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CPT code 28118: Heel bone resection, calcaneal ostectomy2026 Medicare rate & RVUs in Washington, DC area

Resection of calcaneal bone for a symptomatic heel prominence is reported when the surgeon performs an ostectomy rather than an isolated spur procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality4.5K Medicare services in 2024

In Washington, DC area, Medicare pays $717.80 for 28118 in the office and $451.42 when it’s performed in a hospital or facility.

$717.80Office (non-facility)
$451.42Hospital or facility
+13.6%vs the national office rate ($631.95)

Check a contract rate as a % of Medicare · 28118 nationwide

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

We’ll open 28118 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 28118 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Washington, DC area compares for 28118

Across 109 of 109 payment localities, the office rate for 28118 runs from $561.12 in Arkansas to $818.93 in San Benito County, CA. Washington, DC area pays $717.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

28118 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$717.80
  2. Los Angeles, CA · California$704.32−$13.48
  3. Miami, FL · Florida$692.41−$25.39
  4. Chicago, IL · Illinois$672.56−$45.24
  5. Manhattan, NY · New York$726.93+$9.13
  6. Alaska · Alaska$745.14+$27.34
  7. Alabama · Alabama$569.04−$148.76

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

28118 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$561.12$366.88
ArizonaArizona$615.30$396.19
Bakersfield, CACalifornia$663.24$415.41
Chico, CACalifornia$660.75$412.91
El Centro, CACalifornia$660.89$413.06
Fresno, CACalifornia$660.75$412.91
Hanford, CACalifornia$660.75$412.91
Madera, CACalifornia$660.75$412.91

28118 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$561.12

$745.14

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28118 office rate range by state
State / territoryOffice rate rangeLocalities
AK$745.141
AL$569.041
AR$561.121
AZ$615.301
CA$660.75–$818.9329
CO$653.871
CT$673.041
DC$717.801
DE$625.201
FL$628.64–$692.413
GA$593.88–$644.772
GU$675.131
HI$675.131
IA$580.331
ID$584.531
IL$613.01–$672.564
IN$587.731
KS$578.961
KY$584.721
LA$584.34–$612.052
MA$650.69–$715.252
MD$636.43–$717.803
ME$588.81–$617.712
MI$600.55–$637.532
MN$623.421
MO$575.52–$612.643
MS$568.361
MT$631.891
NC$594.541
ND$614.881
NE$583.011
NH$644.901
NJ$679.84–$711.042
NM$604.231
NV$627.551
NY$603.24–$745.605
OH$597.071
OK$582.371
OR$621.80–$672.572
PA$597.28–$657.632
PR$635.951
RI$645.951
SC$596.971
SD$612.871
TN$581.931
TX$593.59–$652.478
UT$604.811
VA$616.64–$717.802
VI$635.951
VT$613.721
WA$649.06–$728.272
WI$595.121
WV$591.471
WY$624.481

See 28118 in every payment locality

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.

How the rate is built · 28118

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.98

5.98 RVUs× 1.000 GPCI

Practice expense12.08

12.08 RVUs× 1.000 GPCI

Malpractice0.86

0.86 RVUs× 1.000 GPCI

Adjusted RVUs

18.9200

Conversion factor

$33.4009

Medicare rate

$631.95

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,130

Code
28118
Physician work
5.98
Practice expense
12.08
Malpractice
0.86

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 28118 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work5.98× 1.0546.3029
Practice expense12.08× 1.17814.2302
Malpractice0.86× 1.1130.9572
Total RVUs21.4903
Conversion factor× 33.4009

Office rate, Washington, DC area$717.80

Office: (5.98 × 1.054 + 12.08 × 1.178 + 0.86 × 1.113) × $33.4009 = $717.80

Facility: (5.98 × 1.054 + 5.31 × 1.178 + 0.86 × 1.113) × $33.4009 = $451.42

Open 28118 in the RVU calculator

Payment rules and modifiers for 28118

28118 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28118

Heel bone resection, calcaneal ostectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28118

Heel bone resection, calcaneal ostectomy

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28118 without 50 · national office

$631.95

Heel bone resection, calcaneal ostectomy

28118-50 · Bilateral: 150%

$947.93

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).

When to use modifier 50

Codes related to 28118

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

Codes related to 28118
CodeHow it relatesOffice range, Washington, DC area
Used instead
28119Heel spur removal, calcaneal spurUse for the specifically coded calcaneal spur procedure, with or without plantar fascial release.$601.09
28120Bone excision, talus or calcaneusDescribes partial excision of the talus or calcaneus.$777.34
28100Bone lesion excision, talus or calcaneusFor excision or curettage of a bone cyst or benign tumor in the talus or calcaneus.$734.71

How 28118 has changed in Washington, DC area

28118 · Office / nonfacility

$717.80

Effective 2026-10-01

The base rate is $41.92 higher than on 2025-10-01, moving from $675.88 to $717.80 (6.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $675.88changed to$717.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.13 changed to 5.98
    • Practice expense RVU 11.29 changed to 12.08
    • Malpractice RVU 0.82 changed to 0.86
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $693.95changed to$675.88

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.25 changed to 11.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $682.62changed to$693.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $706.49changed to$682.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.04 changed to 11.25
    • Malpractice RVU 0.79 changed to 0.82
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $726.99changed to$706.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.90 changed to 11.04
    • Malpractice RVU 0.83 changed to 0.79
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $736.36changed to$726.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.03 changed to 10.90
    • Malpractice RVU 0.78 changed to 0.83

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $726.76changed to$736.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.40 changed to 11.03
    • Malpractice RVU 0.79 changed to 0.78
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $716.57changed to$726.76

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.41 changed to 10.40
    • Malpractice RVU 0.74 changed to 0.79
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $714.48changed to$716.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.38 changed to 10.41

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $705.81changed to$714.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.23 changed to 10.38
    • Malpractice RVU 0.72 changed to 0.74
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $707.68changed to$705.81

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.27 changed to 10.23
    • Malpractice RVU 0.74 changed to 0.72
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $710.75changed to$707.68

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.25 changed to 10.27
    • Malpractice RVU 0.77 changed to 0.74

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $707.21changed to$710.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $692.67changed to$707.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.01 changed to 10.25
    • Malpractice RVU 0.72 changed to 0.77
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $705.75changed to$692.67

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.24 changed to 10.01
    • Malpractice RVU 0.75 changed to 0.72
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $705.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$717.80$451.42RVU26D
2026-07-01$717.80$451.42RVU26C
2026-04-01$717.80$451.42RVU26B
2026-01-01$717.80$451.42RVU26A
2025-10-01$675.88$473.07RVU25D
2025-07-01$675.88$473.07RVU25C
2025-04-01$675.88$473.07RVU25B
2025-01-01$675.88$473.07RVU25A
2024-10-01$693.95$480.48RVU24D
2024-07-01$693.95$480.48RVU24C
2024-04-01$693.95$480.48RVU24B
2024-03-09$693.95$480.48RVU24AR
2024-01-01$682.62$472.64RVU24A
2023-10-01$706.49$484.75RVU23D
2023-07-01$706.49$484.75RVU23C
2023-04-01$706.49$484.75RVU23B
2023-01-01$706.49$484.75RVU23A
2022-10-01$726.99$494.30RVU22D
2022-07-01$726.99$494.30RVU22C
2022-04-01$726.99$494.30RVU22B
2022-01-01$726.99$494.30RVU22A
2021-10-01$736.36$492.26RVU21D
2021-07-01$736.36$492.26RVU21C
2021-04-01$736.36$492.26RVU21B
2021-01-01$736.36$492.26RVU21A
2020-10-01$726.76$494.09RVU20D
2020-07-01$726.76$494.09RVU20C
2020-04-01$726.76$494.09RVU20B
2020-01-01$726.76$494.09RVU20A
2019-10-01$716.57$485.53RVU19D
2019-07-01$716.57$485.53RVU19C
2019-04-01$716.57$485.53RVU19B
2019-01-01$716.57$485.53RVU19A
2018-10-01$714.48$483.70RVU18D
2018-07-01$714.48$483.70RVU18C
2018-04-01$714.48$483.70RVU18B
2018-01-01$714.48$483.70RVU18AR1
2017-10-01$705.81$479.20RVU17D
2017-07-01$705.81$479.20RVU17C
2017-04-01$705.81$479.20RVU17B
2017-01-01$705.81$479.20RVU17A
2016-10-01$707.68$481.17RVU16D
2016-07-01$707.68$481.17RVU16C
2016-04-01$707.68$481.17RVU16B
2016-01-01$707.68$481.17RVU16A
2015-10-01$710.75$482.99RVU15D
2015-07-01$710.75$482.99RVU15C
2015-04-01$707.21$480.59RVU15B
2015-01-01$707.21$480.59RVU15A
2014-10-01$692.67$472.64RVU14D
2014-07-01$692.67$472.64RVU14C
2014-04-01$692.67$472.64RVU14B
2014-01-01$692.67$472.64RVU14A
2013-10-01$705.75$470.16RVU13D
2013-07-01$705.75$470.16RVU13C
2013-04-01$705.75$470.16RVU13B
2013-01-01$705.75$470.16RVU13AR

Price 28118 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

28118 billing questions

How does 28118 differ from 28119?

28119 is specific to calcaneal spur surgery, with or without plantar fascial release. Use 28118 for a calcaneal ostectomy that is not the spur procedure described by 28119.

When is 28120 a better fit?

28120 describes partial excision of the talus or calcaneus. Select between the codes from the documented procedure and bone work, not merely because both may involve the calcaneus.

Are related postoperative visits included?

Yes. The 90-day global includes 90 days of related postoperative care, as well as the day-before preoperative visit.

How should bilateral calcaneal ostectomy be reported?

Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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
RVUs for 28118PPRRVU2026_Oct_nonQPP.csv, line 3,130 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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