429.20 | $279.25 | RVU22D |
| 2022-07-01 | $429.20 | $279.25 | RVU22C |
| 2022-04-01 | $429.20 | $279.25 | RVU22B |
| 2022-01-01 | $429.20 | $279.25 | RVU22A |
| 2021-10-01 | $436.76 | $279.29 | RVU21D |
| 2021-07-01 | $436.76 | $279.29 | RVU21C |
| 2021-04-01 | $436.76 | $279.29 | RVU21B |
| 2021-01-01 | $436.76 | $279.29 | RVU21A |
| 2020-10-01 | $441.04 | $286.09 | RVU20D |
| 2020-07-01 | $441.04 | $286.09 | RVU20C |
| 2020-04-01 | $441.04 | $286.09 | RVU20B |
| 2020-01-01 | $441.04 | $286.09 | RVU20A |
| 2019-10-01 | $443.64 | $286.75 | RVU19D |
| 2019-07-01 | $443.64 | $286.75 | RVU19C |
| 2019-04-01 | $443.64 | $286.75 | RVU19B |
| 2019-01-01 | $443.64 | $286.75 | RVU19A |
| 2018-10-01 | $442.69 | $285.35 | RVU18D |
| 2018-07-01 | $442.69 | $285.35 | RVU18C |
| 2018-04-01 | $442.69 | $285.35 | RVU18B |
| 2018-01-01 | $442.69 | $285.35 | RVU18AR1 |
| 2017-10-01 | $436.54 | $283.03 | RVU17D |
| 2017-07-01 | $436.54 | $283.03 | RVU17C |
| 2017-04-01 | $436.54 | $283.03 | RVU17B |
| 2017-01-01 | $436.54 | $283.03 | RVU17A |
| 2016-10-01 | $431.36 | $280.50 | RVU16D |
| 2016-07-01 | $431.36 | $280.50 | RVU16C |
| 2016-04-01 | $431.36 | $280.50 | RVU16B |
| 2016-01-01 | $431.36 | $280.50 | RVU16A |
| 2015-10-01 | $434.60 | $282.00 | RVU15D |
| 2015-07-01 | $434.60 | $282.00 | RVU15C |
| 2015-04-01 | $432.44 | $280.59 | RVU15B |
| 2015-01-01 | $432.44 | $280.59 | RVU15A |
| 2014-10-01 | $425.93 | $277.80 | RVU14D |
| 2014-07-01 | $425.93 | $277.80 | RVU14C |
| 2014-04-01 | $425.93 | $277.80 | RVU14B |
| 2014-01-01 | $425.93 | $277.80 | RVU14A |
| 2013-10-01 | $429.19 | $273.41 | RVU13D |
| 2013-07-01 | $429.19 | $273.41 | RVU13C |
| 2013-04-01 | $429.19 | $273.41 | RVU13B |
| 2013-01-01 | $429.19 | $273.41 | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
28110 billing questions
When is this code appropriate for a bunionette?
Use it when the surgeon partially removes the fifth metatarsal head. A bunionette diagnosis alone does not establish the procedure; the operative report must support the partial resection.
How does it differ from complete fifth metatarsal head removal?
This code represents partial removal of the fifth metatarsal head. Code 28115 is for complete excision of that head.
Does the 90-day global period include postoperative visits?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery paid under the CMS rule?
When reported bilaterally with modifier 50, CMS pays this procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only when supporting documentation is provided.
What happens when it is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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
Fee sheets · Coming soon
Put 28110 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist