CPT code 28118: Heel bone resection, calcaneal ostectomy2026 Medicare rate & RVUs

Medicare pays $631.95 for 28118 nationally in the office and $405.82 in a hospital or facility. Local office rates run $561.12–$818.93.

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

What 28118 covers

CPT 28118 represents an ostectomy of the calcaneus, the heel bone. An orthopedic or podiatric surgeon may remove a bony prominence or reshape calcaneal bone for a symptomatic deformity, commonly through an operative approach to the heel. The operative report should identify the calcaneus and describe the bone resected; this is not simply a soft-tissue treatment of heel pain.

Choose 28118 when the documented work is a calcaneal ostectomy rather than a procedure specifically for a heel spur or a partial excision addressed by another code. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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%. An assistant at surgery may be paid; 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.

Where 28118 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

28118 rates by state

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

How the 28118 rate is calculated

Each of 28118’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 28118

28118 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

28118 compared with similar codes

How to choose

28119Heel spur removalCalcaneal spur

Choose 28119 when the operation is for a calcaneal spur, whether or not plantar fascia is released. 28118 represents another calcaneal ostectomy.

28120Bone excisionTalus or calcaneus

28120 describes partial excision of the talus or calcaneus. Base selection on the documented procedure and extent of bone work.

28100Bone lesion excisionTalus or calcaneus

28100 is for excision or curettage of a bone cyst or benign tumor in the talus or calcaneus, rather than an ostectomy for a bony prominence.

Codes related to 28118

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