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CPT code 28119: Heel spur removal, calcaneal spur2026 Medicare rate & RVUs in Delaware

Reports operative removal of a symptomatic calcaneal heel spur, with plantar fascial release included when performed as part of the procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Delaware, Medicare pays $525.37 for 28119 in the office and $343.20 when it’s performed in a hospital or facility.

$525.37Office (non-facility)
$343.20Hospital or facility
−1.0%vs the national office rate ($530.41)

Check a contract rate as a % of Medicare · 28119 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 28119 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 28119 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 28119 covers

A foot-and-ankle surgeon or podiatrist uses this service to remove a calcaneal spur associated with persistent heel symptoms, commonly a plantar spur in a patient with chronic plantar heel pain. The operation may include release of the plantar fascia when the surgeon performs it with spur removal. It is generally performed in an operating room or ambulatory surgery setting after conservative treatment has not resolved the problem.

Report the code when the operative work removes a heel spur, rather than a broader portion of the calcaneus or a bone lesion. The operative note should identify the spur's location and describe its removal; document plantar fascial release if performed. A 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is 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 Delaware compares for 28119

Across 109 of 109 payment localities, the office rate for 28119 runs from $474.37 in Arkansas to $686.89 in San Benito County, CA. Delaware pays $525.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

28119 in Delaware vs other payment areas
  1. Delaware · this page$525.37
  2. Los Angeles, CA · California$591.54+$66.17
  3. Washington, DC area · District of Columbia$601.09+$75.72
  4. Miami, FL · Florida$574.05+$48.68
  5. Chicago, IL · Illinois$558.84+$33.47
  6. Manhattan, NY · New York$606.95+$81.58
  7. Alaska · Alaska$633.50+$108.13

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

28119 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$480.65$319.32
ArkansasArkansas$474.37$315.99
ArizonaArizona$517.35$338.69
Bakersfield, CACalifornia$557.79$355.72
Chico, CACalifornia$555.99$353.92
El Centro, CACalifornia$556.09$354.01
Fresno, CACalifornia$555.99$353.92
Hanford, CACalifornia$555.99$353.92

28119 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.

$474.37

$633.50

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

View every state and territory as a table
28119 office rate range by state
State / territoryOffice rate rangeLocalities
AK$633.501
AL$480.651
AR$474.371
AZ$517.351
CA$555.99–$686.8929
CO$549.361
CT$563.551
DC$601.091
DE$525.371
FL$525.81–$574.053
GA$498.59–$540.192
GU$567.271
HI$567.271
IA$490.501
ID$493.651
IL$512.82–$558.844
IN$496.211
KS$488.981
KY$492.141
LA$491.67–$513.642
MA$546.77–$599.622
MD$534.56–$601.093
ME$496.58–$520.172
MI$504.27–$532.392
MN$526.091
MO$484.40–$514.623
MS$479.441
MT$530.371
NC$501.201
ND$518.701
NE$492.761
NH$541.461
NJ$569.89–$595.902
NM$507.001
NV$527.441
NY$508.07–$621.195
OH$501.881
OK$490.741
OR$523.23–$564.852
PA$502.29–$550.982
PR$533.741
RI$542.601
SC$502.401
SD$517.321
TN$491.281
TX$499.34–$547.648
UT$508.621
VA$519.01–$601.092
VI$533.741
VT$517.371
WA$545.52–$610.692
WI$502.921
WV$495.711
WY$525.281

See 28119 in every payment locality

How the 28119 rate is calculated

Each of 28119’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 · 28119

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.42

5.42 RVUs× 1.000 GPCI

Practice expense9.87

9.87 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

15.8800

Conversion factor

$33.4009

Medicare rate

$530.41

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,131

Code
28119
Physician work
5.42
Practice expense
9.87
Malpractice
0.59

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 28119 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.42× 1.0055.4471
Practice expense9.87× 0.9889.7516
Malpractice0.59× 0.8990.5304
Total RVUs15.7291
Conversion factor× 33.4009

Office rate, Delaware$525.37

Office: (5.42 × 1.005 + 9.87 × 0.988 + 0.59 × 0.899) × $33.4009 = $525.37

Facility: (5.42 × 1.005 + 4.35 × 0.988 + 0.59 × 0.899) × $33.4009 = $343.20

Open 28119 in the RVU calculator

Payment rules and modifiers for 28119

28119 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28119

Heel spur removal, calcaneal spur

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)1Not paid (statutory restriction).
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 · 28119

Heel spur removal, calcaneal spur

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

28119 without 50 · national office

$530.41

Heel spur removal, calcaneal spur

28119-50 · Bilateral: 150%

$795.62

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 28119

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

Codes related to 28119
CodeHow it relatesOffice range, Delaware
Used instead
28118Heel bone resection, calcaneal ostectomyFor calcaneal ostectomy when the procedure is not removal of a heel spur.$625.20
28120Bone excision, talus or calcaneusFor partial excision of talus or calcaneus rather than targeted spur removal.$679.68
28100Bone lesion excision, talus or calcaneusFor excision or curettage of a calcaneal bone cyst or benign tumor, not a spur.$638.14

How 28119 has changed in Delaware

28119 · Office / nonfacility

$525.37

Effective 2026-10-01

The base rate is $18.06 higher than on 2025-10-01, moving from $507.31 to $525.37 (3.6%).

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

    $507.31changed to$525.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.56 changed to 5.42
    • Practice expense RVU 9.60 changed to 9.87
    • Malpractice RVU 0.58 changed to 0.59
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $524.40changed to$507.31

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.68 changed to 9.60
    • Malpractice RVU 0.57 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $515.84changed to$524.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $530.69changed to$515.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.47 changed to 9.68
    • Malpractice RVU 0.56 changed to 0.57
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $544.82changed to$530.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.42 changed to 9.47
    • Malpractice RVU 0.57 changed to 0.56
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $548.72changed to$544.82

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.43 changed to 9.42
    • Malpractice RVU 0.54 changed to 0.57

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $553.79changed to$548.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.01 changed to 9.43
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $555.03changed to$553.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.07 changed to 9.01
    • Malpractice RVU 0.50 changed to 0.54
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $555.52changed to$555.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.10 changed to 9.07

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $556.44changed to$555.52

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.51 changed to 0.50
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $557.16changed to$556.44

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $559.57changed to$557.16

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.09 changed to 9.10
    • Malpractice RVU 0.53 changed to 0.51

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $556.79changed to$559.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $551.89changed to$556.79

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.99 changed to 9.09
    • Malpractice RVU 0.51 changed to 0.53
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $555.20changed to$551.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.90 changed to 8.99
    • Malpractice RVU 0.53 changed to 0.51
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $555.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$525.37$343.20RVU26D
2026-07-01$525.37$343.20RVU26C
2026-04-01$525.37$343.20RVU26B
2026-01-01$525.37$343.20RVU26A
2025-10-01$507.31$359.39RVU25D
2025-07-01$507.31$359.39RVU25C
2025-04-01$507.31$359.39RVU25B
2025-01-01$507.31$359.39RVU25A
2024-10-01$524.40$367.21RVU24D
2024-07-01$524.40$367.21RVU24C
2024-04-01$524.40$367.21RVU24B
2024-03-09$524.40$367.21RVU24AR
2024-01-01$515.84$361.22RVU24A
2023-10-01$530.69$368.60RVU23D
2023-07-01$530.69$368.60RVU23C
2023-04-01$530.69$368.60RVU23B
2023-01-01$530.69$368.60RVU23A
2022-10-01$544.82$373.29RVU22D
2022-07-01$544.82$373.29RVU22C
2022-04-01$544.82$373.29RVU22B
2022-01-01$544.82$373.29RVU22A
2021-10-01$548.72$371.13RVU21D
2021-07-01$548.72$371.13RVU21C
2021-04-01$548.72$371.13RVU21B
2021-01-01$548.72$371.13RVU21A
2020-10-01$553.79$379.87RVU20D
2020-07-01$553.79$379.87RVU20C
2020-04-01$553.79$379.87RVU20B
2020-01-01$553.79$379.87RVU20A
2019-10-01$555.03$380.22RVU19D
2019-07-01$555.03$380.22RVU19C
2019-04-01$555.03$380.22RVU19B
2019-01-01$555.03$380.22RVU19A
2018-10-01$555.52$379.07RVU18D
2018-07-01$555.52$379.07RVU18C
2018-04-01$555.52$379.07RVU18B
2018-01-01$555.52$379.07RVU18AR1
2017-10-01$556.44$380.60RVU17D
2017-07-01$556.44$380.60RVU17C
2017-04-01$556.44$380.60RVU17B
2017-01-01$556.44$380.60RVU17A
2016-10-01$557.16$380.71RVU16D
2016-07-01$557.16$380.71RVU16C
2016-04-01$557.16$380.71RVU16B
2016-01-01$557.16$380.71RVU16A
2015-10-01$559.57$381.38RVU15D
2015-07-01$559.57$381.38RVU15C
2015-04-01$556.79$379.48RVU15B
2015-01-01$556.79$379.48RVU15A
2014-10-01$551.89$376.75RVU14D
2014-07-01$551.89$376.75RVU14C
2014-04-01$551.89$376.75RVU14B
2014-01-01$551.89$376.75RVU14A
2013-10-01$555.20$369.08RVU13D
2013-07-01$555.20$369.08RVU13C
2013-04-01$555.20$369.08RVU13B
2013-01-01$555.20$369.08RVU13AR

Price 28119 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

28119 billing questions

How is 28119 different from 28118?

Use 28119 when the operative target is a calcaneal spur. Code 28118 describes calcaneal ostectomy for work other than spur removal.

Can plantar fascia release be included?

Yes. The service covers heel spur removal with or without plantar fascial release when the release is performed as part of the spur operation.

What documentation supports 28119?

Document the symptomatic calcaneal spur, its location, and the operative removal. If the plantar fascia is released, describe that work in the operative report.

How is bilateral heel spur surgery reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted, and team surgery is not permitted. Co-surgeon payment requires supporting documentation.

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 28119PPRRVU2026_Oct_nonQPP.csv, line 3,131 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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