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

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 Atlanta, GA, Medicare pays $540.19 for 28119 in the office and $352.86 when it’s performed in a hospital or facility.

$540.19Office (non-facility)
$352.86Hospital or facility
+1.8%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 Atlanta, GA
  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 Atlanta, GA 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. Atlanta, GA pays $540.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

28119 in Atlanta, GA vs other payment areas
  1. Atlanta, GA · this page$540.19
  2. Rest of Georgia · Georgia$498.59−$41.60
  3. Los Angeles, CA · California$591.54+$51.35
  4. Washington, DC area · District of Columbia$601.09+$60.90
  5. Miami, FL · Florida$574.05+$33.86
  6. Chicago, IL · Illinois$558.84+$18.65
  7. Manhattan, NY · New York$606.95+$66.76

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

Every other payment area

28119 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$633.50$437.15
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

28119 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.

$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 Atlanta, GA 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

44

Locality
Atlanta, GA
Physician work
1.003
Practice expense
1.016
Malpractice
1.201
Office calculation for 28119 in Atlanta, GA
ComponentRVULocality factorAdjusted
Physician work5.42× 1.0035.4363
Practice expense9.87× 1.01610.0279
Malpractice0.59× 1.2010.7086
Total RVUs16.1728
Conversion factor× 33.4009

Office rate, Atlanta, GA$540.19

Office: (5.42 × 1.003 + 9.87 × 1.016 + 0.59 × 1.201) × $33.4009 = $540.19

Facility: (5.42 × 1.003 + 4.35 × 1.016 + 0.59 × 1.201) × $33.4009 = $352.86

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

How 28119 has changed in Atlanta, GA

28119 · Office / nonfacility

$540.19

Effective 2026-10-01

The base rate is $29.59 higher than on 2025-10-01, moving from $510.60 to $540.19 (5.8%).

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

    $510.60changed to$540.19

    • 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 1.000 changed to 1.003
    • Practice expense GPCI 0.997 changed to 1.016
    • Malpractice GPCI 1.128 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $527.74changed to$510.60

    • 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

    $519.12changed to$527.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $527.96changed to$519.12

    • 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
    • Practice expense GPCI 0.998 changed to 0.997
    • Malpractice GPCI 1.016 changed to 1.128
  5. January 1, 2023

    RVU23A

    $535.58changed to$527.96

    • 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
    • Malpractice GPCI 0.904 changed to 1.016

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $539.42changed to$535.58

    • 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

    $544.59changed to$539.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.01 changed to 9.43
    • Malpractice GPCI 0.996 changed to 0.904

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $545.88changed to$544.59

    • 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
    • Practice expense GPCI 0.997 changed to 0.998
    • Malpractice GPCI 1.088 changed to 0.996

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $546.36changed to$545.88

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

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$546.36

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$540.19$352.86RVU26D
2026-07-01$540.19$352.86RVU26C
2026-04-01$540.19$352.86RVU26B
2026-01-01$540.19$352.86RVU26A
2025-10-01$510.60$361.93RVU25D
2025-07-01$510.60$361.93RVU25C
2025-04-01$510.60$361.93RVU25B
2025-01-01$510.60$361.93RVU25A
2024-10-01$527.74$369.76RVU24D
2024-07-01$527.74$369.76RVU24C
2024-04-01$527.74$369.76RVU24B
2024-03-09$527.74$369.76RVU24AR
2024-01-01$519.12$363.73RVU24A
2023-10-01$527.96$367.32RVU23D
2023-07-01$527.96$367.32RVU23C
2023-04-01$527.96$367.32RVU23B
2023-01-01$527.96$367.32RVU23A
2022-10-01$535.58$368.08RVU22D
2022-07-01$535.58$368.08RVU22C
2022-04-01$535.58$368.08RVU22B
2022-01-01$535.58$368.08RVU22A
2021-10-01$539.42$366.00RVU21D
2021-07-01$539.42$366.00RVU21C
2021-04-01$539.42$366.00RVU21B
2021-01-01$539.42$366.00RVU21A
2020-10-01$544.59$374.58RVU20D
2020-07-01$544.59$374.58RVU20C
2020-04-01$544.59$374.58RVU20B
2020-01-01$544.59$374.58RVU20A
2019-10-01$545.88$374.85RVU19D
2019-07-01$545.88$374.85RVU19C
2019-04-01$545.88$374.85RVU19B
2019-01-01$545.88$374.85RVU19A
2018-10-01$546.36$373.72RVU18D
2018-07-01$546.36$373.72RVU18C
2018-04-01$546.36$373.72RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28119 for an earlier date of service

Where the Atlanta, GA rate applies

Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.

  • Atlanta
  • Acworth
  • Alpharetta
  • 28119 in Auburn · multiple payment areas
  • Austell
  • Avondale Estates
  • Ball Ground
  • Belvedere Park

Browse all communities in Georgia

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 Atlanta, GAGPCI2026.csv, line 44 (RVU26D)

Open CMS sourceHow we calculate rates

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