CPT code 28119: Heel spur removal, calcaneal spur2026 Medicare rate & RVUs in Baltimore area, MD

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 Baltimore area, MD, Medicare pays $562.04 for 28119 in the office and $364.21 when it’s performed in a hospital or facility.

$562.04Office (non-facility)
$364.21Hospital or facility
+6.0%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 Baltimore area, MD
  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 Baltimore area, MD 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. Baltimore area, MD pays $562.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

28119 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$562.04
  2. Rest of Maryland · Maryland$534.56−$27.48
  3. Los Angeles, CA · California$591.54+$29.50
  4. Washington, DC area · District of Columbia$601.09+$39.05
  5. Miami, FL · Florida$574.05+$12.01
  6. Chicago, IL · Illinois$558.84−$3.20
  7. Manhattan, NY · New York$606.95+$44.91

Other areas in Maryland 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 Baltimore area, MD 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

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 28119 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work5.42× 1.0165.5067
Practice expense9.87× 1.07310.5905
Malpractice0.59× 1.2370.7298
Total RVUs16.8271
Conversion factor× 33.4009

Office rate, Baltimore area, MD$562.04

Office: (5.42 × 1.016 + 9.87 × 1.073 + 0.59 × 1.237) × $33.4009 = $562.04

Facility: (5.42 × 1.016 + 4.35 × 1.073 + 0.59 × 1.237) × $33.4009 = $364.21

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 Baltimore area, MD

28119 · Office / nonfacility

$562.04

Effective 2026-10-01

The base rate is $19.29 higher than on 2025-10-01, moving from $542.75 to $562.04 (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

    $542.75changed to$562.04

    • 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 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $560.97changed to$542.75

    • 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

    $551.82changed to$560.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $566.64changed to$551.82

    • 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 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309
  5. January 1, 2023

    RVU23A

    $580.98changed to$566.64

    • 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 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $584.81changed to$580.98

    • 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

    $587.35changed to$584.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.01 changed to 9.43
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $586.25changed to$587.35

    • 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 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $586.79changed to$586.25

    • 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

    $584.73changed to$586.79

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.51 changed to 0.50
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $582.64changed to$584.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $585.20changed to$582.64

    • 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

    $582.28changed to$585.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $579.25changed to$582.28

    • 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
    • Work GPCI 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $585.52changed to$579.25

    • 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
    • Work GPCI 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $585.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$562.04$364.21RVU26D
2026-07-01$562.04$364.21RVU26C
2026-04-01$562.04$364.21RVU26B
2026-01-01$562.04$364.21RVU26A
2025-10-01$542.75$382.00RVU25D
2025-07-01$542.75$382.00RVU25C
2025-04-01$542.75$382.00RVU25B
2025-01-01$542.75$382.00RVU25A
2024-10-01$560.97$390.17RVU24D
2024-07-01$560.97$390.17RVU24C
2024-04-01$560.97$390.17RVU24B
2024-03-09$560.97$390.17RVU24AR
2024-01-01$551.82$383.80RVU24A
2023-10-01$566.64$391.68RVU23D
2023-07-01$566.64$391.68RVU23C
2023-04-01$566.64$391.68RVU23B
2023-01-01$566.64$391.68RVU23A
2022-10-01$580.98$397.03RVU22D
2022-07-01$580.98$397.03RVU22C
2022-04-01$580.98$397.03RVU22B
2022-01-01$580.98$397.03RVU22A
2021-10-01$584.81$394.36RVU21D
2021-07-01$584.81$394.36RVU21C
2021-04-01$584.81$394.36RVU21B
2021-01-01$584.81$394.36RVU21A
2020-10-01$587.35$400.82RVU20D
2020-07-01$587.35$400.82RVU20C
2020-04-01$587.35$400.82RVU20B
2020-01-01$587.35$400.82RVU20A
2019-10-01$586.25$398.41RVU19D
2019-07-01$586.25$398.41RVU19C
2019-04-01$586.25$398.41RVU19B
2019-01-01$586.25$398.41RVU19A
2018-10-01$586.79$397.18RVU18D
2018-07-01$586.79$397.18RVU18C
2018-04-01$586.79$397.18RVU18B
2018-01-01$586.79$397.18RVU18AR1
2017-10-01$584.73$396.71RVU17D
2017-07-01$584.73$396.71RVU17C
2017-04-01$584.73$396.71RVU17B
2017-01-01$584.73$396.71RVU17A
2016-10-01$582.64$394.89RVU16D
2016-07-01$582.64$394.89RVU16C
2016-04-01$582.64$394.89RVU16B
2016-01-01$582.64$394.89RVU16A
2015-10-01$585.20$395.59RVU15D
2015-07-01$585.20$395.59RVU15C
2015-04-01$582.28$393.62RVU15B
2015-01-01$582.28$393.62RVU15A
2014-10-01$579.25$394.16RVU14D
2014-07-01$579.25$394.16RVU14C
2014-04-01$579.25$394.16RVU14B
2014-01-01$579.25$394.16RVU14A
2013-10-01$585.52$389.95RVU13D
2013-07-01$585.52$389.95RVU13C
2013-04-01$585.52$389.95RVU13B
2013-01-01$585.52$389.95RVU13AR

Price 28119 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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 Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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