CPT code 28120: Bone excision, talus or calcaneus2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $665.43 for 28120 in the office and $447.32 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28120 nationwide

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

What 28120 covers

An orthopedic or foot and ankle surgeon removes a portion of the talus or calcaneus. The work may involve shaping or scooping out bone, removing a sequestrum, or excising a segment. Typical clinical reasons include osteomyelitis or a localized bone lesion. The service is generally performed in an operating room, with the operative report identifying the affected bone and the extent of removal.

Choose this code when the documented procedure is a partial excision of the talus or calcaneus, rather than a biopsy alone or removal of a different foot bone. The operative note should support the bone treated, the indication, and the partial excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires 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 South Dakota compares for 28120

Across 109 of 109 payment localities, the office rate for 28120 runs from $612.44 in Arkansas to $882.14 in San Benito County, CA. South Dakota pays $665.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28120 rates by state

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

See 28120 in every payment locality

How the 28120 rate is calculated

Each of 28120’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 28120

28120 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

Codes related to 28120

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

How 28120 has changed in South Dakota

Price 28120 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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